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Questions 227

NCLEX-PN

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Extract:

The nurse might expect a patient with multiple sclerosis to complain about the most common initial symptom which is:


Question 1 of 5

The nurse might expect a patient with multiple sclerosis to complain about the most common initial symptom which is:

Correct Answer: D

Rationale: Visual disturbances, such as optic neuritis, are a common initial symptom of multiple sclerosis.

Extract:


Question 2 of 5

A client refuses to take the medication prescribed because the client prefers to take self-prescribed herbal preparations. What is the initial action the nurse should take?

Correct Answer: B

Rationale: Respect for differences is demonstrated by incorporating traditional cultural practices for staying healthy into professional prescriptions and interventions. The challenge for the health care provider is to understand the client's perspective. 'Culture care preservation or maintenance refers to those assistive, supporting, facilitative or enabling professional actions and decisions that help people of a particular culture to retain and/or preserve relevant care values to that they can maintain their well-being, recover from illness or face handicaps and/or death.'

Question 3 of 5

The mother of a 3-year-old has been told that her child has a brain tumor. She initially begins to cry and accuses the physicians of lying. Which of the following stages is the mother most likely experiencing?

Correct Answer: C

Rationale: Anger is the stage of grief in which a person expresses anger about the diagnosis or situation. Acceptance occurs when the person comes to terms with the diagnosis. This situation isn't an example of a psychotic episode; it's a normal stage of the grieving process. Denial is the stage of grief when a person refuses to believe the truth.

Question 4 of 5

A client asks the nurse about the rhythm (calendar-basal body temperature) method of family planning. The nurse explains that this method involves:

Correct Answer: D

Rationale: The rhythm method of family planning combines basal body temperature measurement with analysis of cervical mucus changes to determine the fertile period. This method helps identify safe and unsafe periods for sexual intercourse. A natural family planning method, the rhythm method doesn't involve use of chemical barriers, hormones, or mechanical barriers.

Question 5 of 5

The nurse is caring for an adult who had a total gastrectomy last week. Because of the type of surgery, the nurse should monitor the client carefully for which of the following? Select all that apply.

Correct Answer: A,C

Rationale: Gastrectomy removes intrinsic factor-producing cells, risking pernicious anemia, and rapid gastric emptying causes dumping syndrome. Ulcerative colitis, stress ulcers, hiatal hernia, and thrombophlebitis are not directly related to gastrectomy.

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