Questions 150

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is caring for a client taking memantine. Which data should the nurse monitor for this client?

Correct Answer: C

Rationale: Memantine is a medication used to treat moderate to severe Alzheimer's disease. This medication needs to be avoided in clients with severe renal dysfunction, and a reduced dosage is needed in moderate renal dysfunction. The other options are not specifically associated with this medication.

Question 2 of 5

A child with the diagnosis of Hirschsprung's disease has a temporary colostomy. The nurse provides instructions to the parents about colostomy care at home. Which statement by the parents indicates their understanding of the instructions?

Correct Answer: B

Rationale: The parents are instructed to report signs of skin breakdown or stomal complications, such as ribbonlike stools or failure to pass flatus or stools, to the primary health care provider or the nurse. Moist, red granulation tissue may grow around an ostomy site and does not require special treatment. The remaining options are incorrect actions and considered contraindicated.

Question 3 of 5

The nurse is assessing a client with a suspected tension pneumothorax. Which of the following interventions is the highest priority?

Correct Answer: B

Rationale: Preparing for needle decompression is the highest priority in tension pneumothorax to relieve pressure and restore lung function.

Question 4 of 5

Older adults with known cardiovascular disease must balance which of the following measures for optimum health?

Correct Answer: A

Rationale: Diet, exercise, and medication are critical for managing cardiovascular disease, as they address risk factors like cholesterol, physical fitness, and blood pressure control, directly impacting heart health.

Question 5 of 5

The nurse is teaching a client with a new diagnosis of gout about medication management. Which of the following medications should the client expect to take for long-term management?

Correct Answer: A

Rationale: Allopurinol reduces uric acid production for long-term gout management.

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