Saunders NCLEX

The nurse reading the operative record of a client who had cardiac surgery notes that the client's cardiac output immediately after surgery was 3.2 L/min. Evaluation of the cardiac output results leads the nurse to make which conclusion? Answer: The cardiac output is below the normal range. The nurse is caring for an older client. Which finding should the nurse expect to note in this client while evaluating renal function? Answer: The glomerular filtration rate (GFR) diminish...

Client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. The client states to the nurse "I have read a lot about complementary therapies. Do you think I should try any?" The nurse should respond by making which appropriate statement? Answer: "tell me what you know about complementary therapies" Rationale: assessing patient knowledge, as well as what therapies that they have in mind, will help to assess whether the therapies are compatible...

Vaccines given at birth Answer: Hep B Vaccines given at 2 montha Answer: Poliovirus vaccine Dtap Hib Pneumococcal conjugate Rotavirus Vaccines given at 4 months Answer: Dtap Hib IPV PCV RV Vaccines given at 6 months Answer: Dtap Hib HepB IPV PCV RV Vaccines given at 12-15 months Answer: Hib

Answer-Integrated Exam Saunders Nclex Ethical And Legal Issues 2024/2025

7.13. The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, and notifies the health care provider of the incident, and completes an incident report. What statement should the nurse document on the incident report? 1. The client fell out of bed 2. The client climbed over the side rails 3. The client was found lying on the floor 4. The client becam...

The nurse provides information to a client diagnosed with insulin-dependent diabetes mellitus. Which manifestations resulting from a blood glucose level less than 70 mg/dL (4 mmol/L) should the nurse include in the information? Select all that apply. A. Hunger B. Sweating C. Weakness D. Nervousness E. Cool clammy skin F. Increased urinary output A, B, C, D, E Hypoglycemia is characterized by a blood glucose level less than 70 mg/dL (4 mmol/L). Clinical manifestations of hypoglycemia in...

The nurse has given the client diagnosed with hepatitis instructions about post discharge management during convalescence. The nurse determines a need for further teaching if the client makes which statement? 1."I should avoid alcohol and aspirin." 2."I should eat a high-carbohydrate, low-fat diet." 3."I should resume a full activity level within 1 week." 4."I should take the prescribed amounts of vitamin K." Answer: The client with hepatitis is easily fatigued and may r...

The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart rate is 64 beats/minute. Which would be a correct interpretation based on these characteristics? 1. Sinus bradycardia 2. Sick sinus syndrome 3. Normal sinus rhythm 4. First-degree heart block Answer: 3 Normal sinus rhythm is defined as a regular rhythm, with an overall rate of 6...

The nurse is preparing to teach a prenatal class about fetal circulation. Which statements would be included in the teaching plan? Select all that apply. A. "The ductus arteriosus allows blood to bypass the fetal lungs." B. "One vein carries oxygenated blood from the placenta to the fetus." C. "The normal fetal heartbeat range is 160 to 180 beats per minute in pregnancy." D. "Two arteries carry deoxygenated blood and waste products away from the fetus to the placenta." E. "Two vein...

The nurse is performing assessment on a client with acute kidney injury who is in the oliguric phase. Which should the nurse expect to note? Select all that apply. 1.Increased serum creatinine level 2.A low and fixed specific gravity 3.Increased blood urea nitrogen (BUN) level 4.A urine output of 600 to 800 mL in a 24-hour period 5.Urine osmolarity of approximately 300 mOsm/kg (300 mmol/kg) 1.Increased serum creatinine level 2.A low and fixed specific gravity 3.Increased blood urea...