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Saunders NCLEX RN NGN Newest 2025/2026 Version
- Complete All 160 Questions And Correct Detailed
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Laboratory analysis of a urine sample for culture and sensitivity reveals a bacterial infection, and the client is diagnosed with cystitis. Nitrofurantoin is prescribed for the client. Which is the priority nursing assessment before administering this medication?
- Checking lung sounds
- Checking the blood pressure
- Checking the apical heart rate
- Checking the bowel sounds in all 4 quadrants
- Checking lung sounds
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Rationale; - Nitrofurantoin is an antibacterial used to treat urinary tract infections.
- Although rare, the medication can cause an asthmatic
exacerbation in those with a history of asthma.
- Therefore, the priority baseline assessment should include
questioning the client about a history of asthma and checking lung sounds.
The nurse provides instructions regarding the administration of liquid oral cyclosporine solution to a client. Which statement, if made by the client, would indicate the need for further teaching?
- "I need to mix the concentrate well and drink it
immediately."
- "I will mix the concentrate with orange juice to improve the
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taste."
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- "I will purchase a dropper from the pharmacy to calibrate the
amount of medication that I need."
- "After taking the medication, I need to rinse the container
with diluent and drink it to ensure that I have taken the complete dose."
- "I will purchase a dropper from the pharmacy to calibrate the
amount of medication that I need."
Rationale; - The client needs to be instructed to dispense the oral liquid into a glass container using a specially calibrated pipette.
- The client should not use any other type of dropper to calibrate
the amount of prescribed medication.
- The remaining options identify correct procedure for
administering this medication.
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Nitrofurantoin is prescribed for a client with urinary tract infection. The nurse is instructing the client regarding the administration of the medication. Which information about the best time to take this medication should be included in the client's education?
- At bedtime
- With meals
- One hour before the dinner meal
- In the morning, 2 hours after breakfast
- With meals
Rationale; - Nitrofurantoin is an antibacterial used to treat urinary tract infections.
- The nurse would instruct the client to take the medication with
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food to reduce any gastrointestinal upset that the medication can cause.