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NCLEX-PN

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Extract:

The nurse documents and performs which of the following when the patient refuses his medication?


Question 1 of 5

Kardex; physician.

Correct Answer: C

Rationale: Documenting in the medication record and progress notes, and informing the physician, ensures accurate communication.

Extract:


Question 2 of 5

An adult has low back pain. Which position is likely to be most comfortable for the client?

Correct Answer: C

Rationale: Side-lying with knees flexed reduces lumbar strain, easing low back pain. Prone, supine, or semi-sitting positions may exacerbate discomfort.

Extract:

The child with a diagnosis of laryngotracheobronchtis


Question 3 of 5

The child with a diagnosis of laryngotracheobronchtis should be observed for:

Correct Answer: B

Rationale: Laryngotracheobronchitis (croup) is characterized by inspiratory stridor and potential lethargy due to airway obstruction.

Extract:

Arteriosclerosis:


Question 4 of 5

Arteriosclerosis:

Correct Answer: A

Rationale: Arteriosclerosis involves hardening of arteries due to calcium plaques and loss of elasticity.

Extract:

The day before a patient who has had a subtotal gastrectomy is to be discharged, the patient complains of perspiring and having epigastric discomfort about a half hour after eating lunch. The symptoms disappear within a few minutes.


Question 5 of 5

The nurse recognizes that the teaching about prevention is understood when the patient states, 'I can limit these symptoms by:

Correct Answer: D

Rationale: Small, low-carbohydrate meals reduce dumping syndrome symptoms post-gastrectomy.

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