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Questions 227

NCLEX-PN

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Extract:

The nurse should observe Valerie closely for signs of infectious complications because in Addison's disease there is disturbance in


Question 1 of 5

fluid balance.

Correct Answer: D

Rationale: Because of diminished glucocorticoid production, there is a decreased inflammatory effect, increasing susceptibility to infections.

Extract:

In addition to the relief of pain, the nurse should direct the care for a patient with sickle cell crisis toward:


Question 2 of 5

In addition to the relief of pain, the nurse should direct the care for a patient with sickle cell crisis toward:

Correct Answer: B

Rationale: Oxygenation and hydration prevent further sickling and promote tissue perfusion.

Extract:


Question 3 of 5

The physician has prescribed Protonix (pantoprazole) for a client with burns. The nurse recognizes that the medication will help prevent the development of:

Correct Answer: A

Rationale: Protonix (pantoprazole), a proton pump inhibitor, is prescribed to reduce gastric acid secretion and prevent stress-related mucosal damage, such as Curling's ulcer, which is common in burn patients due to stress and hypoperfusion. Answers B, C, and D are incorrect because Protonix does not directly address myoglobinuria, hyperkalemia, or paralytic ileus.

Question 4 of 5

A victim of domestic violence states, 'If I were better, I would not have been beat.' Which feeling best describes what the victim may be experiencing?

Correct Answer: C

Rationale: Self-blame. Victims often internalize blame, believing their behavior causes the abuse, which is a common misconception.

Question 5 of 5

Clients with mitral stenosis would likely manifest findings associated with congestion in the

Correct Answer: A

Rationale: Pulmonary circulation. Inefficient emptying of the left ventricle causes back-flow into the pulmonary vein, leading to congestion.

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