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NCLEX RN Review Questions for Physiological Adaptation Answers and Rationale

Posted by admin on Apr 16, 2011
View Questions 1. C. Nitrates act primarily to relax coronary smooth muscle and produce vasodilation. They can cause hypotension, which makes the client dizzy and weak. Nitrates are taken at the first sign of chest pain and before activities that might induce chest pain. Sublingual nitroglycerin is taken every 5 minutes for three doses. If the pain persists, the client should... Continue Reading

NCLEX RN Review Questions for Physiological Adaptation

Posted by admin on Apr 14, 2011
1.    Nurse Fiona is teaching a client who receives nitrates for the relief of chest pain. Which of the following instructions should the nurse emphasize? a.    Repeat the dose of sublingual nitroglycerin every 15 minutes for three doses b.    Store the drug in a cool, well-lit place c.    Lie down or sit in a chair for 5 to 10 minutes after taking the... Continue Reading

Psychiatric Mental Health Nursing NCLEX RN Questions Part 2 Answers and Rationale

Posted by admin on Nov 15, 2010
View Questions 1.    Answer C. The elevated ST segments in this client’s ECG indicate myocardial ischemia. To reverse this problem, the physician is most likely to prescribe an infusion of nitroglycerin to dilate the coronary arteries. Lidocaine and procainamide are cardiac drugs that may be indicated for this client at some point but aren’t used for... Continue Reading

Psychiatric Mental Health Nursing NCLEX RN Questions Part 2

Posted by admin on Nov 11, 2010
1.    A male client with a history of cocaine addiction is admitted to the coronary care unit for evaluation of substernal chest pain. The electrocardiogram (ECG) shows a 1-mm ST-segment elevation the anteroseptal leads and T-wave inversion in leads V3 to V5. Considering the client’s history of drug abuse, nurse Greg expects the physician to prescribe: ... Continue Reading

Psychiatric Mental Health Nursing NCLEX RN Questions Part 1 Answers and Rationale

Posted by admin on Nov 05, 2010
View Questions 1.    Answer A. Seizures are the most common serious adverse effect of using flumazenil to reverse benzodiazepine overdose. The effect is magnified if the client has a combined tricyclic antidepressant and benzodiazepine overdose. Less common adverse effects include shivering, anxiety, and chest pain. 2.    Answer C. Bulimic... Continue Reading