Questions 151

NCLEX-RN

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Extract:


Question 1 of 5

The nurse judges that the parent of a 9-month-old infant in a hip spica cast understands how to feed the child when the parent states which of the following?

Correct Answer: B

Rationale: Raising the infant's head while keeping the hips and legs supported minimizes the risk of aspiration and accommodates the hip spica cast's restrictions. Laying flat increases aspiration risk, and the other options are impractical or unnecessary.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of gout about medication management. Which of the following medications should the client expect to take during an acute attack?

Correct Answer: A

Rationale: Colchicine is used to relieve inflammation during an acute gout attack.

Question 3 of 5

The nurse is preparing to administer digoxin (Lanoxin) to a client with heart failure. The client's apical pulse is 58 bpm. What should the nurse do next?

Correct Answer: B

Rationale: Digoxin is typically withheld if the apical pulse is below 60 bpm in adults, as bradycardia may indicate toxicity. The physician should be notified for further evaluation.

Question 4 of 5

The nurse is caring for a client with a history of hyperthyroidism who is prescribed methimazole (Tapazole). The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Methimazole can cause agranulocytosis, a serious reduction in white blood cells, requiring monitoring.

Question 5 of 5

The nurse is teaching a client with a new diagnosis of type 1 diabetes about sick day management. Which of the following instructions should be included? Select all that apply.

Correct Answer: A, B, D, E

Rationale: Continuing insulin, frequent glucose monitoring, fluid intake, and contacting the provider prevent complications during illness.

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