Which client statement would indicate to the nurse that the client with polycythemia vera is in need further of instruction?

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Pediatric NCLEX Questions Questions

Question 1 of 5

Which client statement would indicate to the nurse that the client with polycythemia vera is in need further of instruction?

Correct Answer: A

Rationale: Clients with polycythemia vera are at an increased risk for developing blood clots due to the increased thickness of their blood. Flying long distances, especially overseas, can further increase this risk. Therefore, traveling long distances by plane can be dangerous for clients with polycythemia vera. The nurse should provide instructions to the client regarding the importance of discussing travel plans with their healthcare provider to ensure appropriate measures are in place to minimize the risk of blood clots.

Question 2 of 5

The nurse is caring for an adolescent brought to the hospital with acute drug toxicity. Cocaine is believed to be the drug involved. Data collection should include what information?

Correct Answer: A

Rationale: When caring for an adolescent with acute drug toxicity, it is important to gather information on the mode of administration of the drug to understand how it was taken into the body. This information can help the healthcare team determine the extent of drug exposure, potential complications, and appropriate treatment strategies. The mode of administration can include ingestion, inhalation, injection, or other routes, and each method may have different implications for the patient's condition. Understanding how the drug was administered is crucial in managing the adolescent's care effectively.

Question 3 of 5

A client with acquired immunodeficiency syndrome (AIDS) is prescribed zidovudine (azidothymidine, AZT [retrovir]), 200mg PO every 4 hours. When teaching the client about this drug, the nurse should provide which instruction?

Correct Answer: C

Rationale: Zidovudine (AZT) is an antiretroviral drug used to treat HIV infection, including in AIDS patients. It is important to follow the prescribed dosing schedule to maintain consistent drug levels in the body and effectively control the HIV virus. Taking zidovudine every 4 hours around the clock helps ensure the medication's therapeutic effects are maintained throughout the day. It is crucial for the client to adhere to the prescribed dosing regimen to prevent the development of drug resistance and to achieve the best treatment outcomes. Taking zidovudine with meals, on an empty stomach, or taking over-the-counter drugs for minor adverse reactions are not the correct instructions related to the dosing schedule of zidovudine.

Question 4 of 5

There seems to be a positive correlation between type 2 diabetes mellitus and:

Correct Answer: B

Rationale: There is a well-established positive correlation between type 2 diabetes mellitus and obesity. Obesity is a major risk factor for developing type 2 diabetes due to excess body fat leading to increased insulin resistance. As fat accumulates in the body, especially around the abdomen, the cells become less responsive to insulin, causing blood sugar levels to rise. This can ultimately lead to the development of type 2 diabetes. Managing obesity through lifestyle modifications such as healthy eating and regular exercise is crucial in preventing and managing type 2 diabetes.

Question 5 of 5

Which of the following malignant tumors is least likely to occur in adults in comparison with children?

Correct Answer: D

Rationale: Retinoblastoma predominantly occurs in children under 5 years of age, making it the least likely to occur in adults.

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