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Medical Surgical NCLEX RN Questions

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Question 1 of 5

Which of the following is a late symptom of polycythemia vera?

Correct Answer: C

Rationale: Pruritus, especially after warm baths, is a late symptom of polycythemia vera due to increased histamine release from elevated basophils. Headache, dizziness, and shortness of breath are earlier symptoms related to increased blood viscosity and hypermetabolism.

Question 2 of 5

Which symptom suggests bladder cancer recurrence?

Correct Answer: C

Rationale: Hematuria is a common sign of bladder cancer recurrence.

Question 3 of 5

The nurse is assessing a client with macular degeneration. Identify the illustration that best depicts what clients with this disorder typically see

Correct Answer: C

Rationale: In macular degeneration the center vision is blackened out and only the outer visual fields are clear.

Question 4 of 5

A client with colon cancer is having a barium enema. The nurse should instruct the client to take which of the following after the procedure is completed?

Correct Answer: A

Rationale: After a barium enema, a laxative is ordinarily prescribed. This is done to promote elimination of the barium. Retained barium predisposes the client to constipation and fecal impaction. Anticholinergic drugs decrease gastrointestinal motility. Antacids decrease gastric acid secretion. Demulcents soothe mucous membranes of the gastrointestinal tract and are used to treat diarrhea. CN: Reduction of risk potential; CL: Synthesize

Question 5 of 5

What should the nurse teach a client about stoma care?

Correct Answer: B

Rationale: Measuring stoma size weekly ensures proper appliance fit as swelling subsides.

Similar Questions

The nurse overhears a surgical team member discussing a client's procedure in the hospital cafeteria. The nurse should:
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What is the main reason desflurane (Suprane) and sevoflurane (Ultane), volatile liquid anesthesia agents, are used for surgical clients who go home the day of surgery?
A 45-year-old single mother of three teenaged boys has metastatic breast cancer. Her parents live 750 miles away and have only been able to visit twice since her initial diagnosis 14 months ago. The progression of her disease has forced the client to consider high-dose chemotherapy. She is concerned about the children's welfare during the treatment. When assessing the client's present support systems, the nurse will be most concerned about the potential problems with:

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