Questions 150

NCLEX-RN

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Question 1 of 5

A client with a diagnosis of gout is prescribed febuxostat (Uloric). The nurse should instruct the client to:

Correct Answer: A,B

Rationale: Taking febuxostat with food reduces gastrointestinal upset, and avoiding alcohol prevents uric acid buildup.

Question 2 of 5

Which of the following is an example of beliefs of traditional Chinese medicine found in a small amount of the treatment?

Correct Answer: B

Rationale: Traditional Chinese medicine attributes illness to an imbalance of yin and yang.

Question 3 of 5

The nurse is caring for a neonate with respiratory distress syndrome. Which intervention should the nurse anticipate?

Correct Answer: A

Rationale: Surfactant administration is the primary treatment for respiratory distress syndrome in neonates, improving lung compliance and oxygenation.

Question 4 of 5

A client with gastroesophageal reflux disease (GERD) reports chest discomfort that feels like heartburn, especially following each meal. After teaching the client to take antacids as prescribed, the nurse suggests that the client lie in which position during sleep?

Correct Answer: D

Rationale: The discomfort of reflux is aggravated by positions that allow the reflux of gastrointestinal contents. The client is instructed to remain upright for 1 to 2 hours after a meal and sleep with the head of the bed elevated to approximately 30 degrees (usually on 8- to 12-inch blocks). Lying flat will increase the episodes of reflux, resulting in chest discomfort.

Question 5 of 5

Which clinical manifestations are consistently observed in infants who have been diagnosed with congenital hypothyroidism? Select all that apply.

Correct Answer: B,C,D,F

Rationale: The infant with congenital hypothyroidism may display the following signs: skin mottling, a large fontanel, a large tongue, hypotonia, slow reflexes, bradycardia, and a distended abdomen. Other signs and symptoms include prolonged jaundice, lethargy, constipation, feeding problems, coldness to touch, umbilical hernia, hoarse cry, and excessive sleeping.

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