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Questions 227

NCLEX-PN

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Extract:

The client is taking Aminophylline.


Question 1 of 5

The nurse knows that the client is having problem if she observes that the client is:

Correct Answer: B

Rationale: Restlessness is a sign of aminophylline toxicity, indicating a need for intervention.

Extract:


Question 2 of 5

Observation should be ordered for the client using hallucinogens because, hallucinogens

Correct Answer: B

Rationale: Hallucinogens cause altered perception, posing risks of harm due to impaired judgment, necessitating close observation. They do not typically cause respiratory depression or rapid dependence.

Question 3 of 5

The nurse is teaching a client with a new diagnosis of hypertension about medication adherence. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Stopping antihypertensive medication when blood pressure normalizes risks rebound hypertension, indicating a need for further teaching. Daily timing (
A), reporting side effects (
C), and continued use (
D) reflect proper understanding.

Question 4 of 5

The nurse is caring for a client with a myocardial infarction. Which finding requires the nurse's immediate action?

Correct Answer: B

Rationale: Dizzy spells. Cardiac dysrhythmias may cause a transient drop in cardiac output and decreased blood flow to the brain. Near syncope refers to lightheadedness, dizziness, temporary confusion. Such 'spells' may indicate runs of ventricular tachycardia or periods of asystole and should be reported immediately.

Question 5 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 avoid?

Correct Answer: C

Rationale: Sardines are high in purines, which increase uric acid levels, triggering gout attacks. Spinach (
A), chicken (
B), and rice (
D) are low-purine and safe for gout management.

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