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NGN Client admitted to medical-surgical unit from PACU. Client reports incisional pain as 2 on a scale of 0 to 10. Client appears restless and frequently asks for water. Bilateral lower extremities cool with +1 pedal pulses. Urine output is 40 mL for the pas...
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-yearold. Which of the following actions should the nurse take? A. (Unable to read) B. Tell the child they will feel discomfort during the catheter insertion. C. Use a mummy restraint t...
A nurse is caring for a client who is postpartum and request information about contraception. Which of the following instructions should the nurse include? A. "The lactation amenorrhea method is effective for your first year postpartum" B. "You can continue ...
A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication? a) Genera...
A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect? - ANSWER-hyperventilation A nurse is reinforcing discharge teaching with a client foll...
A nurse is planning care for a client who is having a modified radical mastectomy of the right breast. Which of the following interventions should the nurse include in the plan of care? - ANSWER-Instruct the client that the drain will be removed when there i...
The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four month-old infant and her 4 year-old child? A) "I strap the infant car seat on the front seat to face backwards." B) "I place my infant in ...
A nurse is assessing the vital signs of a 10-year-old child following a burn injury. The nurse should identify that which of the following findings is an indication of early septic shock? - ANSWER-Temperature 39.1° C (102.4° F) A nurse is assessing a school...
Which topic should the nurse include in planning a primary prevention class for adolescents? A. Risk factors for heart disease B. Dietary management of obesity C. Suicide risks and prevention D. Coping with stressful situations - ANSWER-C. Suicide risks and pr...
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A nurse is providing teaching to the family of a client who is at the end stage of life. Which of the following client manifestations should the nurse instruct the family to expect? A. Increased periods of wakefulness B. Altered breathing patterns C. Increas...
The nurse is assessing a postpartum client who delivered a 10 pound infant vaginally two hours ago. The clients fundus is 2 fingerbreadths above the umbilicus, deviated to the right side, and boggy. After the client voids 250 ml of urine using a bedpan, what...
A nurse in an emergency department is preparing to perform an ocular irrigation for a client. Which of the following actions should the nurse plan to take? a. Assess the client's visual acuity prior to irrigation b. Have the client turn their head toward the ...
A nurse is teaching about diet modification to a client who is breastfeeding. Which of the following statements by the client indicates an understanding of the teaching? I should drink an 8 ounce glass of water each time my baby nurses. I should take a 1500...
A nurse delegator assigns work to a delegatee who has the ability and willingness to do the work but the relationship between the delegator and delegatee is relatively new. How is the delegator's behavior described according to Hersey's Model? a. Selling b....
A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child. Which of the following instructions should the nurse take? A. Administer the feeding over 30 min. B. Place the child in as supine position after the feedin...
When selecting an NCLEX answer or determining the order of priority what should you remember or use and what is the exception? - ANSWER-Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual CPR, use CA-B for CPR. Als...
NCLEX RN - ANSWER-National Council Licensure Examination for Registered Nurses Deforoxamine mesylate - ANSWER-A medication used to treat iron poisoning by binding to excess iron in the body Hypotension - ANSWER-Abnormally low blood pressure Facial flushing - ...
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her cervix is dilated to 9 cm. The nurse should id...
A nurse is caring for a client who is 36 weeks gestation and has MRSA. Which of the following isolation precautions should the nurse initiate? a. Droplet b. Contact c. Airborne d. Protective environment - ANSWER-b. Contact A nurse is providing teaching to a ...
When selecting an NCLEX answer or determining the order of priority what should you remember or use and what is the exception? - ANSWER-Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual CPR, use C-A-B for CPR. A...
What type of prevention is screening or exams? - ANSWER-Secondary Prevention Tertiary Prevention - ANSWER-What type of prevention is a cardiac or stroke rehabilitation program? What prevention attempts to minimize negative effects, prevents further disease o...
A radiographer performs an abdomen examination with a mobile digital radiography (DR) system. In order to reduce the likelihood of a repeat exposure, he decides to increase the technical factors slightly more than necessary. Which term refers to this undesir...
a nurse is planning care for a child who has severe diarrhea. which of the following actions is the nurse priority? - ANSWER-Assess fluid balance A nurse is caring for a toddler who's parent states that the child has a mass in his abdominal area and his urin...
low blood pressure - ANSWER-If multiple liters are removed when performing a paracentesis, what can happen? LFT - ANSWER-liver function test ALT - ANSWER-alanine aminotransferase AST - ANSWER-aspartate aminotransferase ALT, AST - ANSWER-What does an LFT test ...