Questions 150

NCLEX-RN

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Question 1 of 5

A nurse at the outpatient clinic receives a lithium level report of 1.0 mEq/L for a client who has been taking lithium for 2 months. The nurse should interpret this level to indicate which of the following?

Correct Answer: D

Rationale: A lithium level of 1.0 mEq/L is within the therapeutic range (0.6–1.2 mEq/L) for maintenance therapy. Levels below this are subtherapeutic, and higher levels indicate toxicity.

Question 2 of 5

Carbamazepine is prescribed for the management of generalized tonic-clonic seizures. The nurse instructs the client to inform the primary health care provider if which sign/symptom occurs?

Correct Answer: C

Rationale: Drowsiness, dizziness, nausea, and vomiting are frequent side effects associated with the medication. Adverse reactions include blood dyscrasias. If the client develops a fever, sore throat, mouth ulcerations, unusual bleeding or bruising, or joint pain, this may be indicative of a blood dyscrasia, and the primary health care provider should be notified.

Question 3 of 5

The nurse is teaching a client with a new diagnosis of gout about dietary management. Which of the following foods should the client include?

Correct Answer: A

Rationale: Cherries reduce uric acid levels and inflammation in gout.

Question 4 of 5

The nurse is caring for a client receiving chemotherapy. Which precaution is most important?

Correct Answer: D

Rationale: Monitoring for fever is critical, as chemotherapy increases infection risk due to immunosuppression.

Question 5 of 5

The nurse is evaluating the pin insertion site of a client's skeletal traction. Which of the following indicate a complication?

Correct Answer: C

Rationale: A moving pin indicates instability, a complication risking infection or poor healing. Crusts and serous drainage are normal, and lack of pain is not a complication.

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