Central Carolina Technical College
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NURSING 221: NCLEX REVIEW 
The nurse is preparing for suctioning an unconscious client who has a tracheostomy. The nurse should perform which actions for this procedure? Select all that apply 
1)	Suction equipment should be kept at the bedside of an unconscious client, regardless of whether an artificial airway is used. The nurse auscultates breath sounds every 2 to 4 hours, or more frequently, to determine if suctioning is needed. The client should be hyperoxygenated before, during, and after ...
A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the 
following findings should the nurse identify as a manifestation of this condition? 
A. Bounding pedal pulse 
B. Capillary refill less than 2 seconds 
C. Pain that increases with passive movement 
D. Areas of warmth on the cast C. Pain that increases with passive movement 
A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which 
of the following statements mad...
NURSING 221 TEST LATEST REVISION GUIDE 
A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition? 
A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements made by the client reflects an understanding of the teaching? 
A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount availab...
A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition? A. Bounding pedal pu lse B. Capillary refill less than 2 seconds C. Pain that increases with passive movement D. Areas of warmth on the cast C. Pain that increases with passive movement A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements made by th...