अन्तर्राष्ट्रिय नर्सिङ (NCLEX, DHA, HAAD)
अन्तर्राष्ट्रिय नर्सिङ (NCLEX, DHA, HAAD)
International Nursing (NCLEX-RN, DHA, HAAD) · २,०४४ प्रश्न
२,०४४ प्रश्न उपलब्ध। मोड छान्नुहोस्:
अन्तर्राष्ट्रिय नर्सिङ: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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A client with schizophrenia is demonstrating disorganized thought processes, evident in tangential speech. Which nursing action best demonstrates an understanding of this presentation?
सही उत्तर: ख) Maintain a neutral and calm demeanor while allowing the client to express their thoughts.
Option 1 is incorrect because attempting to control thought processes can be distressing. Option 2 is correct because maintaining a calm environment and allowing free expression is crucial. Options 3 and 4 are inappropriate for disorganized thinking.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with bipolar disorder presents with racing thoughts, increased energy, and pressured speech. The nurse recognizes this as a manic episode. Which nursing intervention is MOST crucial in the initial management of this client?
सही उत्तर: घ) Administer an antipsychotic medication as prescribed.
Option 3 is correct because preventing impulsive actions during a manic episode is paramount. Option 1 is not effective for managing mania. Option 2 is important, but secondary to immediate safety concerns. Option 4 relies on medication alone and doesn’t address the behavioral aspects of the episode
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with schizophrenia is expressing paranoid delusions related to perceived threats from neighbors. Which nursing intervention demonstrates the most appropriate response?
सही उत्तर: क) Administer the prescribed antipsychotic medication immediately.
Option 0 is correct because challenging delusional beliefs directly can escalate distress. Option 1 is incorrect as it's confrontational and potentially harmful. Option 2 is partially correct but doesn’t address the core issue of managing the client’s distress, while option 3 focuses on a supportive environment which is important but not the primary intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a diagnosis of type 2 diabetes is prescribed metformin. Which dietary recommendation should the nurse reinforce for this client?
सही उत्तर: ख) B) Limit intake of foods containing added sugars and refined carbohydrates
Option B is correct. Metformin’s primary mechanism involves improving insulin sensitivity and reducing glucose production, making it essential to limit carbohydrate intake, particularly those high in added sugar and refined carbohydrates. Options A and C are contraindicated; Option D is incorrect as fruit contains beneficial nutrients.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a history of asthma is prescribed montelukast (Singulair) for seasonal allergies. What key instruction should the nurse provide to the patient regarding potential side effects?
सही उत्तर: ख) B) ‘Report any difficulty breathing or wheezing immediately.’
Option B is correct. Montelukast can cause bronchospasm in susceptible individuals, so the patient must be instructed to report any breathing difficulties or wheezing immediately. The other options are incorrect regarding this medication's effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A healthcare professional is administering intravenous vancomycin for a suspected bacterial infection. The patient develops new onset symptoms of nephrotoxicity. Which intervention should the nurse implement immediately?
सही उत्तर: ख) B) Monitor serum creatinine levels frequently and report any significant increases
Option B is correct. Monitoring serum creatinine levels is crucial in detecting early signs of vancomycin-induced nephrotoxicity. Rapid changes necessitate immediate intervention. The other options are not the priority for managing this specific adverse effect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with hypertension is prescribed lisinopril. Which statement by the patient indicates a need for further education regarding this medication?
सही उत्तर: ख) B) ‘I will monitor my blood pressure at home twice daily.’
Option D is correct. Patients on lisinopril (an ACE inhibitor) must be educated to continue the medication as prescribed, even when feeling well, due to potential rebound hypertension if abruptly discontinued. Options A, B and C represent appropriate patient education regarding managing their condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of asthma is experiencing an acute exacerbation. The physician orders albuterol via nebulizer. Which nursing intervention is MOST important at this time?
सही उत्तर: घ) Closely observing the client's respiratory effort and oxygen saturation.
Maintaining airway patency is paramount in acute asthma exacerbations. Closely monitoring respiratory effort and oxygen saturation helps assess effectiveness of albuterol and identify potential respiratory distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 68-year-old male client is admitted with a suspected diagnosis of acute myeloid leukemia (AML). A peripheral blood smear reveals the presence of Auer rods. What does this finding indicate?
सही उत्तर: ग) Acute myeloid leukemia.
Auer rods are characteristic cytoplasmic remnants of developing granulocytes found in AML. They represent immature cells undergoing rapid division and apoptosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with newly diagnosed tuberculosis is prescribed isoniazid and pyridoxine. The nurse understands that the primary purpose of administering pyridoxine concurrently with isoniazid is to:
सही उत्तर: ख) Decrease the risk of hepatotoxicity associated with isoniazid.
Pyridoxine (vitamin B6) protects against isoniazid-induced liver damage. While isoniazid can cause neurological issues, pyridoxine mitigates this specific adverse effect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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