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

A nurse is assisting in performing an assessment on a client who suspects that she is pregnant and is checking the client for probable signs of pregnancy. Select all probable signs of...

Santepro
Answered: Apr 29, 2024

Uterine enlargement
Chadwick’s sign
Braxton Hicks contractions
Ballottement

The probable signs of pregnancy include: Uterine Enlargement Hegars sign or...Read More

1 Answer

301 views

Which action should the nurse take INITIALLY? A patient admitted voluntarily for the treatment of an anxiety disorder demands to be released from the hospital.

Santepro
Answered: Apr 29, 2024

Contact the patient’s health care provider (HCP).

In general. patients seek. voluntary admission. Voluntary patients have the right to demand and obtain release. The nurse needs to be...Read More

1 Answer

299 views

Which points should the nurse include in the session? A nurse is providing teaching regarding the prevention of Lyme disease to a group of teenagers going on a hike in a wooded area. This...

Santepro
Answered: Apr 29, 2024

Tuck pant legs into socks.
Wear closed shoes when hiking.
Apply insect repellent containing DEET.
Cover the ground with a blanket when sitting.

Measures to prevent tick bites...Read More

1 Answer

295 views

Marie. a 51-year-old woman. is diagnosed with cholecystitis. Which diet. when selected by the client. indicates that the nurse’s teaching has been successful?

Santepro
Answered: Apr 29, 2024

Low-fat. high-carbohydrate meals

For the client with cholecystitis. fat intake should be reduced. The calories from fat should be substituted with carbohydrates. Reducing carbohydrate...Read More

1 Answer

294 views

What is nurse on her first office visit since undergoing a left mastectomy.?

Santepro
Answered: Apr 29, 2024

Ask open-ended questions about sexuality issues related to her mastectomy

The content of the clients comments suggests that she is avoiding intimacy with her husband by waiting until he is...Read More

1 Answer

289 views

Nurse Eve formulates a nursing diagnosis of Activity intolerance related to inadequate oxygenation and dyspnea for a client with chronic bronchitis. To minimize this problem, the nurse instructs...

RN pedia
Answered: Apr 29, 2024

Being overweight

Conditions that increase oxygen demands include obesity, smoking, exposure to temperature extremes, and stress. A client with chronic bronchitis should drink at least 2,000...Read More

1 Answer

287 views

The client has received IV solutions for three (3) days through a 20-gauge IV catheter placed in the left cephalic vein. On morning rounds the nurse notes the IV site is tender to palpation and a...

Tgerdel
Answered: Apr 29, 2024

Discontinue the intravenous line.

A. (incorrect) A new IV will be started in the right hand after the IV is discontinued. B. (correct) The client has signs of phlebitis and the IV must be...Read More

2 Answers

283 views

Which manifestations would the nurse include in the client’s teaching plan? The nurse is teaching a client with polycythemia vera about potential complications from this disease.This...

Santepro
Answered: Apr 29, 2024

Visual disturbance
Headache
Orthopnea
Gout

Polycythemia vera, a condition in which too many RBCs are produced in the blood serum, can lead to an increase in the hematocrit...Read More

1 Answer

283 views

Which nursing intervention should be implemented if the client is admitted with a serum sodium level of 110 mEq/L?

Wyatt Williams
Answered: Apr 29, 2024

Place on seizure precautions.

The client probably will be placed on fluid restriction. Fluids should not be encouraged for a client with a low sodium level (135-145 mEq/L). B....Read More

2 Answers

282 views

Which electrocardiographic change would the nurse expect to note based on the magnesium level? A nurse caring for a client with severe malnutrition reviews the laboratory results and notes a...

Tgerdel
Answered: Apr 29, 2024

Depressed ST segment

Rationale: The normal magnesium level is 1.6 to 2.6 mg/dL. A magnesium level of 1.0 mg/dL indicates hypomagnesemia. In hypomagnesemia, the nurse would note tall T waves...Read More

2 Answers

282 views

The client is admitted to a nursing unit from a long-term care facility with a hematocrit of 56% and a serum sodium level of 152 mEq/L. Which condition would be a cause for these findings?This...

Tgerdel
Answered: Apr 29, 2024

Dehydration.

A. (incorrect) Clients who are overhydrated or have fluid volume excess would experience dilutional values of sodium (135-145 mEq/L) and red blood cells (44% to 52%). The...Read More

2 Answers

281 views

Which of the following nursing interventions would be appropriate for this client? The nurse is caring for a client with a T5 complete spinal cord injury. Upon assessment, the nurse notes flushed...

Santepro
Answered: Apr 29, 2024

Elevate the HOB to 90 degrees
Loosen constrictive clothing
Assess for bladder distention and bowel impaction
Administer antihypertensive medication

The client has signs and...Read More

1 Answer

281 views

The client with a benign lung tumor is treated in which of the following ways?

Santepro
Answered: Apr 29, 2024

The tumor is removed. involving the least possible amount of tissue.

The tumor is removed to prevent further compression of the lung tissue as the tumor grows. which could lead to...Read More

1 Answer

281 views

What should the nurse include when preparing to teach a class on the regulation and functions of electrolytes?

Tgerdel
Answered: Apr 29, 2024

Chloride is lost in hydrochloride acid

Sodium is essential to maintain extracellular fluid water balance. Phosphate is the major anion in intracellular fluid water balance that is essential...Read More

2 Answers

274 views

The client post-thyroidectomy complains of numbness and tingling around the mouth and the tips of the fingers. Which intervention should be implemented first?

Tgerdel
Answered: Apr 29, 2024

Tap the cheek about two (2) centimeters anterior to the ear lobe.

A. (incorrect) The health care provider may need to be notified, but the nurse should perform assessment first. B....Read More

1 Answer

274 views

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