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Health Care of the Older Adult NCLEX Questions

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Question 1 of 5

Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse should teach the client to immediately report which of the following?

Correct Answer: A

Rationale: Propylthiouracil (PTU) can cause agranulocytosis, a serious condition involving a low white blood cell count, which may present as a sore throat or fever. This requires immediate reporting. The other symptoms are not typically associated with PTU side effects.

Question 2 of 5

Which of the following lipid abnormalities is a risk factor for the development of atherosclerosis and peripheral vascular disease?

Correct Answer: C

Rationale: High levels of low-density lipoprotein (LDL) cholesterol contribute to atherosclerosis by depositing cholesterol in arterial walls, leading to plaque formation and PVD. Low triglycerides, high HDL, or low LDL are protective or neutral, not risk factors.

Question 3 of 5

A 40-year-old female is losing most of her hair as a result of chemotherapy. Which of the following statements best explains chemotherapy-induced alopecia?

Correct Answer: B

Rationale: Chemotherapy-induced alopecia is temporary, with hair typically regrowing within months after treatment ends, which is a reassuring and accurate explanation.

Question 4 of 5

Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse should teach the client to immediately report which of the following?

Correct Answer: A

Rationale: Propylthiouracil (PTU) can cause agranulocytosis, a serious condition involving a low white blood cell count, which may present as a sore throat or fever. This requires immediate reporting. The other symptoms are not typically associated with PTU side effects.

Question 5 of 5

As the nurse assists the postoperative client out of bed, the client reports having gas pains in the abdomen. Which of the following is the most effective nursing intervention to relieve this discomfort?

Correct Answer: A

Rationale: Ambulation stimulates bowel motility, relieving gas pains effectively and safely.

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