NCLEX RN UWORLD 2024 Graded A+
The labor and delivery (L&D) nurse is floated to a medical-surgical floor for a shift. Which client is
MOST APPROPRIATE for the charge nurse to assign to the L&D nurse? # (14)
1. Child with an occluded arteriovenous fistula receiving IV heparin infusion.
2. Cl...
NCLEX RN UWORLD 2024 Graded A+
The labor and delivery (L&D) nurse is floated to a medical-surgical floor for a shift. Which client is
MOST APPROPRIATE for the charge nurse to assign to the L&D nurse? #72116868 (14)
1. Child with an occluded arteriovenous fistula receiving IV heparin infusion.
2. Client with cirrhosis and ascites who requires bedside paracentesis.
3. Client with diabetes who is one day postoperative below-the-knee amputation.
4. Client with pyelonephritis who is febrile and receiving IV antibiotics 4
frequently care for pregnant woman with urinary tract infections and would be familiar with the
management of a client with pyelonephritis. #72116868 (14) labor and delivery (L&D)
A client is admitted with SICKLE CELL CRISIS has a hemoglobin level of 9 g/dL. The client reports
severe pain in the back and leg joints. The nurse would anticipate which of the following ?"SELECT
ALL THAT APPLY " #72116868 (15)
1. Folic acid supplements
2. Folic high in Iron
3. Ice packs to painful joints
4. Intravenous hydration
5. Intravenous morphine 1,4,5
treatment are narcotic analgesia, aggressive hydration, oxygenation and folic acid, not iron
supplementation. sickle cell crisis
reduces the viscosity of the blood and prevent sickling. Ice pack should not be applied to swollen
joints. #72116868(15) Hydration
The nurse is performing a physical examination on a 10 year old client with abdominal discomfort.
Which actions would be APPROPRIATE during the examination? "SELECT ALL THAT APPLY"
#72116868 ( 16)
1. Ask the accompany parent to rate and describe the client's pain.
, 2. Ask the client to describe the the chief symptom.
3. Conduct a head-to-toe assessment in the same manner as an adult assessment
4. Explain the outcome of the examination to the parent without the child present
5. Honor the client's request to be examined without a parent consent. 2,3,5
The client screams at the nurse, "you are all incompetent here , I have been waiting for 2 hours"How
should the nurse respond "INITIALLY"?
1. "I know you are upset, but I will have to call security if you continue to scream." #72116868 (17)
2. "I see that you are upset. Let's focus on how I can help you."
3. "I want you to know that the health care providers (HCP) are all well-qualified professionals."
4. "It is frustrating to wait so long, and I am sorry for the delay." 4
The school nurse creates a cafeteria menu for a newly enrolled child with CELIAC DISEASE. Which
lunches would be APPROPRIATE for this child? "SELECT ALL THAT APPLY" #72116868 (18)
1. Beef barley soup with mixed vegetables and French bread.
2. Grilled chicken, baked potato, and strawberry yogurt.
3. Mexican corn tacos with ground beef and cheese
4. Peanut butter and jelly on rice cakes with an oatmeal cookie
5. Rice needles with chicken and broccoli 2,3,5
is an autoimmne disorder in which an individual cannot tolerate gluten, a protein found in barley,
rye, oats and wheat (BROW). Rice, corn and potatoes are allowed in the diet and can be used as grain
substitutes. #72116868 (18) Celiac disease
The mother of a 6 year old child with CYSTIC FIBROSIS (CF) has received instruction on the use of
pancreatic enzymes. Which statement made by the mother indicates a "NEED FOR FURTHER
TEACHING" #72116868 (19)
1. "I need to monitor the total amount of this medication that I give to my child everyday."
2. "I should give this medication with or just before my child has a meal or snack."
3. "It is okay for my child to chew this medication."
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