COMPREHENSIVE NCLEX-RN REVIEW 19TH EDITION (QUESTIONS AND ELABORATED ANSWERS)

COMPREHENSIVE NCLEX-RN REVIEW 19TH EDITION (QUESTIONS AND ELABORATED ANSWERS) "Im worried about being discharged because I live alone, and my insurance doesn't cover ostomy supplies" - Refer the client to a community based social worker Initiate a home health consult Give client info about local support groups 2 hour old infant assessment findings - Acrocyanosis is normal RR - 30-60 Temp - 97.7-99.5 Apical - 80-100 when sleep, up to 180 when crying abruptio placentae - premature separation of the placenta from the uterine wall persistent uterine contractions experience persistent uterine contractions, board-like abdomen, and dark red vaginal bleeding. Abuse - Indication of sexual abuse : discomfort when walking Physical neglect : thin extremeties Physical abuse : bruises on upper back Acetaminophen overdose - acetylcysteine Acupuncture - Performing acupuncture requires special training. It is not a therapy the client can selfperform to relieve manifestations of PTSD. Needle placement can alter and improve immune, neurologic, cardiac, and endocrine function. It can also help relieve pain and assist with substance withdrawal. Acupuncture Band - alleviate N&V acute glomerulonephritis - protein on urinalysis Acute Phase of Kawasaki - High fever that is unresponsive to antipyretics Administering Ear Drops - Allow to reach room temperature to prevent dizziness and pain pull the pinna upward and back in children older than 3 years of age to straighten the ear canal and allow the medication to reach the entire canal. For children younger than 3 years of age, the parent should gently pull the pinna downward and back. gently massage the tragus on the area anterior to the ear to allow the medication to reach the entire canal. remain lying on the unaffected side for a few minutes after instilling the medication to allow the medication to remain in the ear canal. Agency for Healthcare Research and Quality (AHRQ) - The goal of AHRQ is to improve the quality of health care services for all populations, including low-income groups and minorities. This data should