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Question 40

Which of the following serum laboratory values would the nurse monitor during gentamicin therapy?

Options:

A.

Creatinine

B.

Sodium

C.

Calcium

D.

Potassium

Question 41

Several months after antibiotic therapy, a child is readmitted to the hospital with an exacerbation of osteomyelitis, which is now in the chronic stage. The mother appears anxious and asks what she could have done to prevent the exacerbation. The nurse’s response is based on the knowledge that chronic osteomyelitis:

Options:

A.

Is caused by poor physical conditions or poor nutrition

B.

Often results from unhygienic conditions or an unclean environment

C.

Is directly related to sluggish circulation in the affected limb

D.

May develop from sinuses in the involved bone that retain infectious material

Question 42

A male client had a right below-the-knee amputation 4 days ago. His incision is healing well. He has gotten out of bed several times and sat at the side of the bed. Each time after returning to bed, he has experienced pain as if it were located in his right foot. Which nursing measure indicates the nurse has a thorough understanding of phantom pain and its management?

Options:

A.

Phantom pain is entirely in the client’s mind. The client should be instructed that the pain is psychological and should not be treated.

B.

The basis for phantom pain may occur because the nerves still carry pain sensation to the brain even though the limb has been amputated. The pain is real, intense, and should be treated.

C.

The cause of phantom pain is unknown. The nurse should provide the client with support, promote sleep, and handle the injured limb smoothly and gently.

D.

Phantom pain is caused by trauma, spasms, and edema at the incisional site. It will decrease when postoperative edema decreases. It should be treated with nonnarcotic medication whenever possible.

Question 43

A client is having a vertical partial laryngectomy, and the nurse is planning his postoperative care. A priority postoperative nursing diagnosis for a client having a vertical partial laryngectomy would be:

Options:

A.

Activity intolerance

B.

Ineffective airway clearance

C.

High risk for infection

D.

Altered oral mucous membrane

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Exam Code: NCLEX-RN
Exam Name: National Council Licensure Examination(NCLEX-RN)
Last Update: May 19, 2024
Questions: 860
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