Questions 108

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NCLEX RN Medical Surgical Questions and Answers Questions

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Question 1 of 5

The nurse explains to the client with Hodgkin's disease that a bone marrow biopsy will be taken after the aspiration. What should the nurse explain about the biopsy?

Correct Answer: B

Rationale: During a bone marrow biopsy, the client feels pressure but should not experience pain due to local anesthesia. The nurse should instruct the client to report pain for additional anesthesia. The biopsy follows the aspiration, no crunch or suction pain is typical, and an incision may be made for the biopsy, not just aspiration.

Question 2 of 5

The American Heart Association (AHA) guidelines urge greater availability of automated external defibrillators (AEDs) and people trained to use them. AEDs are used in cardiac arrest situations for:

Correct Answer: C

Rationale: AEDs are used for early defibrillation in ventricular fibrillation or pulseless ventricular tachycardia, as these are shockable rhythms that can be corrected to restore cardiac function.

Question 3 of 5

A client with Crohn's disease has concentrated urine, decreased urinary output, dry skin with decreased: decreased turgor, hypotension, and weak, thready pulses. The nurse should do which of the following first?

Correct Answer: B

Rationale: The client's symptoms indicate dehydration, requiring immediate parenteral rehydration therapy as ordered to restore fluid balance. Oral fluids, repositioning, or monitoring are less urgent or inappropriate as the first action. CN: Physiological adaptation; CL: Synthesize

Question 4 of 5

In the oliguric phase of acute renal failure, the nurse should assess the client for:

Correct Answer: A

Rationale: Pulmonary edema is a risk in the oliguric phase due to fluid overload from reduced urine output.

Question 5 of 5

Which of the following should lead the nurse to suspect that a client with a fracture of the right femur may be developing a fat embolus?

Correct Answer: A

Rationale: Fat embolism commonly presents with acute respiratory distress, a life-threatening complication of femoral fractures.

Similar Questions

A client is admitted to the hospital after vomiting bright red blood and is diagnosed with a bleeding duodenal ulcer. The client develops a sudden, sharp pain in the midepigastric region along with a rigid, boardlike abdomen. These clinical manifestations most likely indicate which of the following?
A client with an extracapsular hip fracture returns to the nursing unit after internal fixation and pin insertion with a drainage tube at the incision site. Her husband asks, 'Why does she have this tube inserted in her hip?' Which of the following responses would be best?
A client with a surgical wound reports itching around the incision site on postoperative day 5. The nurse should:
A client with microcytic anemia is having trouble selecting food from the hospital menu. Which food is best for the nurse to suggest for satisfying the client's nutritional needs?
The nurse finds it difficult to relieve a client's pain satisfactorily. Which of the following measures should the nurse take next when continuing efforts to promote comfort?

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