Questions 108

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NCLEX RN Med Surg Questions Questions

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Question 1 of 5

A client who has a history of Crohn's disease is admitted to the hospital with fever, diarrhea, cramping, abdominal pain, and weight loss. The nurse should monitor the client for:

Correct Answer: C

Rationale: Crohn's disease with diarrhea can lead to hypokalemia due to potassium loss in stool. Hyperalbuminemia and hypercalcemia are not typical, and thrombocytopenia is less directly related to these symptoms. CN: Physiological adaptation; CL: Analyze

Question 2 of 5

The client with a fractured tibia has been taking methocarbamol (Robaxin). Which of the following indicate that the drug is having the intended effect?

Correct Answer: C

Rationale: Methocarbamol is a muscle relaxant, effective when muscle spasms are relieved.

Question 3 of 5

Which of the following health promotion activities would be appropriate for the nurse to suggest that the client with cirrhosis add to the daily routine at home?

Correct Answer: A

Rationale: Multivitamins (
A) address nutritional deficiencies common in cirrhosis. Alcohol (
B) must be completely avoided, sleeping pills (
C) risk encephalopathy, and social isolation (
D) is unnecessary.

Question 4 of 5

Which of the following respiratory patterns indicates increasing intracranial pressure in the brain stem?

Correct Answer: A

Rationale: Slow, irregular respirations (e.g., Cheyne-Stokes or ataxic breathing) are indicative of brain stem dysfunction due to increasing intracranial pressure. Rapid, shallow respirations may indicate hypoxia, asymmetric chest excursion suggests mechanical issues, and nasal flaring is associated with respiratory distress, not specifically ICP.

Question 5 of 5

The client with chronic pancreatitis should be monitored closely for the development of which of the following disorders?

Correct Answer: D

Rationale: Chronic pancreatitis damages pancreatic tissue, impairing insulin production and increasing the risk of diabetes mellitus (
D). Cholelithiasis (
A), hepatitis (
B), and irritable bowel syndrome (
C) are less directly related.

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