Questions 108

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Med Surg RN NCLEX Questions Questions

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Question 1 of 5

The nurse is conducting discharge education with a client newly diagnosed with Addison's disease. Which information should be included in the client and family teaching plan? Select all that apply.

Correct Answer: B,C,D,E,F

Rationale: Addison's is chronic, requiring lifelong management. Stress management, symptom reporting, medical ID, family education, and medication adjustments for procedures are critical.

Question 2 of 5

A client who is scheduled for an open cholecystectomy has a 20-pack-year history of smoking. For which postoperative complication is the client most at risk?

Correct Answer: B

Rationale: Smoking impairs lung function and ciliary clearance, increasing the risk of atelectasis and pneumonia post-surgery due to reduced lung expansion and mucus clearance.

Question 3 of 5

Which of the following should the nurse assess when completing the history and physical examination of a client diagnosed with osteoarthritis?

Correct Answer: D

Rationale: Local joint pain is a primary symptom of osteoarthritis, resulting from cartilage degeneration.

Question 4 of 5

A nurse is teaching a client with type 1 diabetes mellitus who jogs daily about the preferred sites for insulin absorption. What is the most appropriate site for a client who jogs?

Correct Answer: C

Rationale: The abdomen is the preferred insulin injection site for active individuals like joggers, as it provides consistent absorption and is less affected by exercise compared to the legs.

Question 5 of 5

A client has returned to the medical surgical unit after having surgery to create an ileostomy. Which goal has the highest priority at this time?

Correct Answer: C

Rationale: Maintaining fluid and electrolyte balance is the highest priority post-ileostomy due to the risk of dehydration from high-output ileostomy effluent. Constipation is not a concern, and self-care or odor control are secondary to physiological stability. CN: Physiological adaptation; CL: Synthesize

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