Questions 96

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MSC NCLEX Physiological Integrity Pharmacological and Parenteral Therapies Questions

Extract:


Question 1 of 5

The nurse is caring for an elderly client and providing education. Which of the following would be least appropriate?

Correct Answer: A

Rationale: The nurse should not speak in a loud voice just because the client is elderly. The nurse should assess the client for a hearing impairment to see if additional assistance is required. However, elderly clients tend to require more time to process information, since their reaction time is slower, and they may benefit from more frequent, shorter sessions as they fatigue easily. Elderly clients are usually capable of absorbing supplemental written resources.

Question 2 of 5

The client has an order for an IV piggyback of Ceftriaxone 750 mg in 50 mL D5W to run over 30 minutes. What is the appropriate drip rate?

Correct Answer: A

Rationale: (50 mL / 30 min) × (60 min / 1 hr) = 100 mL/hr

Question 3 of 5

The client is experiencing delirium from substance withdrawal. Which medication, if prescribed prn, should the nurse administer to help calm the client?

Correct Answer: D

Rationale: Lorazepam (Ativan) depresses the CNS, reducing anxiety and calming the client during withdrawal.

Question 4 of 5

Which of the following of Erikson's developmental stages are relevant to adults ages 18-64? Select all that apply.

Correct Answer: A

Rationale: In the adult 18-64 stage, Intimacy vs. Isolation is relevant to young adulthood and Generativity vs. Stagnation is relevant to middle adulthood. Initiative vs. Guilt is relevant to preschool childhood. Industry vs. Inferiority is relevant to school-age childhood. Ego Integrity vs. Despair is relevant to mature adulthood after age 65.

Question 5 of 5

The client is prescribed varenicline for smoking cessation. The nurse concludes that varenicline is being prescribed primarily for its antagonistic effect. Which statement describes this effect?

Correct Answer: C

Rationale: Varenicline (Chantix) functions as an antagonist, blocking receptors to reduce the pleasurable effects of smoking.

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