Pass the NCLEX NCLEX Certification NCLEX-RN Questions and answers with CertsForce

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Viewing questions 166-180 out of questions
Questions # 166:

A client is being discharged on warfarin (Coumadin), an oral anticoagulant. The nurse instructs him about using this drug. Which following response by the client indicates the need for further teaching?

Options:

A.

“I should shave with my electric razor while on Coumadin.”


B.

“I will inform my dentist that I am on anticoagulant therapy before receiving dental work.”


C.

“I will continue with my usual dosage of aspirin for my arthritis when I return home.”


D.

“I will wear an ID bracelet stating that I am on anticoagulants.”


Expert Solution
Questions # 167:

A 16-year-old client comes to the prenatal clinic for her monthly appointment. She has gained 14 lb from her 7th to 8th month; her face and hands indicate edema. She is diagnosed as having PIH and referred to the high-risk prenatal clinic. The client’s weight increase is most likely due to:

Options:

A.

Overeating and subsequent obesity


B.

Obesity prior to conception


C.

Hypertension due to kidney lesions


D.

Fluid retention


Expert Solution
Questions # 168:

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, a strategy used by the nurse would be to:

Options:

A.

Tell the client to attend all structured activities on the unit


B.

Encourage or direct client to attend activities that offer simple methods to attain success


C.

Increase the client’s self-esteem by asking that she make all decisions regarding attendance in group activities


D.

Not allow any dependent behaviors by the client because she must learn independence and will have to ask for any assistance from staff


Expert Solution
Questions # 169:

Which of the following changes in blood pressure readings should be of greatest concern to the nurse when assessing a prenatal client?

Options:

A.

130/88 to 144/92


B.

136/90 to 148/100


C.

150/96 to 160/104


D.

118/70 to 130/88


Expert Solution
Questions # 170:

A male client is scheduled for a liver biopsy. In preparing him for this test, the nurse should:

Options:

A.

Explain that he will be kept NPO for 24 hours before the exam


B.

Practice with him so he will be able to hold his breath for 1 minute


C.

Explain that he will be receiving a laxative to prevent a distended bowel from applying pressure on the liver


D.

Explain that his vital signs will be checked frequently after the test


Expert Solution
Questions # 171:

Iron dextran (Imferon) is a parenteral iron preparation.

The nurse should know that it:

Options:

A.

Is also called intrinsic factor


B.

Must be given in the abdomen


C.

Requires use of the Z-track method


D.

Should be given SC


Expert Solution
Questions # 172:

A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:

Options:

A.

Smoke low-tar, filtered cigarettes


B.

Smoke cigars instead


C.

Smoke only right after meals


D.

Chew gum instead


Expert Solution
Questions # 173:

When a client with pancreatitis is discharged, the nurse needs to teach him how to prevent another occurrence of acute pancreatitis. Which of the following statements would indicate he has an understanding of his disease?

Options:

A.

“I will not eat any raw or uncooked vegetables.”


B.

“I will limit my alcohol to one cocktail per day.”


C.

“I will look into attending Alcoholics Anonymous meetings.”


D.

“I will report any changes in bowel movements to my doctor.”


Expert Solution
Questions # 174:

A mother continues to breast-feed her 3-month-old infant. She tells the nurse that over the past 3 days she has not been producing enough milk to satisfy the infant. The nurse advises the mother to do which of the following?

Options:

A.

“Start the child on solid food.”


B.

“Nurse the child more frequently during this growth spurt.”


C.

“Provide supplements for the child between breastfeeding so you will have enough milk.”


D.

“Wait 4 hours between feedings so that your breasts will fill up.”


Expert Solution
Questions # 175:

A family is experiencing changes in their lifestyle in many ways. The invalid grandmother has moved in with them. The couple have a 2-year-old son by their marriage, and the wife has two children by her previous marriage. The older children are in high school. In applying systems theory to this family, it is important for the nurse to remember which of the following principles?

Options:

A.

The parts of a system are only minimally related.


B.

Dysfunction in one part affects every other part.


C.

A family system has no boundaries.


D.

Healthy families are enmeshed.


Expert Solution
Questions # 176:

A client is having an amniocentesis. Prior to the procedure, an ultrasound is performed. In preparing the client, the nurse explains the reason for a sonogram in this situation to be:

Options:

A.

Determination of multiple gestations


B.

Determination of gross anomalies


C.

Determination of placental location


D.

Determination of fetal age


Expert Solution
Questions # 177:

A 16-year-old female client is admitted to the hospital because she collapsed at home while exercising with videotaped workout instructions. Her mother reports that she has been obsessed with losing weight and staying slim since cheerleader try-outs 6 months ago, when she lost out to two of her best friends. The client is 5’4” and weighs 92 lb, which represents a weight loss of 28 lb over the last 4 months. The most important initial intervention on admission is to:

Options:

A.

Obtain an accurate weight


B.

Search the client’s purse for pills


C.

Assess vital signs


D.

Assign her to a room with someone her own age


Expert Solution
Questions # 178:

A husband asks if he can visit with his wife on her ECT treatment days and what to expect after the initial treatment. The nurse’s best response is:

Options:

A.

“You’ll have to get permission from the physician to visit. Clients are pretty sick after the first treatment.”


B.

“Visitors are not allowed. We will telephone you to inform you of her progress.”


C.

“There’s really no need to stay with her. She’s going to sleep for several hours after the treatment.”


D.

“Yes, you may visit. She may experience temporary drowsiness, confusion, or memory loss after each treatment.”


Expert Solution
Questions # 179:

Degenerative disorders are attributed to many factors. As a nurse assigned to a convalescent home, one must often educate families about how such conditions occur. Which of the following statements might the nurse need to explore when a daughter tries to explain to her mother what caused her degenerative disorder?

Options:

A.

“Some folks believe that aging causes this, Mother.”


B.

“Perhaps, it’s the way your parents used those double- bind messages, Mother.”


C.

“I know some people who are having this problem and they were exposed to chemicals at work, Mother.”


D.

“It can be caused by lots of things, toxic agents and even alcohol, Mother.”


Expert Solution
Questions # 180:

On admission to the postpartal unit, the nurse’s assessment identifies the client’s fundus to be soft, 2 fingerbreadths above the umbilicus, and deviated to the right. This is most likely an indication of:

Options:

A.

Normal involution


B.

A full bladder


C.

An infection pain


D.

A hemorrhage


Expert Solution
Viewing page 12 out of 17 pages
Viewing questions 166-180 out of questions