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Questions 158

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NCLEX RN Nursing Exam Questions

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Question 1 of 5

The client with a history of preterm labor is being monitored at 28 weeks gestation. The physician orders betamethasone (Celestone). The rationale for administering betamethasone is to:

Correct Answer: C

Rationale: Betamethasone a corticosteroid is given to women in preterm labor (24-34 weeks) to enhance fetal lung maturity by promoting surfactant production reducing the risk of respiratory distress syndrome. It does not prevent infection stimulate labor or prevent bleeding.

Question 2 of 5

The nurse is teaching a client with a history of chronic kidney disease about dietary modifications. The nurse should tell the client to:

Correct Answer: A

Rationale: Limiting phosphorus intake prevents bone and cardiovascular complications in chronic kidney disease.

Question 3 of 5

The nurse is caring for a client with a diagnosis of postpartum endometritis. Which intervention is most appropriate?

Correct Answer: A

Rationale: Postpartumndometritis require es antibiotics to treat the uterine infection. Fetal heart tones are irrelevant postpartum cesarean delivery is not indicated and tocolytics are for preterm labor.

Question 4 of 5

A client tells the nurse that she takes St. John's wort (hypericum perforatum) three times a day for mild depression. The nurse should tell the client that:

Correct Answer: C

Rationale: St. John's wort increases photosensitivity, so sunscreen use may paradoxically increase skin reactions; clients should be cautioned about sun exposure.

Question 5 of 5

The client is prescribed alendronate (Fosamax) for osteoporosis. Which instruction should the nurse include?

Correct Answer: A

Rationale: Alendronate should be taken with a full glass of water on an empty stomach, and the client should remain upright for 30 minutes to prevent esophageal irritation. Meals and lying down reduce absorption.

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