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Questions 149

NCLEX-PN

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Question 1 of 5

The nurse completes teaching about doxycycline to the adolescent diagnosed with Lyme disease. The nurse recognizes the need for further education when the client makes which statement?

Correct Answer: A

Rationale: Lyme disease is not contagious, but tanning can increase photosensitivity, a side effect of doxycycline, risking skin damage.

Question 2 of 5

The normally healthy adolescent client has a 5-mm skin induration 72 hours after receiving a tuberculin skin test. Which conclusions should the nurse make regarding the test results?

Correct Answer: A

Rationale: A 5-mm induration is negative in healthy individuals with no TB risk factors, per CDC guidelines.

Question 3 of 5

A client with cancer states that he has no reason to live anymore. What is the most therapeutic response for the nurse to give at this time?

Correct Answer: A

Rationale: Reflecting the client's statement encourages exploration of his feelings, promoting therapeutic communication without dismissing his despair.

Question 4 of 5

An adult is undergoing diagnostic tests for possible cancer. A liver scan is scheduled. The client asks whether she will need to stay away from people because she is radioactive following the test. What should be included in the nurse's response?

Correct Answer: B

Rationale: Liver scans use small doses of radioisotopes that decay quickly, posing no significant risk to others, reassuring the client.

Question 5 of 5

The clinic nurse is preparing to assess the 14-year-old client who has impetigo on the hands and neck. In reviewing the client's history, the nurse would expect which predisposing factors to be associated with bacterial skin infections?

Correct Answer: B

Rationale: Diabetes mellitus and eczema increase the risk of bacterial skin infections like impetigo due to impaired skin barriers and immune responses.

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