NCLEX-RN
Reduction of Risk Potential NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who was admitted with an upper respiratory infection. The client's temperature is 102.4°F, and he is confused. In the last 2 hours, systolic blood pressure has dropped from 138 to 90. The nurse should perform which intervention? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Fever, confusion, and hypotension suggest sepsis, requiring blood cultures (
A), oxygen (
C), antipyretics (
D), and rest (E). NPO (
B) is unnecessary, and warming blankets (F) may worsen fever.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
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Question 4 of 5
Correct Answer:
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Question 5 of 5
Correct Answer:
Rationale: