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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid:

Correct Answer: D

Rationale: Raw fruits and vegetables may harbor pathogens, increasing infection risk in immunocompromised clients with HIV.

Question 2 of 5

Intra-arterial chemotherapy primarily benefits the client by applying greater concentrations of medication directly to the malignant tumor. An additional benefit of intra-arterial chemotherapy is:

Correct Answer: B

Rationale: Intra-arterial chemotherapy can treat micro-metastases by delivering high drug concentrations to the tumor and surrounding areas.

Question 3 of 5

The nurse is caring for a client admitted to ICU following a heart attack. The nurse notes on the chart that the client has named his spouse to make decisions regarding his care if he is unable to speak for himself. What is the name of the document the client has signed? Fill in the blank.

Correct Answer: C

Rationale: The document is a **Durable Power of Attorney for Healthcare** or **Healthcare Proxy**, designating the spouse as the decision-maker.

Question 4 of 5

A woman is receiving outpatient treatment at a mental health center. She starts crying and tells the nurse her husband has filed for divorce. The best response from the nurse is

Correct Answer: D

Rationale: An open-ended response like 'Tell me what happened' encourages the client to express feelings, fostering therapeutic communication.

Question 5 of 5

A client is to be discharged on warfarin (Coumadin®) therapy, and the nurse is teaching the client about the medication. Which of the following statements by the client indicates that the client's education has been effective? Select all that apply.

Correct Answer: A,C,D

Rationale: Soft toothbrush (
A), swimming (
C), and Medical Alert bracelet (
D) reduce bleeding risk and ensure safety. Black stools (
B) indicate bleeding, and avoiding all leafy greens (E) is excessive.

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