Questions 150

NCLEX-RN

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Question 1 of 5

The nurse should advise which of the following clients who is taking lithium to consult with the physician regarding a potential adjustment in lithium dosage?

Correct Answer: D

Rationale: Increased physical activity, such as tennis training, can lead to dehydration or electrolyte imbalances, which may affect lithium levels and increase toxicity risk, necessitating a dosage adjustment.

Question 2 of 5

Which of the following is a commonality that is shared in terms of both restraints and urinary catheters?

Correct Answer: A

Rationale: Both restraints and urinary catheters can lead to infections restraints via skin breakdown and catheters via urinary tract infections if not properly managed.

Question 3 of 5

The nurse makes a home visit to a primiparous client and her neonate at 1 week after a vaginal delivery. Which of the following findings should be reported to the physician?

Correct Answer: D

Rationale: Neonatal central cyanosis indicates possible respiratory or cardiac issues and requires immediate reporting. The other findings are normal at 1 week postpartum.

Question 4 of 5

A client with a history of breast cancer is prescribed letrozole (Femara). The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Letrozole, an aromatase inhibitor, can cause bone loss, increasing osteoporosis risk.

Question 5 of 5

The nurse is caring for a client who has just undergone a total hip replacement. Which of the following positions should the nurse avoid placing the client in?

Correct Answer: A

Rationale: Crossing the legs post-hip replacement risks dislocation of the prosthesis and should be avoided.

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