NCLEX RN actual exam Verified questions and Answers 2023 latest With explanation| A+ GUARANTEED
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The nurse receives a client from the post anesthesia care unit following a left femoral-popliteal bypass graft procedure. Which of the following assessments requires immediate notification of the health care provider?
• Left foot is cool to the touch
• Absent left t pedal pulse using Doppler ...
NCLEX RN actual exam
Verified questions and Answers 2023 latest
With explanation| A+ GUARANTEED
, lOMoARcPSD|27916040
The nurse receives a client from the post anesthesia care unit following a left
femoral-popliteal bypass graft procedure. Which of the following assessments
requires immediate notification of the health care provider?
• Left foot is cool to the touch
• Absent left t pedal pulse using Doppler analysis
• Inability to palpate the left pedal pulse
• Acute pain in the left lower leg
Although the inability to palpate the left pedal pulse, a cool extremity, and
increased pain in the left
lower leg are important findings, they all require additional nursing assessment
prior to contacting the health care provider. In clients without palpable pedal
pulses, the next step in the assessment is to perform a Doppler analysis. The
inability to locate the left pedal pulse using the Doppler analysis requires
immediately notifying the health care provider.
Ref # 1028
There's a new medication order that reads: "administer 1 gtt ciprofloxacin
solution OD Q 4 h" What action should the nurse take?
Call the prescriber to clarify and rewrite the order
Abbreviations, symbols and dose designations can be misinterpreted and lead to
medication errors. "OD" can mean "right eye" (oculus dexter) or "once daily"; it
should never be used when communicating medical information. The
abbreviation "Q" should be written out as "every." Although "gtt" is not on the
official "Do Not Use List", it's best to use "drop" instead. Asking other nurses to
interpret an order is a potentially dangerous "workaround." The nurse should call
the health care provider who prescribed the medication and clarify the order.
Ref # 1440
Which individual is at greatest risk for the development of hypertension?
45 year−old African−American attorney
The incidence of hypertension is greater among African−Americans than other
groups in the United States. The incidence among the Hispanic population is rising.
Ref # 2446
A woman, who delivered five days ago and who had been diagnosed with
pregnancy induced hypertension (PIH), calls a hospital triage nurse hotline to
ask for advice. She states, "I have had the worst headache for the past two
days. It pounds and by the middle of the afternoon everything I look at looks
wavy.
, lOMoARcPSD|27916040
Nothing I have taken helps." What should the nurse do next?
Ask the client to stay on the line, get the address, and send an ambulance to the
home
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