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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is caring for a client with active tuberculosis who has a history of noncompliance. Which of the following actions by the nurse would represent appropriate care for this client?

Correct Answer: B

Rationale: Ask a family member to supervise daily compliance. Direct-observed therapy (DOT) is a recognized method for ensuring client compliance to the drug regimen. A program can be set up to directly observe the client taking the medication in the clinic, home, workplace or other convenient location.

Extract:

A 14-year-old patient with a diagnosis of gonorrhea requested you not to tell her parents about the disease.


Question 2 of 5

How will you respond?

Correct Answer: B

Rationale: Confidentiality is maintained for minors in sensitive diagnoses like STIs, unless there's a legal requirement to disclose.

Extract:


Question 3 of 5

A 14-month-old is receiving Digoxin (Lanoxin) and Lasix (Furosemide) twice a day. In planning his care, the nurse should assess for which complication?

Correct Answer: A

Rationale: Furosemide is a loop diuretic that can cause hypokalemia, which is dangerous in clients taking digoxin, as it increases digoxin toxicity risk.

Question 4 of 5

Which is an expected finding in the normal newborn?

Correct Answer: B

Rationale: Acrocyanosis (bluish extremities) is normal in newborns due to immature circulation. Undescended testicles, absent sucking pads, and retractions are abnormal.

Extract:

Arteriosclerosis:


Question 5 of 5

Arteriosclerosis:

Correct Answer: A

Rationale: Arteriosclerosis involves hardening of arteries due to calcium plaques and loss of elasticity.

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