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Questions 148

NCLEX-RN

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Question 1 of 5

A client diagnosed with tuberculosis asks the nurse when he can return to work. The nurse should tell the client that:

Correct Answer: A

Rationale: Three negative sputum cultures indicate the client is no longer contagious, allowing safe return to work after tuberculosis treatment.

Question 2 of 5

A client with Alzheimer's disease has been prescribed donepezil (Aricept). Which information should the nurse include in the teaching plan for a client on Aricept?

Correct Answer: B

Rationale: Donepezil can cause dizziness due to its cholinergic effects, so clients should rise slowly to prevent falls. It's taken at bedtime, not with meals, and doses shouldn't be doubled.

Question 3 of 5

All of the following are modifiable risk factors for coronary artery disease (CAD) EXCEPT

Correct Answer: D

Rationale: Family history is a non-modifiable risk factor for CAD. Stress, obesity, and smoking can be modified through lifestyle changes.

Question 4 of 5

The surgical nurse is preparing a patient for surgery on the lower abdomen. In which position would the nurse most likely place the client for surgery on this area?

Correct Answer: D

Rationale: Trendelenburg position (head down, feet elevated) is used for lower abdominal surgery to improve access to the pelvic organs by shifting abdominal contents upward.

Question 5 of 5

A student nurse is assigned to change a patient's dressing. The soiled bandage is saturated with bright red blood. How should the student nurse dispose of the bandage?

Correct Answer: B

Rationale: Blood-saturated bandages are biohazardous and must be disposed of in a labeled biohazard bag to prevent infection transmission.

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