Questions 108

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NCLEX RN Med Surg Questions Questions

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Question 1 of 5

The client with chronic pancreatitis should be monitored closely for the development of which of the following disorders?

Correct Answer: D

Rationale: Chronic pancreatitis damages pancreatic tissue, impairing insulin production and increasing the risk of diabetes mellitus (
D). Cholelithiasis (
A), hepatitis (
B), and irritable bowel syndrome (
C) are less directly related.

Question 2 of 5

The client asks the nurse, 'Is it really possible to lead a normal life with an ileostomy?' Which action by the nurse would be the most effective to address this question?

Correct Answer: C

Rationale: Arranging for a person with an ostomy to visit provides a relatable, firsthand perspective, addressing the client's concerns about normalcy effectively. Clergy, postponing concerns, or notifying the surgeon are less direct or supportive. CN: Psychosocial adaptation; CL: Synthesize

Question 3 of 5

A client with cancer is admitted with suspected disseminated intravascular coagulation (DIC). Which laboratory finding supports this diagnosis?

Correct Answer: A

Rationale: DIC causes abnormal clotting and bleeding, leading to a prolonged prothrombin time (PT) due to consumption of clotting factors, supporting the diagnosis.

Question 4 of 5

Following a total hip replacement, the nurse should position the client in which of the following ways?

Correct Answer: D

Rationale: Slight abduction prevents dislocation by maintaining proper hip alignment.

Question 5 of 5

The nurse should include which of the following instructions when developing a teaching plan for a client who is receiving isoniazid and rifampin (Rifamate) for treatment of tuberculosis?

Correct Answer: D

Rationale: Limiting alcohol intake prevents hepatotoxicity, a risk with isoniazid and rifampin. Antacids may reduce absorption. Doubling doses is dangerous. Dairy intake is unrelated.

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