Questions 151

NCLEX-RN

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Extract:


Question 1 of 5

Which of the following actions by the nurse will most likely ensure that the correct client receives a medication? Select all that apply.

Correct Answer: A,B,E

Rationale: Using two identifiers, such as the client's name, armband, and date of birth, ensures accurate medication administration. Room number and visual recognition are not reliable.

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 through skin breakdown and catheters through urinary tract infections if not managed properly.

Question 3 of 5

The nurse should inform a client taking carbamazepine (Tegretol) that it can affect other medications in which of the following ways?

Correct Answer: A

Rationale: Carbamazepine induces liver enzymes, reducing the effects of oral anticoagulants like warfarin by increasing their metabolism. It does not typically affect verapamil, other anticonvulsants, or contraceptives in the ways described.

Question 4 of 5

Select the nurse case management model used for patient care delivery that is accurately paired with one of its descriptors:

Correct Answer: D

Rationale: The Triad Model of Case Management accurately describes the collaboration among the social worker, nursing case manager, and utilization review team to coordinate care and optimize outcomes.

Question 5 of 5

The nurse is involved in preoperative teaching with a client who will be undergoing a lung resection. The client is told that two chest tubes will be placed during surgery. The nurse explains that the purpose of the nurse is to:

Correct Answer: B, C

Rationale: Chest tubes are placed to remove air (pneumothorax) and fluid (hemothorax or pleural effusion) from the pleural space to restore negative pressure and lung expansion. Preventing clots or milking tubes is not their primary purpose.

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