NCLEX Practice Q uestions Test Bank 300+ Questions Updated 2023 -2024 and 100% Correct Answers New Latest Version When developing a teaching plan for an 18 -year-old client who asks about treatments for sexually transmitted diseases, the nurse should explain that: -------- Correct Answer -
-------- 3. Ceftriaxone sodium (Rocephin) may be used to treat Neisseria gonorrhoeae infections. Ceftriaxone sodium (Rocephin) may be used to treat N. gonorrhoeae infections and is commonly combined with doxycycline hyclate (Vibramycin). Both the client and her partner should be treated if gonorrhea is present. Acyclovir (Zovirax) can be used to treat herpes genitalis; however, the drug does not cure the disease. C. trachomatis infections are usually treated with antibiotics such as doxycycline or azithromycin (Zithromax). Metronidazole (Flagyl) is used to treat trichomoni asis vaginitis, not condylomata acuminata (genital warts). What is the antidote for heparin toxicty -------- Correct Answer --------- protamine sulfate What is the antidote for coumadin toxicty -------- Correct Answer --------- vitamin K A couple is visiting the clinic because they have been unable to conceive a baby after 3 years of frequent coitus. After discussing the various causes of male infertility, the nurse determines that the male partner needs further instruction when he states which of the following as a cause? -------- Correct Answer --------- 1. Seminal fluid with an alkaline pH. The client needs further instruction when he says that one cause of male infertility is decreased sperm count due to seminal fluid that has an alkaline pH. A slightly alkaline pH is necessary to protect the sperm from the acidic secretions of the vagina an d is a normal finding. An alkaline pH is not associated with decreased sperm count. However, seminal fluid that is abnormal in amount, consistency, or chemical composition suggests obstruction, inflammation or infection, which can decrease sperm production. The typical number of sperm produced during ejaculation is 400 million. Frequent exposure to heat sources, such as saunas and hot tubs, can decrease sperm production, as can abnormal hormonal stimulation. Immunologic factors produced by the man against his own sperm (autoantibodies) or by the woman can cause the sperm to clump or be unable to penetrate the ovum, thus contributing to infertility. A 24-year-old woman is being assessed for a malformation of the uterus . The figure below indicates which of the following uterine malformations? -------- Correct Answer ----
----- 2. Bicornuate uterus. Name 3 types of IV fluids -------- Correct Answer --------- Isotonic: 0.9% NS, LR, and D5w Hypotonic: 0.5% NS, 0.45% NS Hypertonic: d5 0.45% NS, D5LR, D5NS What is in a LR IV fluid -------- Correct Answer --------- NS + electrolytes When should you use NS IV fluids -------- Correct Answer --------- Use NS when you are trying to replace volume (plasma) What are the 5 stages of grief -------- Correct Answer --------- Denial, anger, bargaining, depression, and acceptance What should you remember when someone is dealing with death and grief -------- Correct Answer --------- - Encourage expression of anger - Do not take away the defense mechanism or coping mechanism the person uses in a crisis. - Customs surrounding death and dying vary among cultures. Make every attempt to understand and accommodate the family's cultural traditions when caring for a dying patient. What are nosocomial infections -------- Correct Answer --------- Infections acquired as a result of exposure to a microorganism in the hospital setting What routes of transmission are related to HIV exposure -------- Correct Answer --------- - unprotected sexual contact (most common) - exposure to blood through drug using equipment - perinatal transmission - most common for children - can occur during pregnancy, at the time of delivery, or after birth through breast feeding Nursing assessment r/t HIV -------- Correct Answer --------- -Positive result on enzyme -
linked immunosorbed assay (ELISA) - CONFIRMED WITH WESTERN BLOT TEST -Polymerase chain reaction (PCR) - used with neonate - OraQuick In -Home HIV Test: positive result is only preliminary; it must be confirmed by a healthcare professional. **Ongoing assessment, interaction with the client, and client education and support are required.*** - NCLEX testing - never choose abstinence, choose educate! What should you know about HIV symptoms -------- Correct Answer --------- - 1 to 3 weeks; flu like symptoms - 8-10 years for diagnosis May begin with flu like symptoms in the earliest stage and advance to.. - severe weight loss - secondary infections - cancer -neurological disease HIV Nursing and Collaborative Management includes... -------- Correct Answer --------- - Monitor disease progression and immune function -Initiate and monitor (ART) antiretroviral therapy: to decrease viral load and increase T cell count -prevent development of opportunistic diseases -detect and treat opportunistic diseases -manage symptoms -prevent or decrease complications of treatment -prevent transmission of HIV What are the goals of HIV drug therapy? -------- Correct Answer --------- -Reduce the viral load -maintain or raise the CD4+ T cell counts. T cell counts = Normal 800 -1200 HIV 500 AIDS below 200 -Delay the development of HIV related symptoms and opportunistic diseases **compliance** What are some HIV Medications -------- Correct Answer --------- Nucleoside reverse transcriptase inhibitors (NRTIs) -zidovudine (AZT, ZDV, Retrovir) -lamivudine -abacavir -emtricitabine Nucleotide reverse transcriptase inhibitor (NtRTI) - Tenofovir DF (Viread) What is the antidote for too much ammonia -------- Correct Answer --------- lactulose A primigravid client at 16 weeks gestation has had an amniocentesis and has received teaching concerning signs and symptons to report. Which statement indicates that the client needs further teachings? -------- Correct Answer --------- 3. If my baby does not move, I need to call my health care provider. During a visit to the prenatal clinic, a pregnant client at 32 weeks gestation has heartburn. The client needs further instruction when she says she must do what? -------- Correct Answer --------- 4. Consume liquids only between meals The nurse is teaching a new prenatal client about her iron deficiency anemia during pregnancy. Which statement indicates that the client needs further instructions about her anemia? -------- Correct Answer --------- 2. I may have anemia because my family is of Asian descent. Following a positive pregnancy test, a client begins discussing the changes that will occur in the next several months with the nurse. The nurse should include which of the following information about changes the client can anticipate in the first trimeste r? -------- Correct Answer --------- 4. Experiencing ambivalence about pregnancy. An antenatal primigravid client has just been informed that she is carrying twins. The plan of care includes educating the client concerning factors that put her at risk for problems during the pregnancy. The nurse realizes the client needs further instruc tions when she indicates carrying twins puts her at risk for which of the following? -------- Correct Answer --------- 4. Group B Streptococcus. A 30-year-old multigravid client has missed three periods and now visits the prenatal clinic because she assumes she is pregnant. She is experiencing enlargement of her abdomen, a positive pregnancy test, and changes in the pigmentation on her face and abdomen. These assessment findings reflect this woman is experiencing a cluster of which signs of pregnancy? -------- Correct Answer --------- 2. Protable. An antenatal client receives education concerning medications that are safe to use during pregnancy. The nurse evaluates the client's understanding of the instructions and determines that she needs further information when she states which of the following ? --
------ Correct Answer --------- 4. If i need to have a bowel movement, sennosides (Ex -
Lax) are preferred. When preparing a 20 -year-old client who reports missing one menstrual period and suspects that she is pregnant for a radioimmunoassay pregnancy test, the nurse should tell the client which of the following about this test? -------- Correct Answer --------- 1. It has a high degree of accuracy within 1 week after ovulation. After instructing a female client about the radioimmunoassay pregnancy test, the nurse determines that the client understands the instructions when the client states that which of the following hormones is evaluated by this test? -------- Correct Answer --------- 4. Human chorionic gonadotropin (hCG). Using Nagele's rule for a client whose last normal menstrual period began on May 10, the nurse determines that the client's estimated date of childbirth would be which of the following? -------- Correct Answer --------- 4. February 17. After instructing a primigravid client about the functions of the placenta, the nurse determines that the client needs additional teaching when she says that which of the following hormones is produced by the placenta? -------- Correct Answer --------- 4. Testosterone.
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