Questions 150

NCLEX-RN

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NCLEX RN Questions with Detailed Explanations Questions

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Question 1 of 5

The nurse is caring for a client with a history of venous thromboembolism who is prescribed rivaroxaban (Xarelto). The nurse should instruct the client to report which of the following side effects immediately?

Correct Answer: B

Rationale: Bleeding gums indicate a potential bleeding complication with rivaroxaban, requiring immediate reporting.

Question 2 of 5

A client has cystitis. The nurse should further assess the client for:

Correct Answer: D

Rationale: Foul-smelling urine is a common symptom of cystitis due to bacterial infection. Flank pain and oliguria are more indicative of pyelonephritis.

Question 3 of 5

A 10-year-old client with rheumatic fever is on bed rest. Which of the following would be an appropriate diversional activity for the nurse to encourage?

Correct Answer: B

Rationale: Coloring is a quiet, bed-appropriate activity that engages a 10-year-old without physical exertion, suitable for rheumatic fever recovery.

Question 4 of 5

The nurse is teaching a client with a new diagnosis of asthma about inhaler use. Which of the following instructions should be included for a metered-dose inhaler?

Correct Answer: A, B, D

Rationale: Shaking the inhaler, holding breath, and using a spacer ensure effective medication delivery.

Question 5 of 5

The nurse is caring for a client post-total knee replacement. Which sign indicates a potential deep vein thrombosis?

Correct Answer: A

Rationale: Calf swelling and pain are classic signs of deep vein thrombosis, a common postoperative complication requiring immediate evaluation.

Similar Questions

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A client who is brought to the emergency department has experienced a burn covering greater than 25% of his total body surface area (TBSA). When reviewing the laboratory results drawn on the client, which value should the nurse most likely expect to note?
A nurse is administering indomethacin to a neonate. To ensure that the nurse has identified the neonate correctly, the nurse should do which of the following? Select all that apply.
The nurse is beginning the shift and is now responsible for the following clients on the postpartum unit and has not yet made rounds on the clients. Additionally, the nurse is responsible for three other clients who are currently listed as stable. The nurse will also be getting a new admission in 15 minutes. For the best utilization of time and client safety, the nurse should make rounds on which of the following clients first?
A client with a history of Parkinson's disease is prescribed levodopa/carbidopa (Sinemet). Which instruction should the nurse include?

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