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Questions 158

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is caring for a client with a history of myasthenia gravis. Which medication should the nurse anticipate being prescribed?

Correct Answer: A

Rationale: Pyridostigmine, a cholinesterase inhibitor, is used to treat myasthenia gravis by improving neuromuscular transmission. The other medications are for seizures, hypertension, or arthritis, not myasthenia.

Question 2 of 5

A client is having episodes of hyperventilation related to her surgery that is scheduled tomorrow. Appropriate nursing actions to help control hyperventilating include:

Correct Answer: C

Rationale: An adult diazepam dosage for treatment of anxiety is 2-10 mg PO 2-4 times daily. The order as written would place a client at risk for overdose. A high room temperature could increase hyperventilating episodes by stimulating the respiratory system. Breath holding and breathing into a paper bag may be useful in controlling hyperventilation. Both measures increase CO2 retention. Distraction will not prevent or control hyperventilation caused by anxiety or fear.

Question 3 of 5

Which of the following describes the language development of a two-year-old?

Correct Answer: C

Rationale: A two-year-old typically can combine three or four words to form simple sentences (e.g., 'Me want milk'). They understand basic concepts like 'yes' and 'no,' but not all words. Repeatedly asking 'why?' is more common in older preschoolers.

Question 4 of 5

The nurse is making room assignments for four obstetrical clients. If only one private room is available, it should be assigned to:

Correct Answer: B

Rationale: Preeclampsia requires close monitoring due to risks like seizures or stroke, making a private room essential for a primigravida with this condition.

Question 5 of 5

A client had abdominal surgery this morning. The nurse notices that there is a small amount of bloody drainage on his surgical dressing. The nurse would document this as what type of drainage?

Correct Answer: C

Rationale: Drainage from a surgical incision is initially sanguinous, proceeding to serosanguinous, and then to serous.

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