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NCLEX RN· RN Immune · Immunity NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

You are caring for a patient with Raynaud's disease who has intractable pain. The patient is scheduled to undergo surgical interruption of pain conduction pathways to improve vascular blood supply as well as eliminate vasospasm and pain. Which type of surgery is the patient most likely to undergo?

A. Cordotomy
B. Rhizotomy
C. Neurectomy
D. Sympathectomy

Expert Explanatory Rationale

Correct Answer: Sympathectomy

Question 2 of 5

For each potential intervention, click to specify whether the intervention is indicated or not indicated for the client experiencing cardiac tamponade.

A. Prepare the client for an immediate thoracentesis
B. Obtain a prescription for an isotonic fluid bolus
C. Perform frequent vital sign collection
D. Obtain a prescription for intravenous furosemide

Expert Explanatory Rationale

Correct Answer: Perform frequent vital sign collection

Question 3 of 5

The nurse is assessing a client who has Raynaud's phenomenon. Which of the following would be an expected finding?

A. Digit color changes
B. Flapping hand tremor
C. Painless skin ulcers
D. Janeway lesions

Expert Explanatory Rationale

Correct Answer: Digit color changes

Question 4 of 5

The intensive care unit (ICU) nurse is preparing to admit a client with Guillain-Barre syndrome. Which of the following items is essential for the nurse to have at the client's bedside?

A. blood pressure cuff
B. pulse oximeter
C. oral intubation equipment
D. arterial blood gas (ABG) supplies

Expert Explanatory Rationale

Correct Answer: oral intubation equipment

Question 5 of 5

The nurse is planning a staff development conference about anaphylaxis. Which of the following information should the nurse include?

A. 0.9% saline should be infused once vascular access is established.
B. The initial treatment is intravenous diphenhydramine.
C. The client should carry a prefilled syringe of hydrocortisone.
D. If shock occurs, the client should be positioned in reverse Trendelenburg.

Expert Explanatory Rationale

Correct Answer: 0.9% saline should be infused once vascular access is established.

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