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Questions 227

NCLEX-PN

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Extract:

A 2-gram sodium diet is prescribed for a patient with severe hypertension. The patient does not like the diet, and the nurse hears the patient tell a friend to bring in some 'good home-cooked food.'


Question 1 of 5

It would be most effective for the nurse to plan to

Correct Answer: B

Rationale: Discussing the diet with the patient and family fosters understanding and compliance.

Extract:


Question 2 of 5

Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:

Correct Answer: A

Rationale: Erythropoietin stimulates red blood cell production, requiring iron, folic acid, and B12 for effectiveness. The other options are not directly related to erythropoiesis. Physiological Adaptation

Question 3 of 5

Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?

Correct Answer: B

Rationale: Ondansetron is a serotonin (5-HT3) receptor antagonist effective for nausea and vomiting, particularly in chemotherapy or postoperative settings. The other medications have different mechanisms. Physiological Adaptation

Question 4 of 5

A client complained of nausea, a metallic taste in her mouth, and fine hand tremors 2 hours after her first dose of lithium carbonate (Lithane). What is the nurse's best explanation of these findings?

Correct Answer: A

Rationale: These side effects are common and should subside in a few days. Nausea, metallic taste, and fine hand tremors are common side effects that usually subside quickly.

Question 5 of 5

Which of the following observations is most important when assessing a client's breathing?

Correct Answer: C

Rationale: Ensuring the presence and adequacy of breathing is critical to assess effective oxygenation. Pulse rate and position are secondary considerations. Physiological Adaptation

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