NCLEX RN

A nurse is caring for a client who ingested a toxic amount of acetaminophen 36 hr ago. For which of the following findings should the nurse monitor? Select all that apply a. elevated troponin level b. diaphoresis c. hyperglycemia d. abdominal discomfort e. increased alanine aminotransferase (...

what is a major side effect to monitor when pt is on pioglitazone for DM 2? - PITTING EDEMA pioglitazone-thiaglozone these drugs can worsen heart failure by causing fluid over load . don't give to ppl with heart failure. normal amount of chest tube drainage expected after a valve replacement - ...

polycythemia vera - abnormally high number of RBCs in COPD/lung disease from hypoxemia blood viscosity increases client may develop blood clots tx: periodic phlebotomy to remove RBCs, HCT monitored monthly heparin - report a decrease of >50% from baseline or a drop below 150,000 in platelet...

1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client? 1. Calcium chloride 2. Calcium gluconate 3. Calcitonin (Miacalcin) 4. Large doses of v...

A client receiving the medication buspirone is admitted to the hospital with the diagnosis of possible hepatitis. The nurse identifies that the client's sclerae look yellow. What will be the nurse's initial action? A. Withhold the medication. B. Give the buspirone with milk. C. Reduce the dos...

The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for: ...

When selecting an NCLEX answer or determining the order of priority what should you remember or use and what is the exception? - CORRECT ANSWER Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual CPR, use C-A-B for CPR. Also remember safety first and acute b...

You're assessing your patient load for the patients who are at MOST risk for seizures. Select all the patients below that are at risk: A. 32-year-old with a blood glucose of 20 mg/dL B. 63-year-old whose CT scan shows an ischemic stroke C. 72-year-old who is post op day 5 from open heart surge...

A client who has amyotrophic lateral sclerosis is having frequent episodes of dysphagia. Which of the following referrals is appropriate for the nurse to make currently? 1. Physical Therapist 2. Speech Pathologist 3. Registered Dietitian 4. Occupational Therapist 2. Speech Pathologist A cl...

A client taking morphine sulfate for acute pain has not voided in 6 hours. The nurse suspects the client has developed urinary retention. What is the PRIORITY nursing intervention? # (08) 1. Ask if the client needs to use the bedpan 2. Assess the client's fluid intake 3. Assess the client'...

Which psychosocial health concern involves accepting descriptive statements stated by a confused older client? 1. Validation Therapy 2. Reminiscence 3. Reality Orientation 4. Therapeutic Communication - CORRECT ANSWER Validation Therapy Validation Therapy - CORRECT ANSWER the psychosocial con...

Which method elicits the most accurate information during a physical assessment of an older adult? A. use reliable assessment tools for older adults B. Review the past medical record for medications C. Ask the client to recount one's health history D. Obtain the client's information from a c...

A nurse is preparing to teach a client how to take care of a newly created colostomy. The nurse should identify that which of the following factors can decrease the client's ability to learn? (Select all that apply.) -Impaired cognitive level -language barrier -discomfort -repetition of tea...

Hazards associated with compressed gases include: a. Oxygen displacement b. Explosions c. Toxic gas exposures d. All of the above - CORRECT ANSWER d. All of the above Which of the following statements regarding the use of gloves is correct? a. You do not need to wash your hands before putting ...