Questions 150

NCLEX-RN

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Question 1 of 5

A client has been prescribed transcutaneous electrical nerve stimulation (TENS) by the primary health care provider for the relief of chronic pain. Which statement by the client would indicate to the nurse a need for further teaching regarding this pain relief measure?

Correct Answer: C

Rationale: It is not necessary for the client to remain in the hospital for this treatment. The TENS unit is a portable unit, and the client controls the system for relieving pain and reducing the need for analgesics. It is attached to the skin of the body by electrodes.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of gout about medication management. Which of the following medications should the client expect to take for long-term management?

Correct Answer: A

Rationale: Allopurinol reduces uric acid production for long-term gout management.

Question 3 of 5

The nurse is teaching a 17-year-old girl who has a severe gonorrheal infection. The nurse realizes that the girl needs further teaching when she states:

Correct Answer: A,B

Rationale: Gonorrhea does not confer immunity, and partners require treatment to prevent reinfection. Potential infertility is a correct understanding, but believing protection eliminates all problems is overly optimistic.

Question 4 of 5

Which of the following nursing interventions would best accomplish the goal of preventing atelectasis and pneumonia in a postoperative client?

Correct Answer: B

Rationale: Pain control is essential to enable effective deep breathing and incentive spirometry, which prevent atelectasis and pneumonia by promoting lung expansion. Oxygen and fluid intake are supportive but secondary.

Question 5 of 5

A client with a history of seizures is prescribed phenytoin (Dilantin). Which laboratory value should the nurse monitor?

Correct Answer: A

Rationale: Phenytoin can cause hepatotoxicity, so liver function tests should be monitored regularly to detect potential liver damage early.

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