Questions 150

NCLEX-RN

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Question 1 of 5

The nurse is teaching a client with a new diagnosis of gout about dietary management. Which of the following foods should the client include?

Correct Answer: A

Rationale: Cherries reduce uric acid levels and inflammation in gout.

Question 2 of 5

A client with a history of bipolar disorder is prescribed carbamazepine (Tegretol). The nurse should monitor the client for which of the following side effects?

Correct Answer: B

Rationale: Carbamazepine can cause agranulocytosis, requiring regular monitoring of white blood cell counts.

Question 3 of 5

Pelvic inflammatory disease is most often caused by:

Correct Answer: D

Rationale: Neisseria gonorrhoeae is a common cause of pelvic inflammatory disease, often resulting from untreated gonorrhea, leading to infection of the reproductive organs.

Question 4 of 5

A client with asthma asks the nurse if she should use her salmeterol (Serevent) inhaler when she exercises and experiences wheezing and shortness of breath. The nurse's best response is which of the following?

Correct Answer: B

Rationale: Salmeterol is a long-acting beta-agonist used for asthma maintenance, not for acute symptoms like wheezing during exercise. A rescue inhaler, such as albuterol, is appropriate for acute symptoms.

Question 5 of 5

A client had a positive Papanicolaou smear and underwent cryosurgery with laser therapy. What information should the nurse provide the client as a part of discharge teaching?

Correct Answer: C

Rationale: Cryosurgery is a procedure that involves freezing cervical tissues. Vaginal discharge should be clear and watery after the procedure. There is mild pain after the procedure, but opioid analgesics would not be required. Tub and sitz baths are avoided while the area is healing, which takes about 10 weeks. The client will begin to slough off dead cell debris, which may be odorous. This resolves within approximately 8 weeks.

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