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Questions 158

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is teaching a client with a history of migraines about trigger avoidance. The nurse should tell the client to avoid:

Correct Answer: A

Rationale: Chocolate is a common migraine trigger, potentially causing vasoconstriction or neurotransmitter changes, so it should be avoided.

Question 2 of 5

The nurse is evaluating the evidence-based practice used for the units' client care standards. Which of the following provides the most support for evidence-based practice?

Question Image

Correct Answer: B, D, E

Rationale: Evidence-based practice relies on practice guidelines (
B), research articles (
D), and systematic reviews (E) for high-quality evidence. Client preference (
A) and care plans (
C) are individualized but less rigorous.

Question 3 of 5

A client with a history of a hiatal hernia is being discharged. The nurse should teach the client to:

Correct Answer: C

Rationale: Carbonated beverages increase gastric pressure, worsening hiatal hernia symptoms. Sleeping upright, small meals, and avoiding lying down post-meals are also recommended.

Question 4 of 5

The nurse is teaching a client with a new diagnosis of gout about dietary modifications. Which food should the client avoid?

Correct Answer: A

Rationale: Shellfish are high in purines, which increase uric acid levels, worsening gout. Apples, carrots, and rice are low-purine foods and safe.

Question 5 of 5

A 22-year-old single woman was admitted to the psychiatric hospital by her mother, who reported bizarre behavior. Except for going to work, she spends all her time in her room and expresses concern over neighbors spying on her. She has fears of the telephone being 'bugged.' Her diagnosis is schizophrenia. One nurse per shift is assigned to work with the client. The primary reason for this plan would be to:

Correct Answer: B

Rationale: The client is suspicious and needs help to develop trust, which is basic to her improvement. Consistent nursing assignment fosters a therapeutic relationship.

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