Questions 108

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NCLEX RN Medical Surgical Practice Questions Questions

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Question 1 of 5

A client with pancreatic cancer is receiving morphine via a subcutaneous pump. The client is developing drug tolerance. The nurse understands that the client is:

Correct Answer: C

Rationale: Drug tolerance means the client requires an increased dose to achieve the same pain relief, as the body has adapted to the current dose of morphine.

Question 2 of 5

One goal of care for a client with PVD is to decrease anxiety, so as to decrease or prevent vasoconstriction of the:

Correct Answer: A

Rationale: Anxiety can trigger sympathetic nervous system activation, causing arterial vasoconstriction, which worsens ischemia in PVD. Reducing anxiety helps maintain arterial dilation and blood flow. Capillaries, lymphatics, and veins are less affected by this mechanism.

Question 3 of 5

The nurse is applying a hand mitt restraint for a client with pruritis (see figure). The nurse should be:

Correct Answer: A

Rationale: A physician's order is required for restraints to ensure legal and ethical use, prioritizing patient safety and preventing scratching in pruritus.

Question 4 of 5

A client is receiving vincristine (Oncovin). Client teaching by the nurse should include instructions on:

Correct Answer: D

Rationale: Vincristine commonly causes constipation due to neurotoxicity. A bowel regimen (e.g., stool softeners, laxatives) is essential to prevent and manage this side effect.

Question 5 of 5

A client post-hemodialysis reports dizziness. The nurse should:

Correct Answer: A

Rationale: Dizziness may indicate hypotension, a common post-dialysis issue.

Similar Questions

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The nurse instructs the unlicensed nursing personnel (UAP) on how to provide oral hygiene for a client who cannot perform this task for himself. Which of the following techniques should the nurse tell the UAP to incorporate into the client's daily care?
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