RN V12.35 (1) (865 Q & A) ALL ANSWERS 100% CORRECT S
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ATISFACTION GUARANTEED SUCCESS LATEST UPDATE g g g g g
2021/2022 RATED A+ g g
NO.1 Prior to his discharge from the hospital, a cardiac client is started on digoxin (La
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noxin) 25mg po qd. The nurse initiates discharge teaching. Which of the following sta
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tements by the clientwould validate an understanding of his medication?
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A. "IgwouldgnotifygmygphysiciangimmediatelygifgIgexperiencegnausea,gvomiting,gandgdoublegv
ision."
B. "IgcouldgstopgtakinggthisgmedicationgwhengIgbegingtogfeelgbetter."
C. "Igshouldgonlygtakegthegmedicationgifgmygheartgrategisggreatergthang100gbpm."
D. "Igshouldgalwaysgtakegthisgmedicationgwithgangantacid."
Answer: A g g
Explanatio
n:
(A) The first signs of digoxin toxicity include abdominal pain, anorexia, nausea, vomiting
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, and visual disturbances. The physician should be notified if any of these symptoms are
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experienced. (B) The positive inotropic effects of digoxin increase cardiac output and re
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sult in an enhanced activity tolerance. "Feeling better" indicates the drug is working an
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d medication therapy must be continued.
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(C) Clients should be taught to take their pulse prior to taking the digoxin. If their pulse r
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ate becomesirregular, slows significantly, or is >100 bpm the physician should be notifie
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NCLEX-
RN V12.35 (1) (865 Q & A) ALL ANSWERS 100% CORRECT S
g g g g g g g g g g g
ATISFACTION GUARANTEED SUCCESS LATEST UPDATE g g g g g
2021/2022 RATED A+ g g
,NCLEX-
RN V12.35 (1) (865 Q & A) ALL ANSWERS 100% CORRECT S
g g g g g g g g g g g
ATISFACTION GUARANTEED SUCCESS LATEST UPDATE g g g g g
2021/2022 RATED A+ g g
d. (D) Antacids decrease the effectiveness of digoxin.
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NO.2 g
A woman diagnosed with multiple sclerosis is disturbed with diplopia. The nurse will teach
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herto:
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A. Limitgactivitiesgwhichgrequiregfocusingg(closegvision)
B. Takegmoregfrequentgnaps
C. Usegartificialgtears
D. Weargagpatchgovergonegeye
Answer: D g g
Explanatio
n:
(A)
Limiting activities requiring close vision will not alleviate the discomfort of do
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uble vision.(B) g g
Frequent naps may be comforting, but they will not prevent double vision. (C) Artific
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ial tears arenecessary in the absence of a corneal reflex, but they have no effect on
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diplopia.
(D)
NCLEX-
RN V12.35 (1) (865 Q & A) ALL ANSWERS 100% CORRECT S
g g g g g g g g g g g
ATISFACTION GUARANTEED SUCCESS LATEST UPDATE g g g g g
2021/2022 RATED A+ g g
,NCLEX-
RN V12.35 (1) (865 Q & A) ALL ANSWERS 100% CORRECT S
g g g g g g g g g g g
ATISFACTION GUARANTEED SUCCESS LATEST UPDATE g g g g g
2021/2022 RATED A+ g g
An eye patch over either eye will eliminate the effects of double vision during the time the
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eye patchis worn. An eye patch is safe for a person with an intact corneal reflex.
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NO.3 A 24-year- g g
old client presents to the emergency department protesting "I am God." The nurseidentifi
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es this as a:
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A. Delusion
B. Illusion
C. Hallucination
D. Conversi
onAnswer: g g
A Explanati
g
on:
(A) Delusion is a false belief. (B) Illusion is the misrepresentation of a real, external senso
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ry experience. (C) Hallucination is a false sensory perception involving any of the senses.
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g (D) Conversionis the expression of intrapsychic conflict through sensory or motor manif
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estations.
NO.4 In acute episodes of mania, lithium is effective in 1-
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2 weeks, but it may take up to 4 weeks, or
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NCLEX-
RN V12.35 (1) (865 Q & A) ALL ANSWERS 100% CORRECT S
g g g g g g g g g g g
ATISFACTION GUARANTEED SUCCESS LATEST UPDATE g g g g g
2021/2022 RATED A+ g g
, NCLEX-
RN V12.35 (1) (865 Q & A) ALL ANSWERS 100% CORRECT S
g g g g g g g g g g g
ATISFACTION GUARANTEED SUCCESS LATEST UPDATE g g g g g
2021/2022 RATED A+ g g
even a few months, to treat symptoms fully. Sometimes an antipsychotic agent is presc
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ribed duringthe first few days or weeks of an acute episode to manage severe behavior
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al excitement and acutepsychotic symptoms. In addition to the lithium, which one of t
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he following medications might the physician prescribe?
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A. Diazepamg(Valium)
B. Haloperidolg(Haldol)
C. Sertralineg(Zoloft)
D. Alprazolamg(Xan
ax)Answer: B Expla
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nation:
(A) Diazepam is an antianxiety medication and is not designed to reduce psychotic sy
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mptoms. (B)Haloperidol is an antipsychotic medication and may be used until the lit
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hium takes effect. (C) Sertraline is an antidepressant and is used primarily to reduce
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symptoms of depression. (D) Alprazolam is an antianxiety medication and is not desi
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gned to reduce psychotic symptoms.
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NO.5 A violent client remains in restraints for several hours. Which of the following int
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erventions ismost appropriate while he is in restraints?
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A. Givegfluidsgifgthegclientgrequestsgthem.
B. Assessgskingintegritygandgcirculationgofgextremitiesgbeforegapplyinggrestraintsgan
NCLEX-
RN V12.35 (1) (865 Q & A) ALL ANSWERS 100% CORRECT S
g g g g g g g g g g g
ATISFACTION GUARANTEED SUCCESS LATEST UPDATE g g g g g
2021/2022 RATED A+ g g