Questions 108

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NCLEX RN Medical Surgical Practice Questions Questions

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Question 1 of 5

A client with renal calculi has a history of dehydration. The nurse should:

Correct Answer: A

Rationale: High fluid intake (3 L) prevents stone formation by diluting urine.

Question 2 of 5

A client with allergic rhinitis asks the nurse what he should do to decrease his symptoms. Which of the following instructions would be appropriate for the nurse to give the client?

Correct Answer: D

Rationale: Keeping a symptom diary helps identify triggers for allergic rhinitis, enabling avoidance or management strategies. Overuse of decongestant sprays can cause rebound congestion. Antibiotics are ineffective for allergic rhinitis, which is not bacterial. Increased activity like walking does not directly alleviate allergic rhinitis symptoms.

Question 3 of 5

As a first step in teaching a woman with a spinal cord injury and quadriplegia about her sexual health, the nurse assesses her understanding of her current sexual functioning. Which of the following statements by the client indicates she understands her current ability?

Correct Answer: B

Rationale: Quadriplegia may impair sensation and orgasm but does not preclude sexual activity, which the client correctly understands.

Question 4 of 5

The physician prescribes sulfasalazine (Azulfidine) for the client with ulcerative colitis to continue taking at home. Which instruction should the nurse give the client about taking this medication?

Correct Answer: C

Rationale: Sulfasalazine should be taken with a full glass of water to ensure proper absorption and to prevent gastrointestinal irritation. It can be taken with food to reduce stomach upset, the dose is typically spread out during the day, and orange-yellow urine is a harmless side effect. CN: Pharmacological and parenteral therapies; CL: Synthesize

Question 5 of 5

The nurse is teaching a client post-appendectomy about activity restrictions. Which instruction is most appropriate?

Correct Answer: A

Rationale: Avoiding lifting more than 10 pounds for 4–6 weeks prevents strain on the surgical site post-appendectomy. Resuming full activity too soon, avoiding walking, or doing sit-ups could impair healing. CN: Physiological adaptation; CL: Synthesize

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A client with acute renal failure is prescribed a low-potassium diet. Which food should be avoided?
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When assessing a client who has had spinal anesthesia, which of the following would the nurse expect to find?

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