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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is caring for a client who had knee surgery this morning. Postoperative orders include a narcotic every three to four hours as needed for operative site pain and an ice bag. At 7:00 P.M., the client asks for pain medication. He was last medicated at 3:30 P.M. What is the best initial nursing action?

Correct Answer: B

Rationale: Assessing pain location and nature ensures the medication is appropriate for operative site pain, guiding safe administration. Administering without assessment, refilling ice, or repositioning are premature.

Question 2 of 5

A client with Anemia has been prescribed liquid iron. Which would the nurse expect to be included in the teaching plan?

Correct Answer: A

Rationale: Liquid iron should be administered through a straw to prevent dental staining. Answers B, C, and D are not correct instructions for taking liquid iron, so they are incorrect.

Question 3 of 5

A postoperative client is to be discharged today. She will need to change her dressing daily. Which statement she makes indicates that she understands the process?

Correct Answer: A

Rationale: Hand washing before and after dressing changes prevents infection, reflecting proper understanding.
Touching dressings, cleaning toward the incision, or improper disposal increase infection risk.

Extract:

A patient has been receiving a cardiac glycoside, a diuretic, and a vasodilator and is on bedrest. The patient's apical pulse rate is 44.


Question 4 of 5

The nurse concludes that this pulse rate is most likely a result of the:

Correct Answer: D

Rationale: Cardiac glycosides like digoxin can cause bradycardia, especially at a pulse of 44.

Extract:


Question 5 of 5

For which of the following conditions might blood be drawn for uric acid level?

Correct Answer: B

Rationale: Gout is characterized by elevated uric acid levels, which are measured to confirm diagnosis and monitor treatment. The other conditions do not typically involve uric acid testing. Reduction of Risk Potential

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