Questions 107

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Health Care of the Older Adult NCLEX Questions

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Question 1 of 5

The nurse observes a constant gentle bubbling in the water-seal column of a water-seal chest drainage system. This observation should prompt the nurse to do which of the following?

Correct Answer: B

Rationale: Constant gentle bubbling in the water-seal column suggests an air leak; checking connectors identifies the source. Expected bubbling is intermittent. Adjusting suction or draining water is inappropriate.

Question 2 of 5

Which of the following clients with burns will most likely require an endotracheal or tracheostomy tube?

Correct Answer: B

Rationale: Thermal burns to the head, face, and airway can cause swelling and obstruction, leading to hypoxia and requiring airway management like endotracheal intubation or tracheostomy.

Question 3 of 5

What would be the nurse's best response to the client's expressed feelings of isolation as a result of having hepatitis?

Correct Answer: D

Rationale: Encouraging the client to express feelings (
D) fosters therapeutic communication and addresses emotional needs. Dismissing feelings (A,
C) or assuming others' fears (
B) is non-therapeutic and unhelpful.

Question 4 of 5

A nurse is caring for a client with lung cancer who develops syndrome of inappropriate antidiuretic hormone (SIADH). Which laboratory finding should the nurse expect?

Correct Answer: A

Rationale: SIADH causes water retention, diluting serum sodium, so a low sodium level (128 mEq/L) is expected due to the inappropriate secretion of antidiuretic hormone.

Question 5 of 5

Which assessment is critical for a client receiving thrombolytic therapy?

Correct Answer: B

Rationale: Blood pressure is critical to monitor during thrombolytic therapy to prevent hemorrhagic complications.

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