Test Prep National Council Licensure Examination - NCLEX-RN NCLEX-RN Dumps in PDF

Free Test Prep NCLEX-RN Real Questions (page: 52)

A client tells the nurse that she has had a history of urinary tract infections. The nurse would do further health teaching if she verbalizes she will:

  1. Drink at least 8 oz of cranberry juice daily
  2. Maintain a fluid intake of at least 2000 mL daily
  3. Wash her hands before and after voiding
  4. Limit her fluid intake after 6 PM so that there is not a great deal of urine in her bladder while she sleeps

Answer(s): D

Explanation:

(A) Cranberry juice helps to maintain urine acidity, thereby retarding bacterial growth. (B) A generous fluid intake will help to irrigate the bladder and to prevent bacterial growth within the bladder. (C) Hand washing is an effective means of preventing pathogen transmission. (D) Restricting fluid intake would contribute to urinary stasis, which in turn would contribute to bacterial growth.



After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tray, she tells the nurse that she hates broccoli and wants some corn on the cob. The nurse's appropriate response is:

  1. "No vegetable exchanges are allowed."
  2. "Corn and other starchy vegetables are considered to be bread exchanges."
  3. "Yes, you may exchange any vegetable for any other vegetable."
  4. "Yes, but only one-half ear is allowed."

Answer(s): B

Explanation:

(A) Sites for injection need to be rotated, including abdominal sites, to enhance insulin absorption. (B) The pinch technique is the most effective method for obtaining skin tightness to allow easy entrance of the needle to subcutaneous tissues. (C) Massaging the site of injectionfacilitates absorption of the insulin. (D) Changing the needle will break the sterility of the system. It has become acceptable practice to reuse disposable needles and syringes for 3­7 days.



After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tray, she tells the nurse that she hates broccoli and wants some corn on the cob. The nurse's appropriate response is:

  1. "No vegetable exchanges are allowed."
  2. "Corn and other starchy vegetables are considered to be bread exchanges."
  3. "Yes, you may exchange any vegetable for any other vegetable."
  4. "Yes, but only one-half ear is allowed."

Answer(s): B

Explanation:

(A) Sites for injection need to be rotated, including abdominal sites, to enhance insulin absorption. (B) The pinch technique is the most effective method for obtaining skin tightness to allow easy entrance of the needle to subcutaneous tissues. (C) Massaging the site of injectionfacilitates absorption of the insulin. (D) Changing the needle will break the sterility of the system. It has become acceptable practice to reuse disposable needles and syringes for 3­7 days.



A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:

  1. Smoke low-tar, filtered cigarettes
  2. Smoke cigars instead
  3. Smoke only right after meals
  4. Chew gum instead

Answer(s): C

Explanation:

(A, B, D) Cigarettes, cigars, and chewing gum would stimulate gastric acid secretion. (C) Smoking on a full stomach minimizes effect of nicotine on gastric acid.



A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:

  1. Smoke low-tar, filtered cigarettes
  2. Smoke cigars instead
  3. Smoke only right after meals
  4. Chew gum instead

Answer(s): C

Explanation:

(A, B, D) Cigarettes, cigars, and chewing gum would stimulate gastric acid secretion. (C) Smoking on a full stomach minimizes effect of nicotine on gastric acid.



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