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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The client is admitted from the emergency room with multiple injuries sustained from an auto accident. His doctor prescribes a histamine blocker. The nurse is aware that the reason for this order is to:

Correct Answer: C

Rationale: Histamine blockers (e.g., famotidine) are used post-trauma to prevent stress ulcers due to increased gastric acid production.

Question 2 of 5

A 15-year-old client took a full bottle of extra-strength acetaminophen in a suicide attempt 5 hours prior to admission to the emergency department for treatment, and the serum level of the drug is 180 mcg/mL. Which of the following interventions does the nurse anticipate? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: Acetaminophen overdose requires NAC (
A), supportive care (
B), charcoal if within 4-8 hours (
C), hepatic monitoring (
D), and psychiatric consultation (E) for suicide attempt.

Question 3 of 5

A client is diagnosed with stage II Hodgkin's lymphoma. The nurse recognizes that the client has involvement:

Correct Answer: B

Rationale: Stage II Hodgkin's lymphoma involves two or more lymph nodes or a single organ on the same side of the diaphragm, per the Ann Arbor staging system.

Question 4 of 5

A client with hepatitis C who has cirrhosis changes has just returned from a liver biopsy. The nurse will place the client in which position?

Correct Answer: C

Rationale: Right side-lying position applies pressure to the liver biopsy site, reducing the risk of bleeding or bile leakage post-procedure.

Question 5 of 5

Which finding is associated with secondary syphilis?

Correct Answer: D

Rationale: Secondary syphilis is characterized by a generalized rash, often on the palms and soles.

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