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

Viewing page 9 out of 17 pages
Viewing questions 121-135 out of questions
Questions # 121:

The primary reason for sending a burn client home with a pressure garment, such as a Jobst garment, is that the garment:

Options:

A.

Decreases hypertrophic scar formation


B.

Assists with ambulation


C.

Covers burn scars and decreases the psychological impact during recovery


D.

Increases venous return and cardiac output by normalizing fluid status


Expert Solution
Questions # 122:

Three weeks following discharge, a male client is readmitted to the psychiatric unit for depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse admits him to the unit, he says, “I wish I were dead because I am worthless to everyone; I guess I am just no good.” Which response by the nurse is most appropriate at this time?

Options:

A.

“I don’t think you are worthless. I’m glad to see you, and we will help you.”


B.

“Don’t you think this is a sign of your illness?”


C.

“I know with your wife and new baby that you do have a lot to live for.”


D.

“You’ve been feeling sad and alone for some time now?”


Expert Solution
Questions # 123:

The primary reason that an increase in heart rate (100 bpm) detrimental to the client with a myocardial infarction (MI) is that:

Options:

A.

Stroke volume and blood pressure will drop proportionately


B.

Systolic ejection time will decrease, thereby decreasing cardiac output


C.

Decreased contractile strength will occur due to decreased filling time


D.

Decreased coronary artery perfusion due to decreased diastolic filling time will occur, which will increase ischemic damage to the myocardium


Expert Solution
Questions # 124:

Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?

Options:

A.

Playing cards with other clients


B.

Working crossword puzzles


C.

Playing tennis with a staff member


D.

Sewing beads on a leather belt


Expert Solution
Questions # 125:

The most important reason to closely assess circumferential burns at least every hour is that they may result in:

Options:

A.

Hypovolemia


B.

Renal damage


C.

Ventricular arrhythmias


D.

Loss of peripheral pulses


Expert Solution
Questions # 126:

When assessing fetal heart rate status during labor, the monitor displays late decelerations with tachycardia and decreasing variability. What action should the nurse take?

Options:

A.

Continue monitoring because this is a normal occurrence.


B.

Turn client on right side.


C.

Decrease IV fluids.


D.

Report to physician or midwife.


Expert Solution
Questions # 127:

A client with emphysema is placed on diuretics. In order to avoid potassium depletion as a side effect of the drug therapy, which of the following foods should be included in his diet?

Options:

A.

Celery


B.

Potatoes


C.

Tomatoes


D.

Liver


Expert Solution
Questions # 128:

When teaching a mother of a 4-month-old with diarrhea about the importance of preventing dehydration, the nurse would inform the mother about the importance of feeding her child:

Options:

A.

Fruit juices


B.

Diluted carbonated drinks


C.

Soy-based, lactose-free formula


D.

Regular formulas mixed with electrolyte solutions


Expert Solution
Questions # 129:

The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tannate in oil. Nursing care related to the client receiving IM vasopressin tannate would include:

Options:

A.

Weigh once a week and report to the physician any weight gain of10 lb.


B.

Limit fluid intake to 500 mL/day.


C.

Store the medication in a refrigerator and allow to stand at room temperature for 30 minutes prior to administration.


D.

Hold the vial under warm water for 10–15 minutes and shake vigorously before drawing medication into the syringe.


Expert Solution
Questions # 130:

The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may be exhibiting a toxic reaction to:

Options:

A.

Digoxin (Lanoxin)


B.

Lidocaine (Xylocaine)


C.

Quinidine gluconate or sulfate (Quinaglute,Quinidex)


D.

Nitroglycerin IV (Tridil)


Expert Solution
Questions # 131:

The nurse assists a client with advanced emphysema to the bathroom. The client becomes extremely short of breath while returning to bed. The nurse should:

Options:

A.

Increase his nasal O2 to 6 L/min


B.

Place him in a lateral Sims’ position


C.

Encourage pursed-lip breathing


D.

Have him breathe into a paper bag


Expert Solution
Questions # 132:

Which of the following signs and symptoms indicates a tension pneumothorax as compared to an open pneumothorax?

Options:

A.

Ventilation-perfusion (V./Q.) mismatch


B.

Hypoxemia and respiratory acidosis


C.

Mediastinal tissue and organ shifting


D.

Decreased tidal volume and tachypnea


Expert Solution
Questions # 133:

A diagnosis of hepatitis C is confirmed by a male client’s physician. The nurse should be knowledgeable of the differences between hepatitis A, B, and C. Which of the following are characteristics of hepatitis C?

Options:

A.

The potential for chronic liver disease is minimal.


B.

The onset of symptoms is abrupt.


C.

The incubation period is 2–26 weeks.


D.

There is an effective vaccine for hepatitis B, but not for hepatitis C.


Expert Solution
Questions # 134:

Priapism may be a sign of:

Options:

A.

Altered neurological function


B.

Imminent death


C.

Urinary incontinence


D.

Reproductive dysfunction


Expert Solution
Questions # 135:

The most commonly known vectors of Lyme disease are:

Options:

A.

Mites


B.

Fleas


C.

Ticks


D.

Mosquitoes


Expert Solution
Viewing page 9 out of 17 pages
Viewing questions 121-135 out of questions