NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX-PN Practice Questions Quizlet Questions

Extract:


Question 1 of 5

The nurse is caring for a client with a history of depression who is prescribed fluoxetine (Prozac). The client reports feeling 'jittery' and restless. The nurse should

Correct Answer: C

Rationale: Jitteriness and restlessness are signs of akathisia, a side effect of fluoxetine, requiring physician notification for possible dose adjustment or additional medication. Lorazepam (
A) is inappropriate without orders, activity (
B) may worsen symptoms, and bedtime dosing (
D) doesn’t address the issue.

Question 2 of 5

The nurse is caring for a client with a history of depression who is prescribed fluoxetine (Prozac). The client reports feeling 'jittery' and restless. The nurse should

Correct Answer: C

Rationale: Jitteriness and restlessness are signs of akathisia, a side effect of fluoxetine, requiring physician notification for possible dose adjustment or additional medication. Lorazepam (
A) is inappropriate without orders, activity (
B) may worsen symptoms, and bedtime dosing (
D) doesn’t address the issue.

Extract:

The best nursing intervention to minimize perineal edema following episiotomy would be:


Question 3 of 5

The best nursing intervention to minimize perineal edema following episiotomy would be:

Correct Answer: C

Rationale: Ice packs reduce swelling and edema in the perineal area post-episiotomy.

Extract:


Question 4 of 5

A client is receiving chemotherapy for cancer and develops thrombocytopenia. What should the nurse include in the client's plan of care because of the thrombocytopenia?

Correct Answer: C

Rationale: Thrombocytopenia increases bleeding risk; avoiding injections prevents hematomas or hemorrhage. Positioning, fluid limits, or exercise don't address bleeding risk.

Question 5 of 5

A 15-month-old child with Hirschsprung's disease comes for a checkup. The mother reports all of the following. Which indicates a need for more instruction?

Correct Answer: A

Rationale: Limiting physical activity is unnecessary and may hinder development in Hirschsprung's disease; enemas, low-residue diet, and stool softeners are appropriate for managing constipation.

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