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Mobility Nclex Exam Questions and Answers 100% Solved A client is confined to bed with a fracture of the left femur. He begins receiving subcutaneous heparin injections. What is the purpose of this medication? 1. To prevent thrombophlebitis and pulmonary emboli associated with immobility 2.T...

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  • October 16, 2024
  • 67
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Nclex
  • Nclex

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©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024

Mobility Nclex Exam Questions and

Answers 100% Solved


A client is confined to bed with a fracture of the left femur. He begins

receiving subcutaneous heparin injections. What is the purpose of this

medication?



1. To prevent thrombophlebitis and pulmonary emboli associated with

immobility



2.To promote vascular perfusion by preventing formation of microemboli in

the left leg



3.To prevent venous stasis, which promotes vascular complications

associated with immobility



4.To decrease the incidence of fat emboli associated with long bone

fractures - ✔✔Answer: 1

,©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024


Heparin is administered prophylactically to prevent thromboembolic

complications in clients who are immobilized for prolonged periods. It is not

effective in preventing fat emboli or venous stasis or promoting vascular

perfusion. (Lilly 6 ed, p. 439).

A client begins receiving methotrexate (Rheumatrex) for severe symptoms

of rheumatoid arthritis. What is the most important information for the nurse

to give this client regarding the medication?

1. Take extra fiber and fluids to counteract the constipating effect.

2. It is very important to have periodic lab work done.

3. Take the drug on an empty stomach.

4. Hirsutism and menstrual changes sometimes develop as side effects. -

✔✔Answer: 2



Lab work will need to be done periodically during administration to monitor

for the development of anemia, leukopenia, thrombocytopenia, and/or

hepatic toxicity. Hirsutism and menstrual changes occur with long-term

corticosteroid use. Methotrexate should be given 1 hour before or 2 hours

,©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024

after meals to prevent vomiting when given PO. Antiemetics are given

concurrently with the medication. (Lilly 6 ed, p. 777).

A client with rheumatoid arthritis has a history of long-term nonsteroidal

antiinflammatory drug (NSAID) use and has developed peptic ulcer

disease. Which medication would the nurse anticipate administering?



1. Omeprazole (Prilosec)

2. Ticlopidine (Ticlid)

3. Cyanocobalamin (vitamin b12)

4. Prednisolone (prelone) - ✔✔Answer: 1



Omeprazole (Prilosec) is a proton-pump inhibitor, which suppresses gastric

acid secretion. Cyanocobalamin is used to treat vitamin B12 deficiency.

Ticlopidine is an antiplatelet agent used to reduce the risk of stroke.

Prednisolone is a glucocorticoid used to treat several inflammatory

disorders and contributes to gastric ulcer development. (Lehne, 7 ed., p.

917.)

, ©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024

Peptic ulcer: A peptic ulcer is a defect in the lining of the stomach or the

first part of the small intestine, an area called the duodenum. A peptic ulcer

in the stomach is called a gastric ulcer. An ulcer in the duodenum is called

a duodenal ulcer.

A client with a below-the-knee amputation is complaining of phantom limb

pain that is not responsive to administration of narcotic analgesics. The

client is started on gabapentin (Neurontin). The nurse explains to the client

that this medication works by:



1. Binding at receptor pain sites to decreases neuropathic pain.

2. Decreasing inflammation and irritation at the site of the nerve ending

3. Decreasing pain by inhibiting the pain impulse at the level of the axion

4. Affecting the central nervous system and altering processes affecting

pain perception - ✔✔Answer: 1



Neurontin is used to treat neuropathic pain, which is often the basis for

phantom limb pain in amputees. Drugs to decrease inflammation are

corticosteroids. Narcotics affect the CNS and the perception of pain.

(Lehne, 7 ed., p. 231.)

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