... | Nursing Exam

Suggest fresh fruits and vegetables

Offer small, frequent meals:

Provide a diet of pureed foods

Encourage fluids with meals

Answer and Explanation

The Correct Answer is B

A. Suggest fresh fruits and vegetables: This is incorrect because clients with HIV, especially those with immunosuppression, might be at increased risk for foodborne illnesses from fresh produce. Proper food handling and possibly cooked vegetables might be recommended instead.
B. Offer small, frequent meals: This is correct because small, frequent meals can help manage symptoms like nausea or loss of appetite, which are common in clients with HIV.
C. Provide a diet of pureed foods: This is unnecessary unless the client has specific swallowing difficulties. Generally, pureed foods are not required unless indicated by the client's condition.
D. Encourage fluids with meals: This is incorrect as consuming large amounts of fluids with meals may lead to early satiety, which is not ideal for clients needing to maintain or gain weight.

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Correct Answer is ["A","C","E"]

Explanation

A. Primary health problem: This is correct as it provides critical context for the client's current condition and the reason for the transfer.
B. Admission vital signs from 1 week ago: This is incorrect because recent vital signs are more relevant to the current status of the client; historical data from a week ago is less pertinent.
C. Scheduled times for dressing changes: This is correct as it is important for the receiving unit to know about ongoing care needs related to wound management.
D. Number of family members who have visited: This is incorrect as it does not pertain to the client's medical condition or immediate care needs.
E. Current medication prescriptions: This is correct as it is essential for the new care team to have information on the medications the client is currently taking to ensure continuity of care.

A. Take the medication right before eating breakfast. B. Chew the tablets thoroughly. C. Drink milk with the medication. D. Sit upright for 30 to 60 min after taking the medication.

Correct Answer is D

Explanation

A. Take the medication right before eating breakfast: Alendronate should be taken first thing in the morning on an empty stomach, at least 30 minutes before eating or drinking anything. This helps maximize absorption and reduce the risk of esophageal irritation.
B. Chew the tablets thoroughly: Alendronate tablets should not be chewed. They must be swallowed whole to ensure proper delivery and absorption.
C. Drink milk with the medication: Milk can interfere with the absorption of alendronate. It is advised to take the medication with plain water only.
D. Sit upright for 30 to 60 min after taking the medication: This is correct as sitting upright helps prevent esophageal irritation and facilitates the medication's passage into the stomach.

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with the transfer of a client from a medical-surgical unit to an intensive care unit following a change in status. Which of the following information should the nurse include in the transfer documentation? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for alendronate for the treatment of osteoporosis. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse is collecting data from an older adult client. Which of the following findings should indicate to the nurse that the client has a bladder infection?

A nurse is contributing to the plan of care for a client who is starting a bladder training program for the management of urinary incontinence. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who has gastroesophageal reflux (GERD). Which of the following statements by the client indicates an understanding of the teaching?

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A nurse is collecting data from a client who had a bronchoscopy. Which of the following findings should the nurse report to the provider?

A nurse is caring for an older adult client who is experiencing urinary incontinence. Which of the following client statements indicates the client has overflow incontinence?

A nurse enters a client's room and sees smoke coming from the bathroom. Which of the following actions should the nurse take first?

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