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Questions 227

NCLEX-PN

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Extract:

The nurse understands that the patient with esophageal varices should not be given food such as:


Question 1 of 5

The nurse understands that the patient with esophageal varices should not be given food such as:

Correct Answer: A

Rationale: Crackers, being rough, can irritate or rupture fragile esophageal varices.

Extract:


Question 2 of 5

The nurse administered an intramuscular injection to an adult. How should the nurse dispose of the needle and syringe?

Correct Answer: A

Rationale: Immediately placing the needle and syringe in a sharps container prevents needlestick injuries. Recapping or separating risks exposure, and cutting is unsafe.

Extract:

Loss of peripheral vascular resistance:


Question 3 of 5

Loss of peripheral vascular resistance:

Correct Answer: A

Rationale: Loss of peripheral vascular resistance leads to hypotension due to vasodilation.

Extract:


Question 4 of 5

The nurse is assessing a client with suspected rheumatoid arthritis. Which of the following findings would support this diagnosis?

Correct Answer: A

Rationale: Morning stiffness lasting over 30 minutes is a hallmark of rheumatoid arthritis due to synovial inflammation. Heberden’s nodes (
B) indicate osteoarthritis, single-joint pain (
C) suggests injury, and fever/weight loss (
D) are nonspecific without joint involvement.

Question 5 of 5

The client presents to the clinic with a serum cholesterol of 275 mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client?

Correct Answer: A

Rationale: The client taking antilipidemics should be encouraged to report muscle weakness because this is a sign of rhabdomyolysis. The medication takes effect within one month of beginning therapy, so answer B is incorrect. The medication should be taken with water. Fruit juice, particularly grapefruit juice, can decrease the drug's effectiveness, so answer C is incorrect. Liver function studies, not a CBC, should be checked prior to beginning the medication, so answer D is incorrect.

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