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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The physician has prescribed Gantrisin (sulfasoxazole) 1 g in divided doses for a client with a urinary tract infection. The nurse should administer the medication:

Correct Answer: A

Rationale: Gantrisin should be taken with food to reduce gastrointestinal upset, and adequate fluid intake is needed to prevent crystalluria.

Question 2 of 5

The nurse is assessing a client with suspected glomerulonephritis. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: hematuria and proteinuria are hallmark signs of glomerulonephritis due to glomerular damage

Question 3 of 5

Which clinical manifestation during the actual bone marrow transplantation alerts you to the possibility of an adverse reaction?

Correct Answer: D

Rationale: Shortness of breath during bone marrow transplantation may indicate an anaphylactic or transfusion reaction, requiring immediate intervention.

Question 4 of 5

A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

Correct Answer: C

Rationale: The proximal end of a double-barrel colostomy, which produces stool, is typically on the client's right side.

Question 5 of 5

The nurse is doing a digital removal of stool for a client with a large fecal impaction resulting from opioid use when the client feels faint, and assessment of vital signs shows a marked decrease in pulse. Which of the following is the most likely reason for the change in pulse rate?

Correct Answer: A

Rationale: Digital stool removal can stimulate the vagus nerve (
A), causing bradycardia and faintness. Shock (
B), bleeding (
C), or anxiety (
D) are less likely.

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