Questions 108

NCLEX-RN

NCLEX-RN Test Bank

Adult Health II Respiratory NCLEX Questions Questions

Extract:


Question 1 of 5

A client with vasospastic disorder (Raynaud's phenomenon) is scheduled for sympathectomy. This surgery is performed:

Correct Answer: D

Rationale: Sympathectomy, which severs sympathetic nerves to reduce vasospasm, is a last-resort treatment for Raynaud's when all other options (medications, lifestyle changes) fail. It is not performed early, when controlled, or solely for stress-related vasospasm.

Question 2 of 5

For breakfast on the morning a client is to have an electroencephalogram (EEG), the client is served a soft-boiled egg, toast with butter and marmalade, orange juice, and coffee. Which of the following should the nurse do?

Correct Answer: B

Rationale: Coffee should be removed because caffeine can alter brain wave activity, affecting EEG results. The other foods do not typically interfere with the test.

Question 3 of 5

The client is ready for discharge after surgery for a deviated septum. Which of the following discharge instructions would be appropriate?

Correct Answer: A

Rationale: Avoiding Valsalva's maneuver (e.g., straining, heavy lifting) prevents increased pressure that could cause bleeding or disrupt the surgical site.

Question 4 of 5

Which of the following nursing interventions is most important in preventing postoperative complications?

Correct Answer: D

Rationale: Early ambulation prevents multiple complications, including deep vein thrombosis, pneumonia, and atelectasis, by promoting circulation and lung expansion.

Question 5 of 5

A postoperative client is prescribed enoxaparin (Lovenox) 40 mg subcutaneous daily. Which laboratory value should the nurse monitor?

Correct Answer: A

Rationale: Enoxaparin can cause thrombocytopenia. Monitoring platelet count ensures early detection of this potential adverse effect.

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