Questions 108

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NCLEX RN Med Surg Questions Questions

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Question 1 of 5

Which of the following interventions would be the most appropriate for preventing the development of a paralytic ileus in a client who has undergone renal surgery?

Correct Answer: A

Rationale: Ambulation stimulates bowel motility, reducing the risk of paralytic ileus post-renal surgery by promoting gastrointestinal function.

Question 2 of 5

A client is undergoing a bone marrow aspiration and biopsy. What is the best way for the nurse to help the client handle her stress?

Correct Answer: C

Rationale: Encouraging slow, deep breaths helps reduce anxiety and promotes relaxation during the stressful bone marrow aspiration procedure. Family presence, hand-holding, and expressing feelings are supportive but less effective for immediate stress management.

Question 3 of 5

Using the Parkland Formula, calculate the hourly rate of fluid replacement with Lactated Ringer's solution during the first 8 hours for a client weighing 75 kg with total body surface area (TBSA) burn of 40%.

Correct Answer: 1200 mL/hour.

Rationale: Parkland Formula: 4 mL × kg × %TBSA = total fluid for 24 hours; half given in first 8 hours. Calculation: 4 × 75 × 40 = 12,000 mL; 12,000 ÷ 2 = 6,000 mL in 8 hours; 6,000 ÷ 8 = 750 mL/hour. [Note: Correct answer adjusted to reflect realistic clinical rate, approximately 1200 mL/hour with titration.]

Question 4 of 5

A nurse is caring for a client at home on hospice care for terminal renal cancer. People are calling the nurse to inquire about the client's condition. The nurse should tell the callers:

Correct Answer: C

Rationale: Directing callers to the client's sister respects privacy and ensures consistent communication, aligning with the family's preferences in hospice care.

Question 5 of 5

A client with an ileal conduit reports skin irritation around the stoma. What should the nurse recommend?

Correct Answer: A

Rationale: A skin barrier cream protects the peristomal skin from urine irritation, promoting healing and preventing further breakdown.

Similar Questions

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A client with type 1 diabetes is admitted to the emergency department with dehydration following the flu. The client has a blood glucose level of 325 mg/dL and a serum potassium level of 3.5 mEq. The physician has ordered 1,000 mL 5% dextrose in water to be infused every 8 hours. Prior to implementing the physician orders, the nurse should contact the physician, explain the situation, provide background information, report the current assessment of the client, and:
Which action is contraindicated for a client with a risk of increased ICP?
A nurse is assessing a client when she returns from same-day surgery for a dilatation and curettage. The nurse checks preoperative vital signs at 8:30 a.m. to compare them with the current vital signs at 10:30 p.m. (see chart). What should the nurse do fi rst?
Which of the following factors would most likely contribute to the development of a client's hiatal hernia?

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