Withhold lithium if experiencing diarrhea, vomiting, or
diaphoresis. - ANSWER--NO.402 A female client has been
recently diagnosed as bipolar. She has taken lithium for the
past several weeks to control mania. What must be included
in client education regarding lithium toxicity?
Encourage or direct client to attend activities that offer simple
methods to attain success - ANSWER--NO.403 A 56-year-old
psychiatric inpatient has had recurring episodes of
depression and chronic low self-esteem. She feels that her
family does not want her around, experiences a sense of
helplessness, and has a negative view of herself. To assist
the client in focusing on her strengths and positive traits,
Explore with the client her perceptions of why she is unable
to go to the hospital - ANSWER--NO.404 The physician
recommends immediate hospital admission for a client with
PIH. She says to the nurse, "It's not so easy for me to just go
right to the hospital like that." After acknowled ging feelings,
which of these approaches by the nurse would probably be
best?
Drink a glass of water - ANSWER--NO.405 A male client has
asthma and his physician has prescribed beclomethasone
(Vanceril) 3 puffs tid in addition to his other medications. After
taking his beclomethasone, the client should be instructed to:
Severe flank and abdominal pain with nausea, vomiting,
,diaphoresis, and pallor - ANSWER--NO.406 An obstructing
stone in the renal pelvis or upper ureter causes:
Mother's increased blood volume - ANSWER--NO.407 A first-
trimester primigravida is diagnosed with anemia The nurse
should suspect that this anemia is a result of:
Blowing air under the cast using a hair dryer on cool setting
often relieves itching. - ANSWER--NO.408 The nurse is
teaching a mother care of her child's spica cast. The mother
states that he complains of itching under the edge of the cast.
One nonpharmacological technique the nurse might suggest
would be:
Bradycardia - ANSWER--NO.409 A client is resting
comfortably after delivering her first child. When assessing
her pulse rate, the nurse would recognize the following
finding to be typical:
Be direct, honest, and attentive - ANSWER--NO.410 When
interviewing parents who are suspected of child abuse, the
nurse would use which of the following interview techniques?
Thirty grams powdered skim milk and 1 egg - ANSWER--
NO.411 A pregnant woman at 36 weeks' gestation is followed
for PIH and develops proteinuria. To increase protein in her
diet, which of the following foods will provide the greatest
amount of protein when added to her intake of 100 mL of
milk?
Abdominal pain - ANSWER--NO.412 The nurse teaches a
pregnant client that a high-risk symptom occurring at any time
,during pregnancy that needs to be reported immediately to a
healthcare provider is:
It is not easy, but the rules must be followed so that everyone
can get a fair chance. - ANSWER--NO.413 A 15-year-old
female adolescent is frequently breaking the rules of the unit.
She has left the unit and was found smoking in the bathroom
and spending a large amount of time in the male ward.
Which statement by the nurse would best explain to the
teenager why she must follow the rules of the unit?
A tracheostomy set, 02, and suction are available at the
bedside. - ANSWER--NO.414 A 28-year-old woman was
admitted to the hospital for a thyroidectomy. Postoperatively
she is taken to the postanesthesia care unit for several hours.
In preparing for the client's return to her room, which nursing
measure best demonstrates the nurse's thorough
understanding of possible postthyroidectomy complications?
Advise the mother not to give her aspirin - ANSWER--NO.415
A 6-year-old girl is visiting the outpatient clinic because she
has a fever and a rash. The doctor diagnoses chickenpox.
Her mother asks the nurse how many baby aspirins her
daughter can have for fever. The nurse should
Give antiemetics prior to the client receiving chemotherapy
and continue on a regular basis for at least 24-48 hours after
chemotherapy - ANSWER-- NO.416 A 50-year-old male
client is to receive chemotherapy. The physician's orders
include antiemetics. When planning his care, the nurse
should take into consideration that antiemetics are best
administered in the following way:
, Nausea and vomiting - ANSWER--NO.417 The nurse
practitioner determines that a client is approximately 9 weeks'
gestation. During the visit, the practitioner informs the client
about symptoms of physical changes that she will experience
during her first trimester, such as:
Noise or bright lights may precipitate a convulsion. -
ANSWER--NO.418 A client with severe PIH receiving MgS04
is placed in a quiet, darkened room. The nurse bases this
action on the following understanding:
NCLEX RN ACTUAL EXAM TEST BANK OF REAL
QUESTIONS &ANSWERS NCLEX 2023
Reduces the possibility of air embolism - ANSWER--NO.419
A client has consented to have a central venous catheter
placed. The best position in which to place the client is the
Trendelenburg position. The reason is that the Trendelenburg
position:
Sternal and subcostal retractions - ANSWER--NO.420 A
newborn infant is exhibiting signs of respiratory distress.
Which of the following would the nurse recognize as the
earliest clinical sign of respiratory distress?
He will be able to deal with his feelings through participation
in group therapy sessions. - ANSWER--NO.421 A 32-year-
old male client is a marketing representative. His job requires
him to have a tremendous amount of energy during the day.
He frequently uses cocaine to sustain his energy level. Lately
he has increased his use of cocaine and even experimented
with crack cocaine. Realizing he can no longer continue this
destructive behavior, he is seeking treatment for addiction. In
planning nursing care for the client's inpatient stay, which
expected outcome is most appropriate?
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