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Questions 227

NCLEX-PN

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Extract:

Two days postpartum a patient who had a C-section delivery complains of pain in the right leg.


Question 1 of 5

The nurse should instruct the patient to

Correct Answer: D

Rationale: Leg pain post-C-section may indicate a deep vein thrombosis, requiring bed rest and physician notification.

Extract:

B.C. is a 14-yr-old boy who was brought to the ER after he had sustained flame burns. He had been wearing masquerade costume during Halloween celebration when his costume was set ablaze by the lighted candles in the party room. He extinguished the fire by rolling on the floor. On admission, resuscitation was commenced with intravenous fluids, antibiotics, and wound dressing. On examination he was found to be a young man, not pale, but febrile (body temperature, 37.8°C). He was tachypneic, RR 26 per min, with audible breath sounds bilaterally. Burn assessment revealed a total body surface area involved of 30%, with mixed-thickness burns sparing some patchy areas of the back and the right upper limb. B.C. anterior chest was affected.


Question 2 of 5

For the first 24 hours after hospitalization, the nurse should primarily observe him for

Correct Answer: C

Rationale: Inhalation burns are usually present with facial burns, regardless of the depth; the immediate threat to life is asphyxia from irritation and edema of the respiratory passages and lungs.

Extract:

Which of the following signs should the nurse be aware of on a patient who is taking prednisone?


Question 3 of 5

Melena

Correct Answer: A

Rationale: Prednisone can cause gastrointestinal irritation, leading to melena, a sign of bleeding.

Extract:


Question 4 of 5

Prochlorperazine maleate (Compazine) 10 mg IM has been ordered for a client. The client is also to receive Stadol 2 mg IM. Before administering these medications, the nurse should

Correct Answer: C

Rationale: Compazine (prochlorperazine) is incompatible with most medications, including Stadol (butorphanol), in the same syringe, as mixing may cause precipitation or reduced efficacy. Drawing them in separate syringes ensures safe administration. Monitoring vital signs (
A) is less critical, dilution (
B) is inappropriate, and verifying the route (
D) is unnecessary as IM is specified.

Extract:

A diet rich in calcium over a lifetime will decrease the risk of


Question 5 of 5

Heart disease

Correct Answer: B

Rationale: A diet rich in calcium over a lifetime will decrease the risk of osteoporosis by strengthening bones.

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