NCLEX Questions, NCLEX-PN Practice Questions PDF Questions, NCLEX-PN Questions, Nurselytic

Questions 160

NCLEX-PN

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Question 1 of 5

The nurse is caring for a client with a urinary catheter. Which action reduces the risk of catheter-associated urinary tract infection?

Correct Answer: B

Rationale: Daily cleaning of the catheter insertion site with soap and water reduces bacterial growth and infection risk.

Question 2 of 5

The nurse is planning care for the female client, who is newly diagnosed with herpes simplex virus type 2 (HSV-2, herpes genitalis). In which order should the nurse complete the planned actions? Place the nurse's planned actions in order of priority.

Order the Items

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Teach abstinence from sexual intercourse during treatment and use of condoms.
Determine if the woman is pregnant.
Discuss the benefits of joining a support group such as HELP (Herpetics Engaged in Living Productively).
Administer an analgesic.
Administer the first dose of acyclovir.

Correct Answer: B,D,E,A,C

Rationale: B. Determine if the woman is pregnant. This is priority because medications can be teratogenic, presenting a substantial risk to the developing fetus. D. Administer an analgesic. Measures are needed to promote comfort. Itching, pain, macules, and papules occur initially with HSV-2. The infection can progress to vesicles and ulcers and can involve the labia, cervix, and vaginal and perianal areas. E. Administer the first dose of acyclovir (Zovirax). An antiviral medication is needed to treat the infection. A. Teach abstinence from sexual intercourse during treatment and use of condoms. The woman is unlikely to be receptive to teaching until some degree of comfort is achieved. C. Discuss the benefits of joining a support group such as HELP (Herpetics Engaged in Living Productively). There is no cure for HSV-2 infection.

Question 3 of 5

The nurse teaches the client with erectile dysfunction about the use of alprostadil via subcutaneous penile injection. Which statement indicates the client needs further teaching?

Correct Answer: B

Rationale: A. The client is correct in using sterile technique for the injection. B. The nurse should correct the statement about an erection not lasting long. Alprostadil (Caverject) injection therapy has the potential of producing a prolonged erection. C. Alprostadil will begin to produce the desired effect within 30 minutes. D. Dizziness is a side effect of alprostadil and should be reported.

Question 4 of 5

A client with a history of hypothyroidism is prescribed levothyroxine. Which instruction should the nurse include?

Correct Answer: A

Rationale: Taking levothyroxine on an empty stomach enhances absorption.

Question 5 of 5

The nurse is assessing a client with suspected dehydration. Which finding supports this diagnosis? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Sunken eyes, increased thirst, tachypnea, and poor skin turgor are signs of dehydration; bradycardia is not.

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