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Questions 160

NCLEX-PN

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Question 1 of 5

A depressed client tells the nurse, 'No one really cares whether I live or die.' What is the nurse's most appropriate response?

Correct Answer: D

Rationale: Reflecting the client's feelings fosters therapeutic communication and validates their emotions without judgment.

Question 2 of 5

When instructing a postoperative client about the use of enoxaparin (Lovenox), the nurse should include which statement about the drug's therapeutic action?

Correct Answer: D

Rationale: Enoxaparin is an anticoagulant that prevents new blood clots from forming, reducing the risk of thromboembolism.

Question 3 of 5

The nurse is reviewing hospital admission orders for the client diagnosed with acute prostatitis- Which prescription should the nurse verify with the HCP?

Correct Answer: D

Rationale: A. Trimethoprim/sulfamethoxazole (Bactrim) is a common antibiotic used to treat acute prostatitis. B. Analgesics, such as ibuprofen (Motrin), should be used for pain control, and rest should be encouraged. C. Increasing fluid intake and voiding often help decrease irritation when emptying the bladder. D. Passage of a urinary catheter through an inflamed urethra is contraindicated in acute prostatitis. If urinary retention is a concern, a suprapubic catheter should be placed.

Question 4 of 5

A physician orders 2 mg/kg of a drug. If the client weighs 88 pounds, how many milligrams of the medication should the nurse administer?

Correct Answer: A

Rationale: 88 pounds ÷ 2.2 = 40 kg; 2 mg/kg × 40 kg = 80 mg.

Question 5 of 5

The nurse is eating for the client following a TURF. At the end of an 8-hour shift, the nurse determines that the client received 3050 mL of CBI fluid and that 4030 mL of output was emptied from the urinary drainage bag. How many milliliters (mL) should the nurse document for the client's actual urine output for the 8 hours?

Correct Answer: 980 mL.

Rationale: Subtract the amount of CBI solution from the total amount of fluid emptied from the urinary drainage device: 4030 mL - 3050 mL = 980 mL.

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