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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q361-Q366):

NEW QUESTION # 361
A husband asks if he can visit with his wife on her ECT treatment days and what to expect after the initial treatment. The nurse's best response is:

A. "There's really no need to stay with her. She's going to sleep for several hours after the treatment."
B. "Yes, you may visit. She may experience temporary drowsiness, confusion, or memory loss after each treatment."
C. "You'll have to get permission from the physician to visit. Clients are pretty sick after the first treatment."
D. "Visitors are not allowed. We will telephone you to inform you of her progress."

Answer: B

Explanation:
(A) It is within the nurse's realm of practice to grant visiting privileges according to hospital policy. ECT treatments do not make clients sick. (B) Visitors are allowed and encouraged, particularly family members. (C) Clients are usually awake within 1 hour posttreatment. Drowsiness wanes as the anesthetic wears off. (D) A family member is encouraged to stay with the client after return to the unit. The nurse has used an opportunity to do family teaching and allay fears by explaining temporary side effects of the treatment.

NEW QUESTION # 362
A 50-year-old male client is to receive chemotherapy. The physician's orders include antiemetics. When planning his care, the nurse should take into consideration that antiemetics are best administered in the following way:

A. Give antiemetics one at a time because combinations of antiemetics cause overwhelming side effects.
B. Give antiemetics intermittently during the entire course of chemotherapy.
C. Give antiemetics prior to the client receiving chemotherapy and continue on a regular basis for at least 24-48 hours after chemotherapy.
D. Give antiemetics when nausea is experienced and continue on a regular schedule for 12-24 hours.

Answer: C

Explanation:
(A) Nausea is more difficult to control if antiemetics are withheld until nausea is experienced. (B) Antiemetics should be given prophylactically at the beginning of chemotherapy and continued on an around-the-clock basis to prevent nausea. (C) Combinations of antiemetics give the best control for nausea by blocking various causes of nausea induced by chemotherapy. (D) Antiemetics should be given around the clock during the course of chemotherapy. This prevents nausea from developing and prevents anticipatory nausea during subsequent chemotherapy administrations.

NEW QUESTION # 363
Which of the following would have the physiological effect of decreasing intracranial pressure (ICP)?

A. Increased core body temperature
B. Decreased PaCO2
C. Administration of hypo-osmolar fluids
D. Decreased serum osmolality

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) An increase in core body temperature increases metabolism and results in an increase in ICP. (B) Decreased serum osmolality indicates a fluid overload and may result in an increase in ICP. (C) Hypo- osmolar fluids are generally voided in the neurologically compromised. Using IV fluids such as D5W results in the dextrose being metabolized, releasing free water that is absorbed by the brain cells, leading to cerebral edema. (D) Hypercapnia and hypoventilation, which cause retention of CO2 and lead to respiratory acidosis, both increase ICP. CO2 is the most potent vasodilator known.

NEW QUESTION # 364
A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type of hallucination?

A. Auditory
B. Gustatory
C. Olfactory
D. Visceral

Answer: B

Explanation:
(A) Auditory hallucinations involve sensory perceptions of hearing. (B) Gustatory hallucinations involve sensory perceptions of taste. (C) Olfactory hallucinations involve sensory perceptions of smell. (D) Visceral hallucinations involve sensory perceptions of sensation.

NEW QUESTION # 365
A client was prescribed a major tranquilizer 2 months ago. One month ago she was placed on benztropine (Cogentin). What would indicate that benztropine therapy is effective?

A. Muscle weakness
B. Tremors
C. Smooth, coordinated voluntary movement
D. Rigidity

Answer: C

Explanation:
Explanation
(A) Benztropine is prescribed to decrease or alleviate extrapyramidal side effects of major tranquilizers.
Smooth, coordinated voluntary movement indicates minimal extrapyramidal side effects. (B) Tremors are an extrapyramidal side effect. (C) Rigidity is an extrapyramidal side effect. (D) Muscle weakness is an extrapyramidal side effect.

NEW QUESTION # 366
......

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