Questions 151

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NCLEX RN Test Bank Questions PDF Questions

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Question 1 of 5

You are planning discharge education for your client who has a new colostomy. Which complication of a colostomy should you educate this client about?

Correct Answer: A

Rationale: A prolapsed stoma is a potential complication of a colostomy, and clients should be educated to recognize and report it.

Question 2 of 5

Which type of anemia is diagnosed with a Schilling test?

Correct Answer: B

Rationale: The Schilling test is used to determine the cause of vitamin B12 deficiency, a potential precursor to pernicious anemia. This test involves the use of a small oral dose of radioactive B12 and a large nonradioactive intramuscular dose. A 24-hour urine specimen is then collected to measure the amount of radioactivity in the urine, and thus radioactive B12. This test is not helpful in diagnosing aplastic, megaloblastic, or iron-deficiency anemia.

Question 3 of 5

A client with a history of tuberculosis is prescribed isoniazid. Which supplement should the nurse administer concurrently?

Correct Answer: B

Rationale: Isoniazid can cause peripheral neuropathy due to vitamin B6 deficiency, so pyridoxine (vitamin B6) is administered to prevent this side effect.

Question 4 of 5

A client with a history of stroke is prescribed clopidogrel (Plavix). The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Clopidogrel, an antiplatelet, increases bleeding risk, requiring monitoring.

Question 5 of 5

A client with a new colostomy asks the nurse how to prevent skin irritation around the stoma. What is the best response by the nurse?

Correct Answer: C

Rationale: A snug-fitting skin barrier and cleaning with mild soap prevent skin irritation by protecting the peristomal skin and maintaining hygiene without causing trauma.

Similar Questions

A client complains of a dull headache and dizziness and has an increased pulse rate. The results of arterial blood gas analysis are as follows: pH 7.26; partial pressure of carbon dioxide,50 mm Hg; and bicarbonate, 24 mEq/L. These findings indicate which of the following acid-base imbalances?
The nurse is caring for a client who has just undergone a cesarean section. Which of the following interventions is most important in the immediate postoperative period?
An adult client is admitted to the emergency department after a burn injury. The burn initially affected the upper half of the client's anterior torso, and there were circumferential burns to the lower half of both of the arms. The client's clothes caught on fire, and the client ran causing subsequent burn injuries to the entire face (anterior half of the head), and the upper half of the posterior torso. Using the rule of nines, the extent of the burn injury would be what percent?
A client is trying to lose weight at a moderate pace. The client eliminates 1,000 calories per day from his normal intake, how many pounds would he lose in 1 week?
The charge nurse determines that the new nurse understands the concepts associated with suicide and suicide intentions when the new nurse makes which statement?

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