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Questions 158

NCLEX-RN

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Extract:


Question 1 of 5

The client is admitted with a diagnosis of bacterial meningitis. Which precaution should the nurse implement?

Correct Answer: B

Rationale: Bacterial meningitis (e.g., Neisseria meningitidis) is transmitted via respiratory droplets, requiring droplet precautions. Standard, contact, and airborne precautions are not appropriate.

Question 2 of 5

The nurse is caring for a client with a diagnosis of placenta accreta. Which intervention is most appropriate?

Correct Answer: A

Rationale: Placenta accreta often prevents placental separation leading to severe hemorrhage during delivery which may necessitate hysterectomy.
Tocolytics fetal monitoring and antibiotics are not primary interventions for this condition.

Question 3 of 5

The nurse is teaching a client with a new diagnosis of gout about dietary modifications. Which food should the client avoid?

Correct Answer: A

Rationale: Shellfish are high in purines, which increase uric acid levels, worsening gout. Apples, carrots, and rice are low-purine foods and safe.

Question 4 of 5

One of the most dramatic and serious complications associated with bacterial meningitis is Waterhouse-Friderichsen syndrome, which is:

Correct Answer: A

Rationale: Waterhouse-Friderichsen syndrome is peripheral circulatory collapse, which may result in extensive and diffuse intravascular coagulation and thrombocytopenia resulting in death. Syndrome of inappropriate antidiuretic hormone is a complication of meningitis, but it is not Waterhouse-Friderichsen syndrome. Cerebral edema resulting in hydrocephalus is a complication of meningitis, but it is not Waterhouse-Friderichsen syndrome. Auditory nerve damage resulting in permanent hearing loss is a complication of meningitis, but it is not Waterhouse-Friderichsen syndrome.

Question 5 of 5

Which of the following nursing diagnoses is of highest priority for the patient with hypothyroidism?

Correct Answer: D

Rationale: Hypothyroidism reduces metabolic rate potentially decreasing cardiac output which can lead to life-threatening complications like heart failure. While hypothermia and other diagnoses are relevant decreased cardiac output is the most critical.

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