Questions 108

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NCLEX RN Medical Surgical Practice Questions Questions

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Question 1 of 5

When assessing the client with Hodgkin's disease, the nurse should observe the client for which of the following?

Correct Answer: A

Rationale: Hodgkin's disease impairs immune function, increasing the risk of infections like herpes zoster (shingles). Discolored teeth, hemorrhage, and hypercellular immunity are not typical findings.

Question 2 of 5

Bethanechol (Urecholine) has been ordered for a client with gastroesophageal reflux disease (GERD). The nurse should assess the client for which of the following adverse effects?

Correct Answer: B

Rationale: Bethanechol, a cholinergic agent, can cause urinary urgency as an adverse effect due to its stimulation of smooth muscle contraction, including in the bladder.

Question 3 of 5

After an intravenous pyelogram (IVP), the nurse should not include incorporating which of the following measures into the client's plan of care?

Correct Answer: D

Rationale: Administering a laxative is unnecessary post-IVP, as it does not aid recovery or contrast excretion, unlike fluid intake or hematuria assessment.

Question 4 of 5

After surgery and insertion of a total joint prosthesis, a client develops severe sudden pain and an inability to move the extremity. The nurse correctly interprets these findings as indicating which of the following?

Correct Answer: C

Rationale: Sudden pain and inability to move suggest joint dislocation, a surgical emergency.

Question 5 of 5

After a subtotal gastrectomy, the nasogastric tube drainage will be what color for about 12 to 24 hours after surgery?

Correct Answer: C

Rationale: Nasogastric tube drainage is typically bright red for 12 to 24 hours post-gastrectomy due to surgical bleeding, gradually changing as bleeding subsides.

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