Questions 108

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NCLEX RN Medical Surgical Questions Questions

Extract:


Question 1 of 5

A client post-cystectomy is at risk for:

Correct Answer: A

Rationale: Cystectomy may impair vitamin B12 absorption due to ileum resection.

Question 2 of 5

A client who has been taking carisoprodol (Soma) at home for a fractured arm is admitted with a blood pressure of 80/50 mm Hg, a pulse rate of 115 bpm, and respirations of 8 breaths/minute and shallow. The nurse interprets these findings as indicating which of the following?

Correct Answer: B

Rationale: These vital signs suggest a hypersensitivity reaction, a serious adverse effect of carisoprodol.

Question 3 of 5

The nurse assesses a client with a below-knee amputation for prosthetic fitting. Which finding indicates readiness for a prosthesis?

Correct Answer: C

Rationale: A healed incision without drainage is essential for safe prosthetic fitting to prevent skin breakdown.

Question 4 of 5

A client with an ileal conduit has a rash around the stoma. The nurse should:

Correct Answer: B

Rationale: Cleaning with soap and water removes irritants, promoting rash healing.

Question 5 of 5

The nurse is assessing a client who had a left hip replacement 36 hours ago. Which of the following indicates the prosthesis is dislocated? Select all that apply.

Correct Answer: A,B,C

Rationale: A popping sensation, leg shortening, and groin pain are classic signs of hip prosthesis dislocation.

Similar Questions

The nurse is reviewing a client's chart and notes a discrepancy in the TPN order. Which action should the nurse take first?
A client who is recovering from chest trauma is to be discharged home with a chest tube drainage system intact. The nurse should instruct the client to call the physician for which of the following?
A nurse is caring for a client with an ileal conduit. When assessing the stoma, which of the following outcomes are undesirable? Select all that apply.
A client is admitted on the day of surgery for an arthroscopy of the left knee. Which nursing activities should be completed to avoid wrong-site surgery? Select all that apply.
After cataract removal surgery, the client is instructed to report sharp pain in the operative eye because this could indicate which of the following postoperative complications?

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