Questions 107

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Basic Adult Health Care NCLEX Questions Questions

Extract:


Question 1 of 5

The nurse prepares to administer promethazine (Phenergan) 35 mg I.M. as ordered p.r.n. for a client with cholecystitis complaining of nausea. The ampule label reads that the medication is available in 25 mg/mL. How many milliliters should the nurse administer?

Correct Answer: 1.4 mL

Rationale:
To calculate: 35 mg ÷ 25 mg/mL = 1.4 mL. Thus, the nurse should administer 1.4 mL of promethazine.

Question 2 of 5

Which fluid is best for a client with renal calculi?

Correct Answer: C

Rationale: Water increases urine volume, reducing stone formation risk.

Question 3 of 5

Which of the following positions would be appropriate for a client with severe ascites?

Correct Answer: A

Rationale: Fowler's position (
A) elevates the head, reducing diaphragm pressure from ascites and aiding breathing. Side-lying (
B), Reverse Trendelenburg (
C), and Sims (
D) are less effective.

Question 4 of 5

After an inguinal herniorrhaphy, the nurse should assess the client carefully for which of the following likely complications?

Correct Answer: D

Rationale: Urine retention is a likely complication after inguinal herniorrhaphy due to anesthesia, pain, or surgical manipulation near the bladder. Pneumonia, deep vein thrombosis, and paralytic ileus are less specific to this surgery. CN: Physiological adaptation; CL: Analyze

Question 5 of 5

A 25-year-old client taking hydroxychloroquine (Plaquenil) for rheumatoid arthritis reports difficulty seeing out of her left eye. Correct interpretation of this assessment finding indicates which of the following?

Correct Answer: B

Rationale: Hydroxychloroquine can cause retinal toxicity, leading to vision changes. This is a known side effect requiring immediate medical evaluation.

Similar Questions

A 79-year-old female client is admitted to the hospital with a diagnosis of bacterial pneumonia. While obtaining the client's health history, the nurse learns that the client has osteoarthritis, follows a vegetarian diet, and is very concerned with cleanliness. Which of the following would most like to a predisposing factor for the diagnosis of pneumonia?
A client has a tibial fracture that required casting. Approximately 5 hours later, the client has increasing pain distal to the left tibial fracture despite the morphine injection administered 30 minutes previously. Which of the following should be the nurse's next assessment?
A client with Buerger's disease has established a goal to stop smoking. Which medication would be the most helpful in attaining this goal?
The nurse should instruct a young female adult with sickle cell anemia to do which of the following? Select all that apply.
The client's identification armband was removed to start an I.V. line as a part of the preoperative preparation. The transport team has arrived to transport the client to the operating room. The nurse notices that the client's identification band is not on his wrist. What is the nurse's best response?

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