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Adult Health II Respiratory NCLEX Questions Questions

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Question 1 of 5

Which of the following is the best indicator for determining whether a client with Addison's disease is receiving the correct amount of glucocorticoid replacement?

Correct Answer: D

Rationale: Daily weight reflects fluid balance, which is influenced by glucocorticoid and mineralocorticoid replacement in Addison's disease.

Question 2 of 5

Which of the following nursing interventions is most important in preventing postoperative complications?

Correct Answer: D

Rationale: Early ambulation prevents multiple complications, including deep vein thrombosis, pneumonia, and atelectasis, by promoting circulation and lung expansion.

Question 3 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.

Question 4 of 5

A nurse is assessing a client with bone cancer pain. Which of the following components of a thorough pain assessment is most significant for this client?

Correct Answer: A

Rationale: Pain intensity is the most significant component in assessing bone cancer pain, as it guides the urgency and type of pain management interventions needed.

Question 5 of 5

A client who had an esophageal hernia repair 4 hours ago has a pulse rate of 90 bpm, respiration rate of 16/minute, blood pressure of 130/80 mm Hg, pulse oximeter of 91, and a temperature of 100.4°F (38°C). What should the nurse do first?

Correct Answer: C

Rationale: A pulse oximetry of 91 indicates mild hypoxemia. Adjusting to a sitting position and encouraging deep breaths improves oxygenation, addressing the most immediate concern.

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