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Exam Cram NCLEX-PN & ANSWERS
the nurse is caring for a client scheduled for removal of a pituitary tumor using the
transsphenoidal approach. the nurse should be particularly alert to:
- Nasal congestion
- Abdominal Tenderness
- Muscle Tetany
- Oliguria *ANS- A. Nasal congestion
why?removal of the pituitary gland is usually done by transsphernoidal approach through the nose. Nasal congestion further interferes with the airway.
A client with cancer is a, admitted to the oncology unit. Stat lab values revel Hgb 12.6, WBC 6500, K+1.9, uric acid 7.0, N 136, and platelets 178,000. The nurse evaluates that the client is experiencing which of the following?
- Hypernatremia
- Hypokalemia
- Myelosuppression
- Leukocytosis *ANS- B. Hypokalemia
why?Hypokalemia is evident from the lab values listed. The other laboratory findings are within normal limits. making answers A,C and D incorrect
A 24 year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse?
- taking the vital signs
- obtaining the permit
- explaining the procedure
- Checking the lab work *ANS- A. taking the vital signs
why?the primary responisblity of the nurse is to take the vital signs before any surgery.
answers B,C and D are the responsibility of the doctor.
The nurse is working in the emergency room when a client arrives with severe burns of the left arm, hands, face, and neck. which action should receive priority?
- starting an IV?
- Applying oxygen
- / 1
C.Obtaining blood gas
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