NCLEX-PN Medical Surgical NGN
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Exam Cram NCLEX-PN PRACTICE Q... NURS 4523 Practice Questions NMNC 1110 EAQ 10: Safety and Infec... Module
103 terms 28 terms 285 terms 100 term
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A nurse is caring for a client who is scheduled for surgery Determine the client's understanding of the procedure.
and is experiencing anxiety. Which of the following
interventions should the nurse identify as the priority?
A nurse is contributing to the plan of care for a client who Dangle the extremities off the side of the bed.
has peripheral arterial disease of the lower extremities.
Which of the following interventions should the nurse
include?
A nurse is assisting in the plan of care for a client who Use simple verbal cues when directing tasks.
had a recent left hemispheric stroke. Which of the
following actions should the nurse include in the plan?
A nurse is reinforcing teaching with the caregiver of a Incontinence of the bowel and bladder
client who is terminally ill about manifestations of
impending death. Which of the following manifestations
should the nurse include?
A nurse is preparing to remove a client's NG tube. Which Pinch the NG tube.
of the following interventions should the nurse take to
decrease the risk for aspiration?
A nurse is caring for a client who is preoperative and is Stop the medication infusion.
receiving an IV infusion of cefazolin. Ten minutes after
beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take
first?
A nurse is reinforcing discharge teaching with a client "Consume foods that are low in sodium."
who has cirrhosis. Which of the following instructions
should the nurse include?
, A nurse is reinforcing teaching with a client who is Avoid eating red meat for 3 days prior to the test.
scheduled for a guaiac fecal occult blood test. Which of
the following instructions should the nurse include in the
teaching?
A nurse is preparing to administer phytonadione 7 mg 0.7 mL
subcutaneously to a client who has an INR of 4. Available
is phytonadione 10 mg/mL. How many mL should the
nurse administer? (Round the answer to the nearest tenth.
Use a leading zero if it applies. Do not use a trailing zero.)
A nurse is reinforcing teaching with a client who is taking "This type of insulin should be given at the same time every day."
insulin glargine. Which of the following information
should the nurse include in the teaching?
A nurse is caring for a client who has a methicillin- Visitors must don a gown and gloves prior to entering the client's room.
resistant Staphylococcus aureus (MRSA) infection in a
surgical wound. Which of the following information
should the nurse plan to share with visitors?
A nurse is collecting data from a 55-year-old female History of treatment for blood clots
client who reports vaginal dryness and hot flashes. The
client is interested in trying hormone replacement
therapy (HRT). Which of the following should the nurse
recognize as a contraindication to HRT?
A nurse is reinforcing teaching about management of Increase intake of fiber-rich foods.
constipation with a client who has hypothyroidism. Which
of the following instructions should the nurse include in
the teaching?
A nurse is reinforcing teaching with a client who has Avoid stopping this medication suddenly.
multiple sclerosis and a new prescription for baclofen.
Which of the following instructions should the nurse
include in the teaching?
A nurse is caring for a client who has an area indicating Minimize the time the head of the bed is elevated.
potential breakdown over the sacrum. Which of the
following actions should the nurse take?
A nurse is assisting with the care of a client who is Check IV site
receiving 0.9% sodium chloride by continuous IV infusion. Stop the infusion
The client reports pain and swelling at the IV site. In Withdraw the IV catheter
which order should the nurse perform the following Elevate the affected arm
steps? (Move the steps into the box on the right, placing Notify the charge nurse
them in the order of performance. Use all the steps.)
Drag words from the choices below to fill in each blank in Hypovolemia
the following sentence. Respiratory failure
During the emergent phase of burn care, the client is at
risk for developing____________ and _____________.