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Questions 227

NCLEX-PN

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Extract:

The client is taking Aminophylline.


Question 1 of 5

The nurse knows that the client is having problem if she observes that the client is:

Correct Answer: B

Rationale: Restlessness is a sign of aminophylline toxicity, indicating a need for intervention.

Extract:


Question 2 of 5

An adult has returned to the nursing care unit following abdominal surgery. She has an order for meperidine IM PRN for severe pain or acetaminophen #3 PO PRN for mild to moderate pain. The nurse asks the client if she is experiencing pain now, and she states, 'Yes, I am.' What is the most appropriate initial action for the nurse?

Correct Answer: C

Rationale: Assessing pain location and degree using a scale determines the appropriate medication (mild vs. severe), ensuring tailored pain management.

Extract:

The nurses informs the pregnant client who does not like milk that there are other foods that are good sources of calcium and advises the client to eat:


Question 3 of 5

The nurses informs the pregnant client who does not like milk that there are other foods that are good sources of calcium and advises the client to eat:

Correct Answer: C

Rationale: Broccoli is a good non-dairy source of calcium, important for pregnancy.

Extract:


Question 4 of 5

A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?

Correct Answer: B

Rationale: Morphine sulfate, a narcotic analgesic, causes central nervous system (CNS) and respiratory depression. In patients with head injuries, it is contraindicated because it masks signs of increased intracranial pressure (ICP), such as changes in level of consciousness, which are critical for monitoring neurological status. Promethazine is an antiemetic, docusate is a stool softener, and ranitidine prevents stress ulcers, none of which pose the same risk in this context.

Question 5 of 5

A woman who is in labor is being treated for preeclampsia. How will the nurse know if the client develops eclampsia?

Correct Answer: B

Rationale: Eclampsia is characterized by seizures in a preeclamptic patient, distinguishing it from preeclampsia, which involves hypertension, edema, and proteinuria.

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