NCLEX-PN
NCLEX Pharmacological and Parenteral Therapies Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has dysphagia related to a stroke. The nurse works with the client to explain what food and beverages might minimize aspiration. What is this an example of?
Correct Answer: C
Rationale: The goal of tertiary prevention is to improve quality of life while minimizing further injury or symptoms of chronic disease. Primary prevention is used to prevent disease. Secondary prevention focuses on early detection of disease and interventions to prevent worsening of that disease. Health promotion activities are designed to prevent illness and promote wellness.
Question 2 of 5
The client calls a clinic 2 weeks after taking oral carbidopa-levodopa, stating that the medication has been ineffective in controlling the symptoms of PD. What nursing action is most important?
Correct Answer: C
Rationale: A: Reviewing the method for taking carbidopa-levodopa, including foods to avoid, may be important, but option C is most important. More information is needed to determine whether the client is taking it correctly. B: A dosage change is unnecessary because it has been only two weeks since the client started carbidopa-levodopa. C: With oral administration of carbidopa-levodopa (Sinemet), it usually takes 1 to 2 months before an effect is noted, although in some cases it may require up to 6 months. D: A high-protein diet can slow or prevent absorption of carbidopa-levodopa. Vitamin B6 increases the action of decarboxylases that destroy levodopa in the body's periphery, reducing the effects of carbidopa-levodopa. Foods high in pyridoxine should be avoided.
Question 3 of 5
When administering intravenous electrolyte solution, the nurse should take which of the following precautions?
Correct Answer: C
Rationale: Preventing tissue infiltration is important to avoid tissue necrosis.
Choice A is incorrect because hypertonic solutions should be infused cautiously and checked with the RN if there is a concern.
Choice B is incorrect because potassium, mixed in the pharmacy per physician order, is mixed at a concentration no higher than 60 mEq/L.
Question 4 of 5
The client taking tranylcypromine develops a list of possible meal plans. Which meal plans should the nurse identify as safe for the client? Select all that apply.
Correct Answer: B,C,D
Rationale: Meals without tyramine (e.g., pepperoni, raisins, yogurt, sour cream, avocados, beer) are safe for clients taking MAOIs like tranylcypromine.
Question 5 of 5
The nurse is caring for a client who has dysphagia related to a stroke. The nurse works with the client to explain what food and beverages might minimize aspiration. What is this an example of?
Correct Answer: C
Rationale: The goal of tertiary prevention is to improve quality of life while minimizing further injury or symptoms of chronic disease. Primary prevention is used to prevent disease. Secondary prevention focuses on early detection of disease and interventions to prevent worsening of that disease. Health promotion activities are designed to prevent illness and promote wellness.