NCLEX MANAGEMENT OF CARE WITH REAL EXAM QUESTIONS AND DEATAILED ANSWERS | GRADED A+ | GUARANTEED PASS | LATEST VERSION 2024/2025
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Course
NCLEX MANAGEMENT OF CARE
Institution
NCLEX MANAGEMENT OF CARE
NCLEX MANAGEMENT OF CARE WITH REAL EXAM QUESTIONS
AND DEATAILED ANSWERS | GRADED A+ | GUARANTEED PASS |
LATEST VERSION 2024/2025
A client is having a seizure; his blood oxygen saturation drops from 92% to 82%.
What should the nurse do first? - ANSWER-Open the airway - nurse need...
NCLEX MANAGEMENT OF CARE WITH REAL EXAM QUESTIONS
AND DEATAILED ANSWERS | GRADED A+ | GUARANTEED PASS |
LATEST VERSION 2024/2025
A client is having a seizure; his blood oxygen saturation drops from 92% to 82%.
What should the nurse do first? - ANSWER-Open the airway - nurse needs to open
the airway first when the oxygen saturation drops. The other actions might be
appropriate, but the airway must be patent.
To remove a client's gown when she has an intravenous line, the nurse should: -
ANSWER-thread the bag and tubing through the gown sleeve, keeping the line
intact - opening an intravenous line causes a break in a sterile system and
introduces the potential for infection. Cutting a gown off is not an alternative
except in an emergency. IV gowns, which open a long sleeve, are widely available.
Erythropoietin used to treat anemia in clients with renal failure should be given in
conjunction with: - ANSWER-Iron, folic acid, and B12 - the kidneys of a client in
renal failure produce no erythropoietin, a hormone necessary for RBC production.
Erythropoietin can be given as replacement, but the client needs adequate iron,
folate, and B12 to increase the effectiveness of EPO.
When obtaining a health history on a menopausal woman, which information
should a nurse recognize as a contraindication for hormone replacement therapy? -
ANSWER-unexplained vaginal bleeding - family history of stroke is not a
contraindication for hormone replacement therapy. If the woman herself had a
history of stroke or other blood-clotting events, hormone therapy could be
contraindicated. Frequent hot flashes and/or night sweats can be relieved by
hormone replacement therapy.
,A pregnant Asian client who is experiencing morning sickness wants to take ginger
to relieve the nausea. Which of the following responses by the nurse is
appropriate? - ANSWER-"I will call your physician to see if we can start some
ginger." - This statement reveals cultural sensitivity. Ginger is sometimes used to
relieve nausea.
A client with which of the following conditions is at risk for developing a high
ammonia level? - ANSWER-cirrhosis - client with cirrhosis is at risk for
developing a high ammonia level.
What is the primary nutritional deficiency of concern for a strict vegetarian? -
ANSWER-Vitamin B12 - primary nutritional deficiency of concern for a strict
vegetarian.
.
A client has been taking alprazolam (Xanax) for 4 years to manage anxiety. The
client reports taking 0.5 mg 4 times a day. Which statement indicates that the client
understands the nurses teaching about discontinuing the medication? - ANSWER-
"I should take 3 pills per day next week, then 2 pills for one week, then 1 pill for
one week." - Xanax, like other benzodiazepines, can cause withdrawal symptoms
that include agitation, insomnia, hypertension, seizures, and abdominal pain. The
drug must be slowly decreased to prevent withdrawal symptoms.
A client is taking hydrocodone (Vicodin) for chronic back pain. The client has
required an increase in the dose and asks whether this means he is addicted to
Vicodin. The nurse should base her reply on the knowledge that: - ANSWER-the
clients body has developed tolerance, requiring more drug to produce the same
effect. - drug tolerance is characterized by the ability to ingest a larger dose
, without adverse effect and decreased sensitivity to the substance. Substance
dependence is a severe condition indicating physical problems and disruption of
the persons social, family, and work life. The psychological behaviors related to
substance use are termed addiction. Dual diagnosis is the coexistence of substance
abuse and psychiatric disorders.
A safety measure to implement when transferring a client with hemiparesis from a
bed to a wheelchair is: - ANSWER-moving the wheelchair close to clients bed and
standing and pivoting the client on his unaffected extremity to the wheelchair.
A client with dumping syndrome should _____ while a client with GERD should
_____. - ANSWER-lie down 1 hour after eating; sit up at least 30 minutes after
eating - clients with dumping syndrome should lie down after eating to decrease
dumping syndrome. GERD clients should sit up to prevent backflow of acid into
the esophagus.
When a client needs oxygen therapy, what is the highest flow rate that oxygen can
be delivered via nasal cannula? - ANSWER-6 liters/minute - Higher flow rates
must be delivered by mask.
The kind of man who beats a woman is: - ANSWER-from any walk of life, race,
income group, or profession - batterers cannot be predicted by demographic
features related to age, ethnicity, race, religious denomination, education,
socioeconomic status, or class. 95% of domestic abuse cases involve male
perpetrators and female victims.
Which of the following should be performed when fetal heart monitoring indicates
fetal distress except: - ANSWER-Decreasing maternal fluids - only intervention
that should not be performed when fetal distress is indicated.
What interpersonal relief behavior is Ashley using? - ANSWER-Somatizing -
means one experiences an emotional conflict as a physical symptom. Ashley
manifests several physical symptoms associated with severe anxiety. Acting out
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