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NCLEX-PN/83QUESTIONS AND ANSWERS (A+)
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NCLEX-PN/83QUESTIONS ANDANSWERS (A+)
The parent of a preschooler with chickenpox asks the
nurse about measures to make the child comfortable.
The nurse instructs the parent to avoid administering
aspirin or any other product that contains salicylates.
When given to children with chickenpox, aspirin has
been linked to which disorder?
1. Guillain-Barré syndrome
2. Rheumatic fever
3. Reye's syndrome
4. Scarlet fever - √Answer :Correct Answer: 3
RATIONALES: Research shows a correlation between
the use of aspirin during chickenpox and the
development of Reye's syndrome (a disorder
characterized by brain and liver toxicity). Therefore, the
nurse should instruct the parents to avoid administering
aspirin or other products that contain salicylates and to
,consult the physician or pharmacist before administering
any medication to a child with chickenpox. No research
has found a link between aspirin use, chickenpox, and
the development of Guillain-Barré syndrome, rheumatic
fever, or scarlet fever.
Quiz :A client is to have an epidural block to relieve
labor pain. The nurse anticipates that the
anesthesiologist will inject the anesthetic agent into the:
1. subarachnoid space.
2. area between the subarachnoid space and the dura
mater.
3. area between the dura mater and the ligamentum
flavum.
4. ligamentum flavum. - √Answer :Correct Answer: 3
RATIONALES: For an epidural block, the nurse should
anticipate that the anesthesiologist will inject a local
anesthetic agent into the epidural space, located
between the dura mater and the ligamentum flavum in
the lumbar region of the spinal column. When
,administering a spinal block, the anesthesiologist injects
the anesthetic agent into the subarachnoid space. The
ligamentum flavum and the area between the
subarachnoid space and the dura mater are
inappropriate injection sites.
Quiz :The physician prescribes penicillin potassium oral
suspension 56 mg/kg/day in four divided doses for a
client with anorexia nervosa who weighs 25 kg. The
medication dispensed by the pharmacy contains a
dosage strength of 125 mg/5 ml. How many milliliters of
solution should the nurse administer with each dose? -
√Answer :Correct Answer: 14
RATIONALES: To determine the total daily dosage, set
up the following proportion:
25 kg/X = 1 kg/56 mg
X = 1,400 mg.
Next, divide the daily dosage by four doses to determine
the dose to administer every 6 hours:
X = 1,400 mg/4 doses
X = 350 mg/dose.
The adolescent should receive 350 mg every 6 hours.
Lastly, calculate the volume to give for each dose by
setting up this proportion:
X/350 mg = 5 ml/125 mg
X = 14 ml.
Quiz :The nurse must irrigate a gaping abdominal
incision with sterile normal saline, using a piston
syringe. How should the nurse proceed?
, 1. Irrigate continuously until the solution becomes clear
or all of the solution has been used.
2. Moisten the area around the wound with normal
saline after the irrigation.
3. Apply a wet-to-dry dressing to the wound after the
irrigation.
4. Rapidly instill a stream of irrigating solution into the
wound. - √Answer :Correct Answer: 1
RATIONALES: To wash away tissue debris and
drainage effectively, the nurse should irrigate the wound
until the solution becomes clear or all of the solution has
been used. After the irrigation, the nurse should dry the
area around the wound; moistening it promotes
microorganism growth and skin irritation. When the area
is dry, the nurse should apply a sterile dressing, rather
than awet-to-dry dressing. The nurse always should
instill the irrigating solution gently; rapid or forceful
instillation can damage tissues.
Quiz :As an adolescent is receiving care, he's
inadvertently injured with a warm compress. The nurse
completes an incident report based on the knowledge
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