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NCLEX 10000 MANAGEMENT OF CARE NEWEST ACTUAL EXAM COMPLETE 50 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) | ALREADY GRADED A+.$21.99
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NCLEX 10000 MANAGEMENT OF CARE NEWEST ACTUAL
EXAM COMPLETE 50 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) | ALREADY
GRADED A+.
A client with an exacerbation of chronic obstructive pulmonary disease
(COPD) is admitted to the hospital. Which nursing diagnosis requires the
nurse to collaborate with other health team members to achieve the best
outcome for the client? ✔✔ANSWER✔✔Impaired gas exchange
Explanation:
Impaired gas exchange requires collaboration between the nurse, physician,
and respiratory therapist to help achieve the best respiratory outcome for
the client. Medications, oxygen, nebulizer treatments, and arterial blood gas
analyses all require a physician's order. The respiratory therapist administers
the oxygen and nebulizer treatments. The nurse assesses the client's
response to medications and respiratory treatments and provides feedback
to the physician and respiratory therapist.
Eight farm workers are admitted to the emergency department after they
were splashed with "a couple of chemicals" at work 30 minutes ago. They
have watery/itchy eyes, slight cough, diaphoresis, constricted pupils, and are
conscious and oriented. Their clothes are wet. What action should the nurse
do first? ✔✔ANSWER✔✔Isolate the clients.
Explanation:
Safety of the staff and others is the first priority. Isolating reduces the chance
of contaminating others (secondary contamination)
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,A client with chronic obstructive pulmonary disease presents with
respiratory acidosis and hypoxemia. He tells the nurse that he doesn't want
to be placed on a ventilator. What action should the nurse take?
✔✔ANSWER✔✔Notify the physician immediately so he can determine client
competency.
Explanation:
Three requirements are necessary for informed decision-making: the
decision must be given voluntarily; the client making the decision must have
the capacity and competence to understand; and the client must be given
adequate information to make the decision. In light of the client's respiratory
acidosis and hypoxemia, the client might not be competent to make this
decision. The physician should be notified immediately so he can determine
client competency.
Thirty people are injured in a train derailment. Which client should be
transported to the hospital first? ✔✔ANSWER✔✔a 25-year-old with a
sucking chest wound
Explanation:
During a disaster, the nurse must make difficult decisions about which
persons to treat first. The guidelines for triage offer general priorities for
immediate, delayed, minimal, and expectant care. The client with a sucking
chest wound needs immediate attention and will likely survive.
A nurse is developing a care plan for a client with disseminated intravascular
coagulation (DIC). Which nursing intervention should the nurse include?
✔✔ANSWER✔✔Place a pressure-reducing mattress on the client's bed.
Explanation:
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, A client with DIC is at risk for Impaired skin integrity related to bleeding or
ischemia. The nurse should place the client on a pressure-reducing mattress
and perform skin care every 2 hours. The nurse should avoid administering
any medication that decreases platelet function, such as aspirin.
A client is being admitted with a nursing home-acquired pneumonia. The
unit has four empty beds in semiprivate rooms. The room that would be
most suitable for this client is the one with a: ✔✔ANSWER✔✔60-year-old
client admmitted for investigation of transient ischemic atttacks.
Explanation:
The client with a possible transient ischemic attack is the only client who has
not had surgery and is not immunocompromised. The client with a recent
surgery and incision should not be exposed to a client with infection.
During a bedside shift report, the nurse finds that the client is receiving the
wrong IV solution. Which action by the nurse is indicated?
✔✔ANSWER✔✔Write up an incident report describing the error
Explanation:
After starting the correct solution, the nurse should complete an incident
report describing the specific error. The healthcare provider should be
notified as well as the nurse manager; however, if the manager is not
present and the error corrected, notification may take place after the report
is complete.
A breastfeeding client is seen at home by the visiting nurse 10 days after a
vaginal birth. The client is reporting a warm, red, painful breast, a
temperature of 100° F (37.7°C), and flulike symptoms. What should the
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