NCLEX Preparation Course - Critical Thinking Exercises IV (Answers 21-30)

Here are the Questions to NCLEX Preparation Course - Critical Thinking IV (21-30) -->

21) D
- elevated alpha-fetoprotein indicates neural tube defects and chromosomal defects.

22) A
- addison's crisis is characterized by acute adrenal insufficiency. It is precipitated by stress, infection, trauma or surgery. It can cause severe hypotension, hyponatremia, hyperkalemia, hypoglycemia and shock.

23) A
- annual digital rectal examination (DRE) is required for males who are over 40 years of age. This is to detect BPH and rectal cancer.

24) D
- pericardial friction rub indicates pericarditis which is a serious complication of SLE and needs follow-up. Choices A, B, and C are characteristic manifestations of the disease.

25) C
- the client who will undergo mammogram should not apply cream, powder, or deodorant in the axillae. These may cause false positive result.

26.) A
- bed rest for 5 to 7 days should be maintained by the client with deep vein thrombosis. This is to prevent dislodgement of blood clot. Massaging the legs should be avoided to prevent dislodgement of blood clots. Compression stockings should be worn by the patient before getting out of bed. The legs should be elevated to promote venous return and relieve edema.

27) C
- adequate hydration prevents further sickling of RBC's. The treatment for sickle cell crisis: H-H-O-P (hydration, heat application, oxygen, pain medication).

28) C
- anaphylactic reaction may occur from antibiotic therapy. Stop the IV infusion of the medication if signs and symptoms of allergic reaction start to occur.

29) B
- the client is not responding to the insulin treatment. Therefore, he should be given priority by the nurse.

30) C
- an adolescent requires well-balanced diet to support his/her nutritional requirements. This is because adolescent stage is characterized by growth spurt.


Related Topics:

• Fundamentals of Nursing  Concepts
• Medical-Surgical Concepts
• Maternal and Child Concepts