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Adult Health II Respiratory NCLEX Questions Questions

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Question 1 of 5

A client with acute renal failure has a potassium level of 6.5 mEq/L. The nurse should prepare for:

Correct Answer: A

Rationale: Insulin and glucose shift potassium into cells, treating hyperkalemia.

Question 2 of 5

A client is to be discharged from same-day surgery 7 hours after his inguinal hernia repair. Which of the following indicates this client is ready to be discharged?

Correct Answer: A

Rationale: Voiding 500 mL indicates normal bladder function, a key discharge criterion after hernia repair, ensuring no urinary retention from anesthesia or surgery.

Question 3 of 5

The nurse is assessing a client's activity tolerance by having the client walk on a treadmill for 5 minutes. Which of the following indicates an abnormal response?

Correct Answer: B

Rationale: A decrease in respiratory rate after exercise is abnormal, as physical activity typically increases respiratory demand to meet oxygen needs. A pulse increase of 20 bpm, a slight rise in diastolic blood pressure, and a near-return to resting pulse after 3 minutes are normal responses to moderate exercise.

Question 4 of 5

The client with tuberculosis is to be discharged home with community health nursing follow-up. Of the following nursing interventions, which should have the highest priority?

Correct Answer: B

Rationale: Teaching about the disease and treatment is the priority to ensure adherence to the lengthy regimen, preventing relapse or resistance. Emotional support, agency coordination, and sanitation are important but secondary.

Question 5 of 5

The nurse assesses the client's stoma during the initial postoperative period. Which of the following observations should be reported immediately to the physician?

Correct Answer: B

Rationale: A dark red to purple stoma indicates inadequate blood supply, which is a medical emergency requiring immediate reporting to the physician. Slight edema is expected post-surgery, a small amount of blood oozing is normal, and lack of stool expulsion in the initial period may not be immediately concerning unless other symptoms are present. CN: Physiological adaptation; CL: Analyze

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