LPN Comprehensive Predictor 2023 | Nurselytic

Questions 147

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LPN Comprehensive Predictor 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has a new diagnosis of hypertension and is prescribed hydrochlorothiazide. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Monitor your weight weekly: Hydrochlorothiazide can cause fluid loss, and weight monitoring helps detect significant changes that may indicate dehydration or fluid retention. Generated rationale: Regular weight checks allow early identification of fluid imbalances, ensuring safe management of diuretic therapy.

Extract:

2000:

Client presents to emergency department and states, “I have been assaulted." Client was immediately placed in a treatment room.

2015:

"Client states they were out with friends this evening and had " little too much to drink." Client states that they fell asleep at their friend's house and when they woke up all of their clothes were off and their genitals were sore. The client states, "I think someone had sex with me, but I don't remember anything.

Client reports history of depression. Client is a full-time college student who lives with roommates. Client admits to drinking socially but denies illicit drug use and tobacco use


Question 2 of 5

A nurse is assisting in the care of a client. Which of the following interventions should the nurse plan to implement? Select all that apply.

Correct Answer: A,B,E,F

Rationale: Maintain a safe and private environment for the client: Providing a secure and private setting helps support the client emotionally. Request a consult for case management: Case management can coordinate follow-up care and resources. Provide resources for local support services: Connecting the client with crisis centers and counseling services is essential. Administer sexually transmitted infection prophylaxis: Post-exposure prophylaxis (PEP) for STIs should be administered.

Extract:


Question 3 of 5

A nurse is reinforcing teaching with a client who has a new prescription for methotrexate. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Avoid alcohol consumption: Methotrexate is hepatotoxic, and alcohol can exacerbate liver damage. Generated rationale: Combining methotrexate with alcohol increases the risk of liver toxicity, necessitating strict avoidance to ensure safety.

Question 4 of 5

A nurse is caring for a client who has a new diagnosis of bipolar disorder and is prescribed lithium. Which of the following laboratory values should the nurse monitor?

Correct Answer: A

Rationale: Sodium: Lithium can cause hyponatremia, and sodium levels must be monitored to prevent toxicity. Generated rationale: Lithium's renal effects can disrupt sodium balance, requiring close monitoring to avoid adverse effects like confusion or seizures.

Question 5 of 5

A nurse is assisting with the care of a client who is postoperative following a total knee arthroplasty. Which of the following actions should the nurse take?

Correct Answer: B,D

Rationale: Administer anticoagulants as prescribed: Anticoagulants prevent thromboembolism post-surgery. Apply ice packs to the knee every 4 hours: Ice reduces swelling and pain. Generated rationale: Anticoagulation and ice therapy address key postoperative risks and discomfort, promoting recovery.

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