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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?

Correct Answer: C

Rationale: A WBC of 2000 indicates leukopenia, a serious side effect of carbamazepine that increases infection risk.

Question 2 of 5

A 4-year-old male is admitted to the unit with nephrotic syndrome. He is extremely edematous. To decrease the discomfort associated with scrotal edema, the nurse should:

Correct Answer: B

Rationale: Elevating the scrotum reduces edema by promoting fluid drainage, decreasing discomfort.

Question 3 of 5

A client with benign prostatic hypertrophy has been started on Proscar (finasteride). The nurse's discharge teaching should include:

Correct Answer: A

Rationale: Finasteride tablets should not be handled by pregnant women due to the risk of fetal harm. This is a critical teaching point for safety.

Question 4 of 5

A child with a history of seizures begins to seize suddenly in his hospital room. The nurse would do all of the following interventions EXCEPT

Correct Answer: D

Rationale: Restraining during a seizure risks injury. Loosening clothing, removing pillows, rolling to the side, and administering lorazepam (if ordered) are appropriate to ensure safety and stop the seizure.

Question 5 of 5

The nurse is assessing elderly clients at a community center. Which of the following findings would be the most cause for concern?

Correct Answer: D

Rationale: Rales bilaterally on chest auscultation suggest fluid in the lungs, which could indicate serious conditions like heart failure or pneumonia, requiring immediate attention. Dry mouth, height loss, and stiffened joints are common in aging but less urgent.

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