Questions 108

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Med Surg RN NCLEX Practice Questions Questions

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Question 1 of 5

Which clinical manifestations should the nurse expect to assess in a client diagnosed with an overdose of a cholinergic agent?

Correct Answer: B,C,D

Rationale: Cholinergic overdose (e.g., organophosphates) causes urinary incontinence (
B), CNS depression (
C), and seizures (
D) due to excessive acetylcholine. Dry mucous membranes and skin rash are not typical.

Question 2 of 5

Which intervention is appropriate for a client on hemodialysis?

Correct Answer: A

Rationale: Checking for a thrill ensures fistula patency for dialysis.

Question 3 of 5

An alert and oriented elderly client is admitted to the hospital for treatment of cellulitis of the left shoulder after an arthroscopy. Which fall prevention strategy is most appropriate for this client?

Correct Answer: A

Rationale: A nightlight reduces fall risk by improving visibility during nighttime bathroom trips, suitable for an alert client. Four side rails are a restraint and unsafe.

Question 4 of 5

A client with acute renal failure has edema. The nurse should:

Correct Answer: B

Rationale: Fluid restriction helps manage edema in acute renal failure.

Question 5 of 5

A client with cirrhosis begins to develop ascites. Spironolactone (Aldactone) is prescribed to treat the ascites. The nurse should monitor the client closely for which of the following drug-related adverse effects?

Correct Answer: B

Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia (
B), a critical adverse effect. Constipation (
A), irregular pulse (
C), and dysuria (
D) are not commonly associated.

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