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nclex 2024 practice Questions and Correct Answers
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nclex 2024 practice Questions and Correct Answers
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nclex 2024 practice Questions and Correct Answers A nurse is caring for a client returning from an x -ray. The nursing assistant is helping transfer the client back to bed. Which transfer technique by the nurse uses approp riate ergonomic principles? A. Lowering the bed for transfer and then raising the bed before leaving the room, making sure to place the call light is within reach. B. Maintaining a narrow base of support during transfer and encouraging the client to hold o nto her if afraid during transfer. C. Raising the bed for transfer, maint Answer: Correct answer: C Raising the bed during transfer and maintaining a wide base of support reduces the risk of back injury, and the bed should always be left in the low positi on to reduce danger from falls. Transferring the patient with the bed in low position strains the lower back. The client should not grab or hold onto staff members during transfers as this can interfere with the transfer and cause the nurse injury. The nur se should not grab the client under the arms, as this can cause the client shoulder injury or nerve damage. In addition, pulling a client during transfers places the client at risk for skin shear injuries. The nurse is caring for a client after a lung lob ectomy. The nurse notes fluctuating water levels in the water -seal chamber of the client's chest tube. What action should the nurse take? A. Do nothing, but continue to monitor the client. B. Call the physician immediately. C. Check the chest tube for a l oose connection. D. Add more water to the water -seal chamber. Answer: Correct answer: A Fluctuation in the water -seal chamber is a normal finding that occurs as the client breathes. No action is required except for continued monitoring of the client. The nurse doesn't need to notify the physician. Continuous bubbling in the water -seal chamber indicates an air leak in the chest tube system, such as from a loose connection in the chest tube tubing. The water -seal chamber should be filled initially to the 2 cm line, and no more water should be added. To get more questions with correct answers, e mail jamesdickson3161@gmail.com or follow assignmenthelpdesk001 on Instagram. We also provide Test banks, Upcoming Exams and other E books to students Answer: A client with chest pain arrives in the emergency room and receives nitroglycerin, morphine, o xygen, and aspirin. The client is diagnosed with acute coronary syndrome and suspected myocardial infarction. The client arrives on the unit, and his vital signs are stable and he has no complaints of pain. The nurse is reviewing the physician's orders. In addition to the medications given, which other medication does the nurse expect the physician to order? A. A -blocker, such as carvedilol (Coreg®). Answer: Correct answer: A A patient who is admitted with suspected myocardial infarction should receive aspirin, nitroglycerin, morphine, and a -blocker, such as carvedilol. Digoxin in indicated for arrhythmia rather than acute coronary syndrome. Furosemide would be used if the client had signs of heart failure, such as peripheral or pulmonary edema, but this is not evident. Nitroprusside is used to increase blood pressure, but the client has stable vital signs and is not hypotensive.The benefits of buying summaries with Stuvia:
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