Questions 108

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NCLEX RN Questions Medical Surgical Nursing Questions

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Question 1 of 5

The nurse discovers that a client's TPN solution was running at an incorrect rate and is now 2 hours behind schedule. Which action is appropriate for the nurse to take to correct the problem?

Correct Answer: D

Rationale: Notifying the physician is appropriate when a TPN infusion is behind schedule, as adjusting rates without an order can cause complications like hyperglycemia or circulatory overload. Continuing at the current rate or doubling the rate is unsafe. CN: Pharmacological and parenteral therapies; CL: Synthesize

Question 2 of 5

A 57-year-old with diabetes insipidus is hospitalized for care. Which finding should the nurse report to the physician?

Correct Answer: B

Rationale: Diabetes insipidus causes excessive dilute urine output. A urine specific gravity of 1.001 (very dilute) indicates worsening of the condition and should be reported. The other findings are within normal or expected ranges.

Question 3 of 5

Which lab result indicates worsening acute renal failure?

Correct Answer: A

Rationale: Elevated creatinine indicates reduced kidney function in acute renal failure.

Question 4 of 5

The client with a laryngectomy is being discharged. The nurse should determine that the client understands to do which of the following self-care measures? Select all that apply.

Correct Answer: A,B,C

Rationale: Self-care measures include home humidification to keep the airway moist, using a stoma shield during bathing to prevent water entry, and consuming 2-3 L/day of fluids to maintain hydration. Spicy foods and low-fiber diets are not typically restricted.

Question 5 of 5

A client with acute renal failure has a low calcium level. The nurse should monitor for:

Correct Answer: A

Rationale: Low calcium can cause tetany, manifesting as muscle cramps or spasms.

Similar Questions

A client complaining of numbness from the back of his left buttock to the dorsum of his foot and big toe is scheduled to undergo a laminectomy. The operative consent form states, 'a left lumbar laminectomy of L3-4.' Which of the following should the nurse do next?
A client with thyrotoxicosis says to the nurse, 'I am so irritable. I am having problems at work because I lose my temper very easily.' Which of the following responses by the nurse would give the client the most accurate explanation of her behavior?
A client with breast cancer presents with back pain, weakness, and difficulty urinating. The nurse suspects spinal cord compression. The priority nursing action is to:
A client tells the nurse his vision is blurred and hazy throughout the entire day. The nurse should recommend that the client do which of the following?
The nurse has placed the intubated client with acute respiratory distress syndrome (ARDS) in prone position for 30 minutes. Which of the following would require the nurse to discontinue prone positioning and return the client to the supine position? Select all that apply.

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