100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Nclex questions for Fundamentals of Nursing with rationale questions and answers correct and verified 100% $11.49   Add to cart
Quickly navigate to
Preview
  2.  
  3. Nclex
  4.  
  5. Nclex

Exam (elaborations)

Nclex questions for Fundamentals of Nursing with rationale questions and answers correct and verified 100%
 10 views  0 purchase
  • Course
  • Nclex
  • Institution
  • Nclex

Nclex questions for Fundamentals of Nursing with rationale questions and answers correct and verified 100%Nclex questions for Fundamentals of Nursing with rationale questions and answers correct and verified 100% A 73-year-old patient who sustained a right hip fracture in a fall requests pain ...

[Show more]

Preview 3 out of 24  pages

Document information

  • September 3, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nclex questions for fundamentals of nursing with r

Written for

  • Nclex
  • Nclex

Seller

avatar-seller
CleverCopies

Reviews received

Content preview

Nclex questions for Fundamentals of Nursi
yt yt yt yt yt




ng with rationale questions and answers c
yt yt yt yt yt yt




orrect and verified 100%
yt yt yt




Ayt73-year-
oldytpatientytwhoytsustainedytaytrightythipytfractureytinytaytfallytrequestsytpainytmedicationytfromyttheytnurs
e.ytBasedytonythisytinjury,ytwhichyttypeytofytpainytisytthisytpatientytmostytlikelyytexperiencing?
yt1)ytPhantom

yt2)ytVisceral

yt3)ytDeepytsomatic

yt4)ytReferredyt-ytcorrectytanswers-Answer:

3)ytDeepytsomatic
yt

Rationale:
Deepytsomaticytpainytoriginatesytinytligaments,yttendons,ytnerves,ytbloodytvessels,ytandytbones.ytTherefor
e,ytaythipytfractureytcausesytdeepytsomaticytpain.ytPhantomytpainytisytpainytthatytisytperceivedyttoytoriginateyt
fromytaytpartytthatytwasytremovedytduringytsurgery.ytVisceralytpainytisytcausedytbyytdeepytinternalytpainytre
ceptorsytandytcommonlyytoccursytinyttheytabdominalytcavity,ytcranium,ytandytthorax.ytReferredytpainytocc
ursytinytanytareaytthatytisytdistantyttoyttheytoriginalytsite.
Whichytpainytmanagementyttaskytcanyttheytnurseytsafelyytdelegateyttoytnursingytassistiveytpersonnel?
yt1)ytAskingytaboutytpainytduringytvitalytsigns

yt2)ytEvaluatingyttheyteffectivenessytofytpainytmedication

yt3)ytDevelopingytaytplanytofytcareytinvolvingytnonpharmacologicytinterventions

yt4)ytAdministeringytover-the-counterytpainytmedicationsyt-ytcorrectytanswers-Answer:

1)ytAskingytaboutytpainytduringytvitalytsigns
yt

Rationale:
Theytnurseytcanytdelegateyttheyttaskytofytaskingytaboutytpainytwhenytnursingytassistiveytpersonnelyt(NAP)yt
obtainytvitalytsigns.ytTheytNAPytmustytbeytinstructedyttoytreportytfindingsyttoyttheytnurseytwithoutytdelay.yt
Theytnurseytshouldytevaluateyttheyteffectivenessytofytpainytmedicationsytandytdevelopyttheytplanytofytcare.yt
Administeringytover-the-
counterytandytprescriptionytmedicationsytisyttheytresponsibilityytofyttheytregisteredytnurseytorytlicensedytpr
acticalytnurse.
Whichytfactorytinyttheytpatient'sytpastytmedicalythistoryytdictatesytthatyttheytnurseytexerciseytcautionytwhen
ytadministeringytacetaminophenyt(Tylenol)?




1)ytHepatitisytB
2)ytOccasionalytalcoholytuse
3)ytAllergyyttoytaspirin
4)ytGastricytirritationytwithytbleedingyt-ytcorrectytanswers-Answer:
1)ytHepatitisytB
yt

,Rationale:
Evenytinytrecommendedytdoses,ytacetaminophenytcanytcauseytsevereythepatotoxicityytinytpatientsytwithytli
verytdisease,ytsuchytasythepatitisytB.ytPatientsytwhoytconsumeytalcoholytregularlyytshouldytalsoytuseytaceta
minophenytcautiously.ytThoseytallergicyttoytaspirinytorytotherytnonsteroidalytanti-
inflammatoryytdrugsyt(NSAIDs)ytcanytuseytacetaminophenytsafely.ytAcetaminophenytrarelyytcausesytgas
trointestinalyt(GI)ytproblems;yttherefore,ytitytcanytbeytusedytforytthoseytwithytaythistoryytofytgastricytirritatio
nytandytbleeding.
Whichytactionytshouldyttheytnurseyttakeytbeforeytadministeringytmorphineyt4.0ytmgytintravenouslyyttoytayt
patientytcomplainingytofytincisionalytpain?

1)ytAssessyttheytpatient'sytincision.
2)ytClarifyyttheytorderytwithyttheytprescriber.
3)ytAssessyttheytpatient'sytrespiratoryytstatus.
4)ytMonitoryttheytpatient'sytheartytrate.yt-ytcorrectytanswers-Answer:
3)ytAssessyttheytpatient'sytrespiratoryytstatus.
yt

Rationale:
Beforeytadministeringytanytopioidytanalgesic,ytsuchytasytmorphine,yttheytnurseytshouldytassessyttheytpatien
t'sytrespiratoryytstatusytbecauseytopioidytanalgesicsytcanytcauseytrespiratoryytdepression.ytItytisytnotytneces
saryyttoytclarifyyttheytorderytwithyttheytphysicianytbecauseytmorphineyt4ytmgytIVytisytanytappropriateytdose.y
tItytisytnotytnecessaryyttoytmonitoryttheytpatient'sytheartytrate.

Whichytactionytshouldyttheytnurseyttakeytwhenytpreparingytpatient-
controlledytanalgesiaytforytaytpostoperativeytpatient?

1)ytCautionyttheytpatientyttoytlimityttheytnumberytofyttimesytheytpressesyttheytdosingytbutton.
2)ytAskytanotherytnurseyttoytdouble-checkyttheytsetupytbeforeytpatientytuse.
3)ytInstructyttheytpatientyttoytadministerytaytdoseytonlyytwhenytexperiencingytpain.
4)ytProvideytclear,ytsimpleytinstructionsytforytdosingytifyttheytpatientytisytcognitivelyytimpaired.yt-
ytcorrectytanswers-Answer:

2)ytAskytanotherytnurseyttoytdouble-checkyttheytsetupytbeforeytpatientytuse.
yt

Rationale:
Asytaytsafeguardyttoytreduceyttheytriskytforytdosingyterrors,yttheytnurseytshouldytrequestytanotherytnurseyttoyt
double-
checkyttheytsetupytbeforeytpatientytuse.ytTheytnurseytshouldytreassureyttheytpatientytthatyttheytpumpythasytay
tlockoutytfeatureytthatytpreventsythimytfromytoverdosingytevenytifytheytcontinuesyttoytpushyttheytdoseytadmi

nistrationytbutton.ytTheytnurseytshouldytalsoytinstructyttheytpatientyttoytadministerytaytdoseytbeforeytpotent
iallyytpainfulytactivities,ytsuchytasytwalking.ytPatient-
controlledytanalgesiaytisytcontraindicatedytforytthoseytwhoytareytcognitivelyytimpaired.
Theytnurseytadministersytcodeineytsulfateyt30ytmgytorallyyttoytaytpatientytwhoytunderwentytcraniotomyyt3yt
daysytagoytforytaytbrainyttumor.ytHowytsoonytafterytadministrationytshouldyttheytnurseytreassessyttheytpatie
nt'sytpain?

1)ytImmediately
2)ytInyt10ytminutes

, 3)ytInyt15ytminutes
4)ytInyt60ytminutesyt-ytcorrectytanswers-Answer:
4)ytInyt60ytminutes
yt

Rationale:
Codeineytadministeredytbyyttheytoralytrouteytreachesytpeakytconcentrationytinyt60ytminutes;yttherefore,ytth
eytnurseytshouldytreassessyttheytpatient'sytpainyt60ytminutesytafterytadministration.ytTheytnurseytshouldytre
assessytpainytafteryt10ytminutesytwhenytadministeringytcodeineytbyyttheytintramuscularytorytsubcutaneous
ytroutes.ytDrugsytadministeredytbyyttheytintravenousyt(IV)ytrouteytareyteffectiveytalmostytimmediately;ytho

wever,ytcodeineytisytnotytrecommendedytforytIVytadministration.
Whichytnonsteroidalytanti-
inflammatoryytdrugytmightytbeytadministeredyttoytinhibitytplateletytaggregationytinytaytpatientytatytriskytfo
rytthrombophlebitis?

1)ytIbuprofenyt(Motrin)
2)ytCelecoxibyt(Celebrex)
3)ytAspirinyt(Ecotrin)
4)ytIndomethacinyt(Indocin)yt-ytcorrectytanswers-Answer:
3)ytAspirinyt(Ecotrin)
yt

Rationale:
AspirinytisytaytuniqueytNSAIDytthatytinhibitsytplateletytaggregation.ytLow-
doseytaspirinyttherapyytisytcommonlyytadministeredyttoytdecreaseyttheytriskytofytthrombophlebitis,ytmyoc
ardialytinfarction,ytandytstroke.ytIbuprofen,ytcelecoxib,ytandytindomethacinytareytNSAIDs,ytbutyttheyytdoyt
notytinhibitytplateletytaggregation.
Aytclientytwhoytisytreceivingytepiduralytanalgesiaytcomplainsytofytnauseaytandytlossytofytmotorytfunctionytin
ythisytlegs.ytTheytnurseytobtainsythisytbloodytpressureytandytnotesytaytdropytinythisytbloodytpressureytfromytth

eytpreviousytreading.ytWhichytcomplicationytisyttheytpatientytmostytlikelyytexperiencing?

1)ytInfectionytatyttheytcatheterytinsertionytsite
2)ytSideyteffectytofyttheytepiduralytanalgesic
3)ytEpiduralytcatheterytmigration
4)ytSpinalytcordytdamageyt-ytcorrectytanswers-Answer:
3)ytEpiduralytcatheterytmigration
yt

Rationale:
Theytpatientytisytexhibitingytsignsytofytepiduralytcatheterytmigration,ytwhichytincludeytnausea,ytaytdecrease
ytinytbloodytpressure,ytandytlossytofytmotorytfunctionytwithoutytanytidentifiableytcause.ytSignsytofytinfectionyt

atyttheytcatheterytsiteytincludeytredness,ytswelling,ytandytdrainage.ytLossytofytmotorytfunctionytisytnotytayttyp
icalytsideyteffectytassociatedytwithytepiduralytanalgesics.ytTheseytareytcommonytsignsytofytcatheterytmigrati
on,ytnotytspinalytcordytdamage.
Whichytofyttheytfollowingytclientsytisytexperiencingytanytabnormalytchangeytinytvitalytsigns?ytAytclientytwho
seyt(selectytallytthatytapply):

1)ytBloodytpressureyt(BP)ytwasyt132/80ytmmytHgytsittingytandytisyt120/60ytmmytHgytuponytstanding
2)ytRectalyttemperatureytisyt97.9°Fytinyttheytmorningytandyt99.2°Fytinyttheytevening

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller CleverCopies. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $11.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79271 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$11.49
  • (0)
  Add to cart