Questions 150

NCLEX-RN

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Question 1 of 5

The client has sore nares while a nasogastric (NG) tube is in place. Which of the following nursing measures would be most appropriate to help alleviate the client's discomfort?

Correct Answer: C

Rationale: Applying a water-soluble lubricant to the nares reduces irritation and discomfort caused by the NG tube.

Question 2 of 5

A client with rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor?

Correct Answer: A

Rationale: Methotrexate can cause hepatotoxicity, so monitoring liver function tests is essential.

Question 3 of 5

The clinic nurse is reviewing the laboratory reports for a client who is taking allopurinol (Zyloprim). Which of the following laboratory findings indicates that the allopurinol is having the desired effect?

Correct Answer: A

Rationale: Allopurinol reduces serum uric acid levels by inhibiting xanthine oxidase, which is its therapeutic effect in treating gout.

Question 4 of 5

A client with a history of seizures is prescribed phenytoin (Dilantin). The nurse should instruct the client to report which of the following side effects immediately?

Correct Answer: C

Rationale: A rash may indicate a serious hypersensitivity reaction to phenytoin, such as Stevens-Johnson syndrome, requiring immediate reporting.

Question 5 of 5

A client with a history of type 2 diabetes is prescribed exenatide (Byetta). The nurse should instruct the client to:

Correct Answer: A, B

Rationale: Exenatide is taken before meals to control postprandial glucose, and hypoglycemia is a risk.

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