NCLEX Preparation Course - Critical Thinking Exercises IV (Answers 1-10)

Here are the Questions to NCLEX Preparation Course - Critical Thinking IV (1-10) -->

1) B
- the situation describes signs and symptoms of dehydration.
Normal serum sodium is 135-145 mEq/L
Normal BUN is 5-25 mg/dl

2) B
- tetenus immune globulin provides passive immunity. This is recommended if the client had not received tetanus immunization or when tetanus immunization history could not be determined.

3) D
- DIC - is body's response to overstimulation of clotting and articulating processes in response to injury or disease. In DIC, bleeding occurs due to depletion of platelets in the general circulation which is due to massive blood clotting (decreased fibrinogen, increased protime, increased PTT, decreased platelets).

4) A
- tetracycline and neomycin (an aminoglyceride) may cause respiratory depression. Penicillins and aminoglycerides when combined with muscle relaxants and anesthesia may also cause respiratory depression.

5) D
- hemophilia is a defect in clotting mechanism of blood. It is characterized by prolonged bleeding; therefore any form of trauma including injections should be avoided.

6) C
- this client is at risk for falls and is experiencing other-directed violence. The nurse has great responsibility in protecting the client from harm and in protecting other clients from harm, as well.

7) A
- postop client should be roomed-in with a client without infection. Age and gender should also be considered.

8) A
- the client with life-threatening problem like profuse bleeding should be given highest priority. Priority: ABC.

9) A
- STD's (sexually-transmitted diseases) like Chlamydia may cause sterility.

10) B
- the manifestations describe huntington's disease. Creutzfeldt-jacob's disease is a progressive disease of CNS characterized by spongiform degeneration of the gray matter of the brain. Multiple sclerosis is characterized by demyelination of the central nervous system. Parkinson's disease affects the EPS that leads to decreased dopamine production.


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