RN COMPREHENSIVE PREDICTOR FORM B 2019 QUESTIONS AND ANSWERS

RN COMPREHENSIVE PREDICTOR FORM B 2019 QUESTIONS AND ANSWERS A nurse is providing care for a client who has esophageal cancer and has received radiation therapy. Which of the following findings should the nurse identify as the priority? a. Excoriation of the skin on the neck and chest b. Dysphagia c. Client reports a pain level of 6 on scale from 0-10 d. Xerostomia A nurse is planning care for a client who is scheduled to have a paracentesis. Which of the following actions should the nurse include in the plan of care? Instruct the client to empty her bladder prior to the procedure. Position the client over an overbed table prior to the procedure. Administer 1 L dextrose 5% in water IV bolus prior to the procedure. Initiate NPO status 4 hr prior to the procedure. Rationale: MS RM 10.0 Ch.47 p.299; Preprocedure nursing actions: Have the client void, or insert an indwelling urinary catheter. A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate effectiveness of the procedure? Compare the client's current weight with preprocedure weight. Check the client's serum albumin levels (Check possible albumin for possible complication not for effectiveness) Examine for leakage at thes site of the procedure Confirm that the client is able to urinate (To check for complication not effectiveness) Rationale: Paracentesis is a procedure done to drain ascites fluid in the abdominal wall using a trocar and a needle. Decrease in weight can be a data to assess if procedure has been effective to reduce weight and remove ascites fluid in the abdominal wall. A client is caring for a client following a paracentesis. Which of the following findings should the nurse identify as an indication of a complication? a. Decreased hematocrit b. Increased blood pressure c. Tachycardia d. Hypothermia A nurse is providing discharge teaching to a client who has CKD and is receiving hemodialysis. Which of the following instructions should the nurse include in the teaching? Consume foods high in potassium Eat 1 g/kg of protein per day Drink at least 3 L of fluid daily Take magnesium hydroxide for indigestion (medsurg pg. 382: "at least 2 L water daily; control protein; restrict sodium, potassium, phosphorous, and magnesium") A nurse is planning care for a client who is receiving hemodialysis. Which of the following actions should the nurse include in the plan of care? {{Correct Ans- Check the vascular access site for bleeding after dialysis. Child with sickle cell anemia. The nurse should emphasize the importance of which of the following factors to prevent sickle cell crisis? A low-protein diet Adequate hydration Calorie restriction Increased iron intake A nurse is caring for a child who has sickle cell anemia and experiencing vaso-constrictive crisis. Which of the following actions should the nurse include in the plan of care? Initiate IV fluid replacement Start a 24-hr urine collection- Give aspirin to reduce pain Encourage ambulation BLOOD IS TOO VISCOUS =P . 125 ch 21 obstruction = tissue hypoxia. CONFIRMED A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider? a. Substernal retractions b. Hematuria c. Temperature 37.9°C (100.2°F) d. Sneezing