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NCLEX-PN Exam Questions - Part 94
1. The NSAID that is comparable to morphine in efficacy is:
A) Feldene.
B) Stodal.
C) Toradol.
D) Elavil.
2. Pain tolerance in an elderly client with cancer should:
A) Stay the same.
B) Decrease.
C) Increase.
D) Cancer should have no effect on pain tolerance for an elderly client.
3. In administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor:
A) BUN and creatinine.
B) creatinine and calcium.
C) Hgb and Hct.
D) BUN and CFT.
4. Appropriate care for a client with neutropenia includes:
A) plenty of fresh fruits and vegetables.
B) a semi-private room.
C) wearing a mask when out of the room.
D) routine hand washing.
5. The PN is caring for a client with diabetes insipidus. The nurse can expect the lab work to show:
A) elevated urine osmolarity and elevated serum osmolarity.
B) decreased urine osmolarity and decreased serum osmolarity.
C) elevated urine osmolarity and decreased serum osmolarity.
D) decreased urine osmolarity and elevated serum osmolarity.
A) Feldene.
B) Stodal.
C) Toradol.
D) Elavil.
2. Pain tolerance in an elderly client with cancer should:
A) Stay the same.
B) Decrease.
C) Increase.
D) Cancer should have no effect on pain tolerance for an elderly client.
3. In administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor:
A) BUN and creatinine.
B) creatinine and calcium.
C) Hgb and Hct.
D) BUN and CFT.
4. Appropriate care for a client with neutropenia includes:
A) plenty of fresh fruits and vegetables.
B) a semi-private room.
C) wearing a mask when out of the room.
D) routine hand washing.
5. The PN is caring for a client with diabetes insipidus. The nurse can expect the lab work to show:
A) elevated urine osmolarity and elevated serum osmolarity.
B) decreased urine osmolarity and decreased serum osmolarity.
C) elevated urine osmolarity and decreased serum osmolarity.
D) decreased urine osmolarity and elevated serum osmolarity.
1. Right Answer: C
Explanation: Toradol is the first injectable NSAID equal to morphine in efficacy. Basic Care and Comfort
2. Right Answer: B
Explanation: There is potential for a lowered pain tolerance to exist with diminished adaptative capacity. Basic Care and Comfort
3. Right Answer: A
Explanation: Elder adults might be more at risk for gastric and renal toxicity, increasing among elder adults. Basic Care and Comfort
4. Right Answer: C
Explanation: When a client is neutropenic (one type of white blood cell), they lack the ability to fight off infection. The mask is to prevent exposure to any upper-respiratory infections. Fresh fruits, vegetables, and flowers can contain pathogens that might infect the neutropenic client. All foods must be thoroughly cooked and plants/ flowers are not allowed. A neutropenic client needs a private room and carefully screened visitors no one is to enter the room with anysymptoms of an illness(runny nose, sneezing, nausea, and so on). Meticulous, frequent hand washing is called for. Physiological Adaptation
5. Right Answer: D
Explanation: In diabetes insipidus, the pituitary releases too much antidiuretic hormone (ADH) causing the client to produce a large amount of dilute (decreased osmolarity) urine and causing dehydration (elevated serum osmolarity). Choice 3 might be seen in a client with SIADH (syndrome ofinappropriate ADH). Choices 1 and 2 generally dont occur urine and serum osmolarity typically move in opposite directions. Physiological Adaptation
Explanation: Toradol is the first injectable NSAID equal to morphine in efficacy. Basic Care and Comfort
2. Right Answer: B
Explanation: There is potential for a lowered pain tolerance to exist with diminished adaptative capacity. Basic Care and Comfort
3. Right Answer: A
Explanation: Elder adults might be more at risk for gastric and renal toxicity, increasing among elder adults. Basic Care and Comfort
4. Right Answer: C
Explanation: When a client is neutropenic (one type of white blood cell), they lack the ability to fight off infection. The mask is to prevent exposure to any upper-respiratory infections. Fresh fruits, vegetables, and flowers can contain pathogens that might infect the neutropenic client. All foods must be thoroughly cooked and plants/ flowers are not allowed. A neutropenic client needs a private room and carefully screened visitors no one is to enter the room with anysymptoms of an illness(runny nose, sneezing, nausea, and so on). Meticulous, frequent hand washing is called for. Physiological Adaptation
5. Right Answer: D
Explanation: In diabetes insipidus, the pituitary releases too much antidiuretic hormone (ADH) causing the client to produce a large amount of dilute (decreased osmolarity) urine and causing dehydration (elevated serum osmolarity). Choice 3 might be seen in a client with SIADH (syndrome ofinappropriate ADH). Choices 1 and 2 generally dont occur urine and serum osmolarity typically move in opposite directions. Physiological Adaptation
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