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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

Which statement provides the best indication that a client understands the nurse's teaching about alprazolam (Xanax), a newly prescribed medication?

Correct Answer: A

Rationale: Alcohol can potentiate alprazolam's sedative effects, increasing the risk of adverse events, so avoiding it indicates understanding.

Question 2 of 5

A client is receiving chemotherapy and reports nausea. Which nursing intervention is most appropriate?

Correct Answer: A

Rationale: An antiemetic is the most effective way to manage chemotherapy-induced nausea.

Question 3 of 5

A client with a history of gout is prescribed allopurinol. Which instruction should the nurse include?

Correct Answer: A

Rationale: Taking allopurinol with food reduces gastrointestinal irritation.

Question 4 of 5

The nurse is eating for the client following a TURF. At the end of an 8-hour shift, the nurse determines that the client received 3050 mL of CBI fluid and that 4030 mL of output was emptied from the urinary drainage bag. How many milliliters (mL) should the nurse document for the client's actual urine output for the 8 hours?

Correct Answer: 980 mL.

Rationale: Subtract the amount of CBI solution from the total amount of fluid emptied from the urinary drainage device: 4030 mL - 3050 mL = 980 mL.

Question 5 of 5

The nurse is caring for a client with a pressure ulcer. Which dressing is most appropriate for a stage 2 ulcer?

Correct Answer: B

Rationale: A hydrocolloid dressing promotes a moist environment for healing in stage 2 pressure ulcers.

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