262 Best NCLEX Questions and Answers (Q&A) - ProProfs Discuss

What should be the nurse's first intervention? A client with COPD feels short of breath after walking to the bathroom on 2 liters of oxygen nasal cannula. The mornings ABGs were pH of 7.36, PaCO2...

Tgerdel
Answered: Apr 29, 2024

Encourage the client to rest and to use pursed-lip breathing technique

Clients with COPD, especially those who are in a chronic compensated respiratory acidosis, are very sensitive to...Read More

2 Answers

366 views

Which interventions would the nurse initiate? A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy. Laboratory results indicate that the child is neutropenic....

Santepro
Answered: Apr 29, 2024

Place the child on a low-bacteria diet.
Change dressings using sterile technique.
Perform meticulous hand washing before caring for the child.

For the hospitalized neutropenic...Read More

1 Answer

365 views

Which clinical manifestation would the nurse expect a client diagnosed with acute cholecystitis to exhibit?

Santepro
Answered: Apr 29, 2024

Nausea. vomiting. and anorexia

Acute cholecystitis is an acute inflammation of the gallbladder commonly manifested by the following: anorexia. nausea. and vomiting; biliary colic;...Read More

1 Answer

365 views

What should the nurse do next when performing a scrotal examination. Nurse Payne finds a nodule?

Santepro
Answered: Apr 29, 2024

Transilluminate the scrotum.

A nurse who discovers a nodule. swelling. or other abnormal finding during a scrotal examination should transilluminate the scrotum by darkening the room and...Read More

1 Answer

364 views

What will an important nursing action be?

Santepro
Answered: Apr 29, 2024

Review meds the client is currently on to determine whether any of them cause an increased intraocular pressure as a side effect.
Have the client demonstrate the use of eye drops.
Assess...Read More

1 Answer

363 views

Which communication technique has the leader employed? After assertiveness training. a formerly passive client appropriately confronts a peer in group therapy. The group leader states. “I’m so...

Santepro
Answered: Apr 29, 2024

The nontherapeutic technique of giving approval

The group leader has employed the nontherapeutic technique of giving approval. Giving approval implies that the nurse has the right to pass...Read More

1 Answer

363 views

Which nursing diagnoses would be appropriate for a client with heart failure?

Santepro
Answered: Apr 29, 2024

Ineffective tissue perfusion related to decreased peripheral blood flow secondary to decreased cardiac output.
Decreased cardiac output related to structural and functional changes.

HF...Read More

1 Answer

362 views

Which nursing interventions are appropriate for a client recovering from surgery for retinal detachment?

Santepro
Answered: Apr 29, 2024

Monitor for hemorrhage.
Administer eye medications.
Maintain the eye patch or shield.
Assist with activities of daily living.
Educate regarding symptoms of retinal...Read More

1 Answer

362 views

When planning care for a client with ulcerative colitis who is experiencing symptoms, which client care activities can the nurse appropriately delegate to a unlicensed assistant? Select all that...

Santepro
Answered: Apr 29, 2024

Providing skin care following bowel movements
Maintaining intake and output records
Obtaining the client’s weight.

The nurse can delegate the following basic care activities to...Read More

1 Answer

360 views

A nurse is reviewing a clients laboratory report and notes that the serum calcium level is 4.0 mg/dL. The nurse understands that which condition most likely caused this serum calcium...

Tgerdel
Answered: Apr 29, 2024

Prolonged bed rest

Rationale: The normal serum calcium level is 8.6 to 10.0 mg/dL. A client with a serum calcium level of 4.0 mg/dL is experiencing hypocalcemia. The excessive ingestion of...Read More

2 Answers

358 views

A nurse is assigned to care for a group of clients. On review of the clients medical records, the nurse determines that which client is at risk for deficient fluid volume?This question is part...

Tgerdel
Answered: Apr 29, 2024

A client with a colostomy

Rationale: Causes of deficient fluid volume include vomiting, diarrhea, conditions that cause increased respirations or increased urinary output, insufficient IV...Read More

1 Answer

358 views

Which methods of insulin administration would be used in the initial treatment of hyperglycemia in a client with diabetic ketoacidosis?

Santepro
Answered: Apr 29, 2024

IV bolus. followed by continuous infusion.

An IV bolus of insulin is given initially to control the hyperglycemia; followed by a continuous infusion. titrated to control blood glucose....Read More

1 Answer

357 views

When the nurse is collecting data from the older adult. which of the following findings would be considered normal physiological changes? Select all that apply.

Santepro
Answered: Apr 29, 2024

Decline in visual acuity
Increased susceptibility to urinary tract infections
Increased incidence of awakening after sleep onset

Anatomical changes to the eye affect the...Read More

1 Answer

357 views

What is the nurse plan to administer emergency department?

John Smith
Answered: Apr 29, 2024

Albuterol (proventil).-the client is hypoxemic because of bronchoconstriction as evidenced by wheezes and a subnormal arterial oxygen saturation level. the clients greatest need is bronchodilation,...Read More

1 Answer

355 views

Which client should the nurse assess first? The telemetry monitor technician notifies the nurse of the morning telemetry readings.

Tgerdel
Answered: Apr 29, 2024

The client in normal sinus rhythm with a peaked T wave.

A. (correct) A client with a peaked wave could be experiencing hyperkalemia. Changes in potassium levels can initiate cardiac...Read More

1 Answer

355 views

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