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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

A client with a history of gout is prescribed allopurinol. Which instruction should the nurse include?

Correct Answer: A

Rationale: Taking allopurinol with food reduces gastrointestinal irritation.

Question 2 of 5

A client with a history of depression is prescribed sertraline (Zoloft). Which side effect should the nurse monitor for?

Correct Answer: B

Rationale: Insomnia is a common side effect of sertraline, a selective serotonin reuptake inhibitor.

Question 3 of 5

Which statement provides the best indication that a client understands the nurse's teaching about alprazolam (Xanax), a newly prescribed medication?

Correct Answer: A

Rationale: Alcohol can potentiate alprazolam's sedative effects, increasing the risk of adverse events, so avoiding it indicates understanding.

Question 4 of 5

The client, with known benign prostatic hyperplasia (BPH), telephones the clinic nurse with concerns of increased urinary frequency and urgency after having a cold that started a few days ago- Which question should the nurse immediately ask the client?

Correct Answer: C

Rationale: A. Clients with BPH should maintain fluid intake at normal levels to prevent dehydration. Drinking large amounts of water, however, could lead to bladder distention, which would result in abdominal discomfort. B. Increased exercise will not alter BPH symptoms. C. Compounds found in common cough and cold remedies, such as pseudoephedrine and phenylephrine, are alpha-adrenergic agonists that cause smooth muscle contraction. Since the bladder is a smooth muscle, these medications may increase symptoms of urinary urgency and frequency. D. Increased amounts of alcohol and caffeine can increase BPH symptoms, but dairy products should not affect BPH symptoms.

Question 5 of 5

The nurse caring for a middle-aged adult would expect which characteristic behavior indicating the developmental task of generativity?

Correct Answer: C

Rationale: Generativity involves contributing to future generations, such as through writing a memoir to share life experiences.

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