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Questions 160

NCLEX-PN

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Question 1 of 5

The nurse is obtaining a hospital admission history for the client. Which statement should prompt the nurse to consider that the client has chronic prostatitis?

Correct Answer: B

Rationale: A. Chronic prostatitis does not cause erectile dysfunction. B. Both chronic bacterial prostatitis and chronic prostatitis/pelvic pain syndrome manifest with ejaculatory pain. C. Chronic prostatitis does not cause rectal pain. D. Obstructive bladder symptoms, such as incomplete bladder emptying, are uncommon unless the client also has BPH.

Question 2 of 5

The otherwise healthy client who is menopausal tells the nurse that she has been experiencing vaginal itching and burning and increased vaginal infections over the last 2 years. Which statement is the nurse's best response?

Correct Answer: D

Rationale: A. Vaginal infections do not predispose a female to vulvar cancer. B. Although vaginal itching may be related to a contact allergy, it is not the best response. C. Acidic secretions would have a low pH value; the pH increases during menopause. D. Decreased estrogen in menopausal women causes thinning of the vaginal mucosa and an increase in pH of vaginal secretions. As a result, the vagina is easily traumatized and more susceptible to infection.

Question 3 of 5

The physician orders enoxaparin (Lovenox) for a client who has been diagnosed with a blood clot. To prevent bruising, which actions by the nurse are most appropriate? Select all that apply.

Correct Answer: A,F

Rationale: Avoiding rubbing and applying gentle pressure minimize bruising at the injection site for enoxaparin.

Question 4 of 5

Which nursing action is most appropriate when a chest tube is inadvertently pulled from its insertion site?

Correct Answer: A

Rationale: Covering the opening prevents air entry, reducing the risk of pneumothorax until medical intervention is available.

Question 5 of 5

A client with a history of anxiety is prescribed lorazepam (Ativan). Which instruction should the nurse include?

Correct Answer: A

Rationale: Lorazepam causes drowsiness, making driving unsafe.

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