National Council Licensure Examination - NCLEX-RN Exam Questions PDF download

QUESTION: 33

Which of the following should be included in discharge teaching for a client with hepatitis C?

He should take aspirin as needed for muscle and joint pain.
He may become a blood donor when his liver enzymes return to normal.
He should avoid alcoholic beverages during his recovery period.
He should use disposable dishes for eating and drinking.

Answer(s): C

Explanation:

(A) Aspirin is hepatotoxic, may increase bleeding, and should be avoided. (B) Blood should not be donated by a client who has had hepatitis C because of the possibility of transmission of disease. (C) Alcohol is detoxified in the liver. (D) Hepatitis C is not spread through the oral route.

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QUESTION: 34

The physician orders fluoxetine (Prozac) for a depressed client. Which of the following should the nurse remember about fluoxetine?

Because fluoxetine is a tricyclic antidepressant, it may precipitate a hypertensive crisis.
The therapeutic effect of the drug occurs 24 weeks after treatment is begun.
Foods such as aged cheese, yogurt, soy sauce, and bananas should not be eaten with this drug.
Fluoxetine may be administered safely in combination with monoamine oxidase (MAO) inhibitors.

Answer(s): B

Explanation:

(A) Fluoxetine is not a tricyclic antidepressant. It is an atypical antidepressant. (B) This statement is true. (C) These foods are high in tyramine and should be avoided when the client is taking MAO inhibitors. Fluoxetine is not an MAO inhibitor. (D) Fatal reactions have been reported in clients receiving fluoxetine in combination with MAO inhibitors.

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QUESTION: 34

The physician orders fluoxetine (Prozac) for a depressed client. Which of the following should the nurse remember about fluoxetine?

Because fluoxetine is a tricyclic antidepressant, it may precipitate a hypertensive crisis.
The therapeutic effect of the drug occurs 24 weeks after treatment is begun.
Foods such as aged cheese, yogurt, soy sauce, and bananas should not be eaten with this drug.
Fluoxetine may be administered safely in combination with monoamine oxidase (MAO) inhibitors.

Answer(s): B

Explanation:

(A) Fluoxetine is not a tricyclic antidepressant. It is an atypical antidepressant. (B) This statement is true. (C) These foods are high in tyramine and should be avoided when the client is taking MAO inhibitors. Fluoxetine is not an MAO inhibitor. (D) Fatal reactions have been reported in clients receiving fluoxetine in combination with MAO inhibitors.

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QUESTION: 35

The day following his admission, the nurse sits down by a male client on the sofa in the dayroom. He was admitted for depression and thoughts of suicide. He looks at the nurse and says, "My life is so bad no one can do anything to help me." The most helpful initial response by the nurse would be:

"It concerns me that you feel so badly when you have so many positive things in your life."
"It will take a few weeks for you to feel better, so you need to be patient."
"You are telling me that you are feeling hopeless at this point?"
"Let's play cards with some of the other clients to get your mind off your problems for now."

Answer(s): C

Explanation:

(A) This response does not acknowledge the client's feelings and may increase his feelings of guilt. (B) This response denotes false reassurance. (C) This response acknowledges the client's feelings and invites a response. (D) This response changes the subject and does not allow the client to talk about his feelings.

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QUESTION: 35

The day following his admission, the nurse sits down by a male client on the sofa in the dayroom. He was admitted for depression and thoughts of suicide. He looks at the nurse and says, "My life is so bad no one can do anything to help me." The most helpful initial response by the nurse would be:

"It concerns me that you feel so badly when you have so many positive things in your life."
"It will take a few weeks for you to feel better, so you need to be patient."
"You are telling me that you are feeling hopeless at this point?"
"Let's play cards with some of the other clients to get your mind off your problems for now."

Answer(s): C

Explanation:

(A) This response does not acknowledge the client's feelings and may increase his feelings of guilt. (B) This response denotes false reassurance. (C) This response acknowledges the client's feelings and invites a response. (D) This response changes the subject and does not allow the client to talk about his feelings.

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