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NCLEX RN RECENT MOST RECENT UPDATE/ QUESTIONS AND CORRECT ACTUAL ANSWERS/ RN NCLEX TEXT BANK / GRADED A+. What instruction would be given to client taking a lendronate sodium (fosamax)? A Take med before arising B Force fluids while taking $10.39
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NCLEX RN RECENT MOST RECENT UPDATE/ QUESTIONS AND CORRECT ACTUAL ANSWERS/ RN NCLEX TEXT BANK / GRADED A+. What instruction would be given to client taking a lendronate sodium (fosamax)? A Take med before arising B Force fluids while taking
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Course
NCLEX RN 2022-2024
Institution
NCLEX RN 2022-2024
NCLEX RN RECENT MOST RECENT
UPDATE/ QUESTIONS AND CORRECT ACTUAL
ANSWERS/ RN NCLEX TEXT BANK / GRADED A+.
What instruction would be given to client taking a lendronate sodium (fosamax)?
A Take med before arising
B Force fluids while taking this med
C
NCLEX RN RECENT 2022 - 2024 MOST RECENT UPDATE| QUESTIONS AND CORRECT ACTUAL ANSWERS| RN NCLEX TEST BANK| GRADED A+ What instruction would be given to client taking alendronate sodium (Fosamax)? A. Take med before arising B. Force fluids while taking this med C. Remain upright for 30 min after taking D. Take med in conjunction w/ estrogen - CORRECT ANSWER -C - alendronate sodium used to Tx osteoporosis; remain upright because it causes gastric reflux The client is discharged from the unit with a prescription for Evista (raloxifene HCl). Which of the following is a SE of this med? A. leg cramps B. hot flashes C. urinary frequency D. cold extremities - CORRECT ANSWER -B - same class as tamoxifen chemo for breast cancer; but Evista used to treat osteoporosis. This med has an agonist effect, so it binds with estrogen and may cause hot flashes An elderly diabetic who has been maintained on metformin (Glucophage) is scheduled for cardiac catheterization. Whic h instruction should be given to client? A. take med as ordered prior to exam B. limit amount of protein in diet prior to exam C. d/c med prior to exam D. take med with only water prior to exam - CORRECT ANSWER -C - Glucophage may cause renal problems and t he dye used in cardiac cath is also detrimental to kidneys. Client may be placed on sliding scale for 48hr after dye procedure or until renal function returns The client's mother contacts the clinic regarding med admin stating, "my daughter can't swallow this capsule. It's too large" Investigation reveals the med is a capsule marked SR. The nurse should instruct the mother to: A. open capsule and mix med with ice cream B. crush med and administer with 8 oz of liquid C. call pharmacist and request alternati ve preparation of med D. stop med and inform physician at follow -up visit - CORRECT ANSWER -C - SR = sustained release and cannot be altered A 5 y/o is being treated for acute asthma attack using racemic epi nebulizer stat. Which finding indicates an adver se effect of this med? A. excitability B. tremors C. HR 150 D. Nausea - CORRECT ANSWER -C - adverse effects of epi include HTN and Tachycardia; others are expected side effects of racemic epi The client is being treated with IV vancomycin for MRSA when nu rse notes redness of client's neck and chest. Place in ordered sequence the actions to be taken by the nurse A. call doctor B. stop IV infusion C. administer benadryl as ordered D. take VS - CORRECT ANSWER -B,D,A,C A client with leukemia is receiving oral prednisolone (Prednisone). An expected SE of the prolonged use of prednisolone is which of the following? A. weight loss B. decreased appetite C. hirsutism D. integumentary bronzing - CORRECT ANSWER -C Which lab res ult would concern the nurse caring for a client who is receiving furosemide (Lasix)? A. potassium level of 2.5 B. sodium level of 140 C. glucose level of 110 D. calcium level of 8 - CORRECT ANSWER -A Which instruction should be given to a client taking Lug ol's solution prior to a thyroidectomy? A. take at bedtime B. take med with juice C. report changes in appetite D. avoid sunshine while taking this med - CORRECT ANSWER -B - Lugol's solution is solution of potassium iodide and should be given with juice bec ause it is bitter to taste A client is admitted to recovery room following exploratory laparotomy. Which med should be kept nearby? A. nitroprusside (Nipride) B. naloxone hydrochloride (Narcan) C. flumazenil (Romazicon) D. diphenhydramine (Benadryl) - COR RECT ANSWER -B - during postop period, narcotics are given A client with renal failure has an order for erythropoietin (Epogen) to be given SUBCUT. The nurse should teach the client to report which of the following? A. severe headache B. slight nausea C. decreased urination D. itching - CORRECT ANSWER -A - severe headache can indicate impending seizure activity The client is admitted complaining of N/V for past 3 days. The doctor has ordered D5 1/2NS with potassium added. Which action by the nurse is most appropriate? A. obtain IV controller B. check client's VS hourly C. check sodium level D. obtain an 18G cathl on to begin infusion - CORRECT ANSWER -A - if potassium added to IV fluids, controller required because a too -rapid infusion of potassium can lead to cardiac arrhythmias The client is admitted to the unit with 3rd degree burns to chest and neck. The nurse should be vigilant to assess which of following? A. circulation B. airway C. urinary output D. pain - CORRECT ANSWER -B - because of burns to chest, it is likely that he has airway difficulty; also assess for smoke inhalation The client with hypoparathyroi dism has a lack of parathyroid hormone. This client will most likely have a serum calcium level of which of the following? A. 3.5 mg/dl B. 10.9 mg/dl C. 14.7 mg/dl D. 18.5 mg/dl - CORRECT ANSWER -A - normal calcium is 8.5 - 10.5; all the other answers were elevated The client is admitted with a pH of 7.30, PaCO2 of 48 mmHg, and a HCO3 of 30. The nurse assess these findings as which of the following? A. metabolic acidosis B. metabolic alkalosis C. respiratory acidosis D. respiratory alkalosis - CORRECT ANSWE R-C - pH low; PaCO2 elevated; HCO3 elevated The client is admitted following an MVA. Extensive internal bleeding is suspected. Serum pH is 7.0, PaCO2 is 32 mmHg, and HCO3 is 20 mEq/dl. The nurse should assess the lab finding as which of the following? A. metabolic acidosis B. metabolic alkalosis C. respiratory acidosis D. respiratory alkalosis - CORRECT ANSWER -A - client with internal bleeding will most likely have metabolic acidosis. pH low, PaCO2 low, HCO3 down Which of the following equipment should be obtained to safely administer magnesium sulfate? A. internal FHR monitor B. IV rate controller C. blood admin set D. wall suction device - CORRECT ANSWER -B - IV rate controller must be obtained to safely give mag. No need for internal FHR monitor Which med can potentiate fluid volume deficit? A. Insulin B. inderal (propranolol) C. Lasix (furosemide) D. Valium (diazepam) - CORRECT ANSWER -C The client is admitted to the unit with anorexia nervosa. The nurse is awa re that this client might show signs of which of the following? A. metabolic alkalosis B. metabolic acidosis
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