Questions 151

NCLEX-RN

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Question 1 of 5

The nurse is caring for a client with a history of burns. Which of the following complications should the nurse monitor for in the acute phase?

Correct Answer: A

Rationale: Hypovolemia is a major complication in the acute phase of burns due to fluid loss.

Question 2 of 5

A client with chronic kidney disease is on a fluid restriction. How should the nurse calculate the client's daily fluid intake?

Correct Answer: A

Rationale: Fluid intake in chronic kidney disease is typically calculated as urine output plus 500 mL to replace insensible losses while preventing fluid overload.

Question 3 of 5

The nurse is involved in preoperative teaching with a client who will be undergoing a lung resection. The client is told that two chest tubes will be placed during surgery. The nurse explains that the purpose of the nurse is to:

Correct Answer: B, C

Rationale: Chest tubes are placed to remove air (pneumothorax) and fluid (hemothorax or pleural effusion) from the pleural space to restore negative pressure and lung expansion. Preventing clots or milking tubes is not their primary purpose.

Question 4 of 5

The nurse is caring for a client with a new diagnosis of glaucoma. Which medication class should the nurse expect to administer?

Correct Answer: A

Rationale: Beta-blockers, such as timolol, reduce intraocular pressure in glaucoma by decreasing aqueous humor production, the primary treatment goal.

Question 5 of 5

A client with a history of osteoporosis is prescribed alendronate (Fosamax). The nurse should instruct the client to take the medication:

Correct Answer: A

Rationale: Alendronate should be taken first thing in the morning with water, on an empty stomach, to maximize absorption and minimize esophageal irritation.

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