NCLEX-PN Quizlet 2023 - Nurselytic

Correct Answer: B

Rationale: The correct answer is 'Fever and anemia.' Zidovudine (Retrovir) is known to cause anemia as a side effect due to its impact on the bone marrow. Fever is also a common side effect associated with Zidovudine use.
Therefore, the patient should watch out for these specific side effects.
Choice A (Weakness and SO
B) is incorrect as shortness of breath (SO
B) is not a commonly reported side effect of Zidovudine.
Choice C (Hypertension and SO
B) and
Choice D (Fever and hypertension) are unrelated to the known side effects of Zidovudine, making them incorrect.

Correct Answer: D

Rationale: When a client presents with suspected genitourinary trauma and visible blood at the urethral meatus, obtaining a voided urine specimen for urinalysis is an appropriate intervention. This helps assess for any urinary tract injuries or abnormalities without further traumatizing the area. Insertion of a Foley catheter (
Choice
A) should be avoided as it can worsen the existing trauma. Performing an in-and-out catheter specimen (
Choice
B) involves unnecessary manipulation and can increase the risk of complications. Ordering a urinalysis by the physician (
Choice
D) may delay the assessment compared to obtaining a direct voided urine specimen.

Correct Answer: D

Rationale: All of the above factors are likely to increase the risk of sexually transmitted diseases (STDs). Alcohol use can impair judgment, leading to risky sexual behavior. Certain types of sexual practices, especially unprotected sex or multiple partners, increase the likelihood of contracting STDs. While oral contraception use does not directly increase the risk of STDs, it does not protect against them either.
Therefore, all the choices (alcohol use, certain types of sexual practices, and oral contraception use) can contribute to an increased risk of contracting STDs.

Correct Answer: A

Rationale: The correct course of action is to encourage warm water soaks to the right foot. This can help promote wound healing and alleviate discomfort. Before recommending increased activity or notifying additional team members, it is crucial to assess arterial blood flow by determining the patient's pulse in the right ankle. Poor arterial blood flow could worsen the condition, making increased activity inappropriate. While notifying the case manager of purulent drainage is important, addressing the wound care directly should be the primary focus at this stage.

Correct Answer: C

Rationale: When a client is taking a drug (Drug
A) metabolized by the cytochrome P-450 system and is then started on another drug (Drug
B) that induces this system, the metabolism of Drug A is increased. This results in decreased therapeutic effects of Drug A as it is broken down more rapidly. Monitoring is required to address potential reduced efficacy. The therapeutic effect of Drug A is diminished, not enhanced. Inducing the cytochrome P-450 system does not directly increase the adverse effects of Drug B. Although Drug B is an inducer, its therapeutic effects are not decreased as it is not metabolized faster.