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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

Correct Answer: A

Rationale: A tracheotomy set is kept at the bedside post-thyroidectomy due to the risk of airway obstruction from swelling or hematoma.

Question 2 of 5

A client with epilepsy is taking phenytoin. What long-term effects should the nurse advise the client can occur with prolonged administration of phenytoin? Select all that apply.

Correct Answer: A,B,E

Rationale: Phenytoin's long-term effects include gingival hypertrophy (
A), hirsutism (
B), and anemia (E). Facial hypertrophy (
C) and dementia (
D) are not associated with phenytoin.

Question 3 of 5

A client is admitted with a blood alcohol level of 180 mg/dL. The nurse recognizes that the alcohol in the client's system should be fully metabolized within:

Correct Answer: D

Rationale: A blood alcohol level of 180 mg/dL (0.18%) typically takes about 9 hours to metabolize, assuming a metabolism rate of 0.02% per hour.

Question 4 of 5

Lochia serosa usually is evident on days 4 to 10 postpartum. When teaching the client about postpartum care, how should the nurse describe lochia serosa?

Correct Answer: C

Rationale: Lochia serosa, days 4-10 postpartum, is pinkish to brownish (
C) due to decreased blood and increased serous fluid. Dark red (
A) is lochia rubra, yellowish (
B) or clear (
D) are not typical.

Question 5 of 5

The nurse is assisting the physician with removalCus of a central venous catheter. To facilitate removal, the nurse should instruct the client to:

Correct Answer: C

Rationale: Taking slow, deep breaths during central venous catheter removal minimizes the risk of air embolism.

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