NCLEX Questions, NCLEX Trainer Test 10 Questions, NCLEX-PN Questions, Nurselytic

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Question 1 of 5

The nurse is caring for a client who is postoperative day 1 following a total knee replacement. Which of the following findings should the nurse report to the physician immediately?

Correct Answer: B

Rationale: swelling and warmth may indicate infection or a deep vein thrombosis, which requires immediate attention

Question 2 of 5

The nurse is called to the room of a patient four days after abdominal surgery. The patient had been coughing and said he felt something give. The nurse observes that the edges of the incision have separated, and a small loop of the bowel protrudes through the incision. The nurse should position the patient

Correct Answer: C

Rationale: low Fowler's, reduces stress on suture line, may be placed supine with hips and knees bent

Question 3 of 5

The nurse is preparing to administer digoxin (Lanoxin) to a client. The client's apical pulse is 56 beats per minute. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: digoxin is held if the apical pulse is below 60 beats per minute in adults to prevent toxicity

Question 4 of 5

The physician orders cholestyramine (Questran) 4 g PO qid for a 40-year-old client. The medication is provided in single-dose 4 g packets. The client asks the office nurse how to take the medication. The nurse should instruct the client to

Correct Answer: D

Rationale: ensures uniform suspension

Question 5 of 5

A 5-year-old boy is brought to the emergency room after ingesting a bottle of baby aspirin. The nurse should observe the boy for which of the following signs and symptoms?

Correct Answer: D

Rationale: symptoms of overdose

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