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NCLEX RN NEWEST 2023, 2024 AND 2025 (3 LATEST VERSIONS) ACTUAL TEST BANK WITH 2500 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES/BRAND NEW!!2024$27.49
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NCLEX RN NEWEST 2023, 2024 AND 2025 (3 LATEST VERSIONS) ACTUAL TEST BANK WITH 2500 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES/BRAND NEW!!2024
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NCLEX RN
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NCLEX RN NEWEST 2023, 2024 AND 2025 (3 LATEST VERSIONS) ACTUAL TEST BANK WITH 2500 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES/BRAND NEW!!2024
NCLEX RN NEWEST 2023 , 2024 AND 2025 (3 LATEST VERSIONS) ACTUAL TEST BANK WITH 2500 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES/ BRAND NEW!!2024 A 23-year-old woman is admitted to the infusion clinic after a Multiple Sclerosis Exacerbation. The physician orders methylprednisolone infusions (Solu -Medrol). The nurse would expect which of the following outcomes after administration of this medication? 1. A decrease in muscle spasticity and involuntary movements 2. A slowed progression of Multiple Sclerosis related plaques 3. A decrease in the length of the exacerbation 4. A stabilization of mood and sleep – ans1. A decrease in muscle spasticity and involuntary movements RATIONALE : Incorrect - While muscle spasticity and involuntary movements can be symptoms of MS, a corticosteroid infusion is not meant to directly treat these symptoms. 2. A slowed progression of Multiple Sclerosis related plaques Incorrect - Special drugs like Interferon Beta, Natalizumab, or Glatiramir acetate are used as first-line treatments to slow the progression of MS. While corticosteroids can be used in conjunction with these drugs on a long-term basis, they would not be infused. They would be taken orally. 3. A decrease in the length of the exacerbation Correct - A methylprednisolone infusion is the first line of treatment during an acute exacerbation and is used to decrease the length and severity of a relapse. 4. A stabilization of mood and sleep Incorrect - Some of the frequent side effects of a Methylprednisolone infusion are anxiety, insomnia, and mood swings. A 30-year old Caucasian woman who works the night shift has been found to have early bone loss and has a high risk for osteomalacia and bone degradation. She asks the nurse exactly why she should take Vitamin D supplements. What is the nurse's best response? 1. "It's a standard part of the overall nutritional treatment for the prevention of osteomalacia" 2. "It helps your intestines absorb calcium, which is important for bone formation." 3. "It stimulates skin cells to produce calcium, which is then released into the bloodstream to be used for bone formation." 4. "Vitamin D supplements should not be taken by someone of your age." - ans1. "It's a standard part of the overall nutritional treatment for the prevention of osteomalacia" RATIONALE : Incorrect - While this is true, it doesn't answer the woman's question. 2. "It helps your intestines absorb calcium, which is important for bone formation." Correct - This is the correct mechanism of action for Vitamin D 3. "It stimulates skin cells to produce calcium, which is then released into the bloodstream to be used for bone formation." Incorrect - This is not the correct mechanism of action for Vitamin D 4. "Vitamin D supplements should not be taken by someone of your age." Incorrect - Vitamin D supplements should be taken for patients who are homebound, institutionalized, or by some other limitations, unable to meet daily requirements. This woman works the night shift, which may limit her ability to absorb Vitamin D naturally. A 45-year old woman is prescribed ropinirole (Requip) for Parkinson's Disease. The patient is living at home with her daughter. The nurse is most concerned about which side effect of ropinirole? 1. Slurred speech 2. Sudden dizziness 3. Masklike facial expression 4. Stooped Posture - ans1. Slurred speech RATIONALE : Incorrect - Slurred speech is a common symptom of PD, not a side effect of this drug. 2. Sudden dizziness Correct - Dizziness and orthostatic hypotension are serious adverse effects of this drug that can lead to an increased risk of falls. Ropinirole's drug class is a dopamine agonist, which mimic dopamine in the brain (PD is characterized by a lack of dopamine). 3. Masklike facial expression Incorrect - Masklike facial expression is a common symptom of PD, not a side effect of this drug. 4. Stooped Posture Incorrect - Stooped Posture is a common symptom of PD, not a side effect of this drug. A 65 year old man is prescribed Flomax (Tamsulosin) for Benign Prostatic Hyperplasia. The patient lives in an upstairs apartment. The nurse is most concerned about which side effect of Flomax? 1. Hypotension 2. Tachycardia 3. Back Pain 4. Difficulty Urinating - ans1. Hypotension RATIONALE : Correct - Hypotension can lead to dizziness and a risk for injury to the patient. 2. Tachycardia Tachycardia can be a side effect of Flomax, but is not an immediate safety risk, nor is it a common side effect. 3. Back Pain Back Pain can be a side effect of Floma, but is not a safety risk
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