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Questions 164

NCLEX-PN

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Extract:


Question 1 of 5

The health care provider prescribes phenazopyridine hydrochloride for a client with a urinary tract infection. What would the office nurse remind the client to expect while taking this medication?

Correct Answer: C

Rationale: Phenazopyridine causes orange-red urine discoloration, a benign effect. Constipation , insomnia , and dry mouth are not typical.

Question 2 of 5

Which of the following beverages is most appropriate for a client with renal failure?

Correct Answer: C

Rationale: Apple juice is most appropriate for a client with renalrape juice has a lower potassium content, which is crucial for renal failure patients who need to limit potassium intake. Prune, grape, and apricot juices are high in potassium, which can be harmful in renal failure.

Question 3 of 5

The nurse is observing the parent feed a 3-month-old diagnosed with gastroesophageal reflux. Which action by the parent indicates that further teaching is necessary?

Correct Answer: B

Rationale: Active play post-feeding can worsen reflux. Not forcing the bottle , burping , and upright positioning are appropriate.

Question 4 of 5

When caring for a client with advanced cirrhosis of the liver, which nursing diagnosis should take priority?

Correct Answer: A

Rationale: Risk for injury: hemorrhage. Liver disease interferes with the production of prothrombin and other factors essential for blood clotting. Hemorrhage, especially from esophageal varices, can be life-threatening.

Question 5 of 5

Which oxygen delivery system would the nurse apply that would provide the highest concentrations of oxygen to the client?

Correct Answer: C

Rationale: Non-rebreather mask. The non-rebreather mask has a one-way valve that prevents exhaled air from entering the reservoir bag and one or more valves covering the air holes on the face mask itself to prevent inhalation of room air but to allow exhalation of air. When a tight seal is achieved around the mask up to 100% of the oxygen is available.

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