NCLEX LEADERSHIP MANAGEMENT PROCTORED EXAM

NCLEX LEADERSHIP MANAGEMENT PROCTORED EXAM

A nurse is caring for four laboring clients. Each of the clients is requesting an epidural. Which of the following clients should receive her epidural first?

Select one:

• Mulitipara with contractions occurring every 3

minutes, lasting 45 seconds. The cervical os is dilated

• cms.
• Primipara with contractions occurring every 10-15

minutes, lasting 15 seconds. The cervical os is dilated

• cms.
• Primipara with contractions occurring every 2

minutes, lasting 90 seconds. The cervical os is dilated 10 cms.

• Mulitipara with contractions occurring every 2

minutes, lasting 130 seconds. The cervical os is dilated 8 cms.

• Mulitipara with contractions

occurring every 3 minutes, lasting 45 seconds. The cervical os is dilated 5 cms.An epidural is indicated in the active phase of labor. Active

labor is defined as: cervical

dilation of 4-7 cms, contractions occurring every 3-5 minutes and lasting 30-60 seconds.transition phase of labor and

is approaching second stage:

cervical dilation of 8-10 cms, contractions every 2-3 minutes and lasting 45-90 seconds. Many clients in this phase of labor become exhausted. An epidural during this phase could prolong delivery as the epidural may interfere with the client's ability to push.A nurse is preparing a client who speaks limited English for surgery. Which of the following is the most appropriate nursing action in obtaining informed

• Seek the assistance of a

nurse on the floor who is fluent in the client's This study source was downloaded by 100000774780401 from CourseHero.com on 08-11-2021 04:26:46 GMT -05:00 https://www.coursehero.com/file/91730862/NCLEX-LEADERSHIP-MANAGEMENT-PROCTORED-EXAMdocx/ This study resource was shared via CourseHero.com

consent from this client?

Select one:

• Seek the assistance of a nurse on the floor who is

fluent in the client's language.

• The nurse should explain the procedures using

pictures and hand gestures.

• Have the nurse respond to the client's concerns so

the provider can prepare for surgery.

• Do nothing as this is the provider's primary

concern.language.The nurse is responsible for ensuring that the client understands the information provided regarding the procedure.A nurse is caring for a client recently diagnosed Hepatitis C. He asks the nurse to promise him his wife will find not out about his diagnosis. What is the best response by the nurse?

Select one:

• "I can't promise you because your provider may

inform her anyway."

• "Your wife has the right to know about your

condition because she may be at increased risk."

• "I'll place a note in your chart concerning your

request for your wife not to be informed."

• "Your medical information is considered confidential

to be shared only if you agree."

• "Your medical information is

considered confidential to be shared only if you agree." The client must give consent for health care information, including laboratory results, diagnosis, and prognosis, to be shared with anyone that is not involved in the client's care. This includes sharing the information with family members.Even though the wife may be at an increased risk for Hepatitis C, she cannot be informed without the client's consent.A nurse is using silence to communicate with a client.Which of the following describes a therapeutic purpose of silence?

Select one:

• Conveys the nurse's understanding of the client

and assists with clarification.

• Encourages the client to discuss central issues and

keeps communication goal-oriented.

• Allows the client time to gain insights and slows the

pace of the interaction.

• Communicates the nurse's interest and concern for

the well-being of the client.

• Allows the client time to

gain insights and slows the pace of the interaction.Silence gives the client time to think and gain insights, slows the pace of the interaction, and encourages the client to initiate conversation, while conveying the nurse's support, understanding, and acceptance.A client is admitted to the hospital for suspected infective endocarditis. The client is reporting chills,

• Obtain the blood cultures

from three sites This study source was downloaded by 100000774780401 from CourseHero.com on 08-11-2021 04:26:46 GMT -05:00 https://www.coursehero.com/file/91730862/NCLEX-LEADERSHIP-MANAGEMENT-PROCTORED-EXAMdocx/ This study resource was shared via CourseHero.com

fatigue, myalgia and dyspnea upon exertion. When assessing the client the nurse notes a heart murmur and a temperature of 102.3 F (38.2 C). Which of the following orders should the nurse implement first?

Select one:

• Order the EKG
• Administer acetaminophen 325 mg by mouth
• Obtain the blood cultures from three sites
• Administer IV Penicillin G, 2 million units

Obtaining blood cultures is the priority intervention. Cultures must be drawn prior to initiation of antibiotics so sensitivity results are not influenced. Obtaining specimens from three sites increases the reliability of the results. Clients at risk for endocarditis should be treated with prophylactic antibiotics prior to dental procedures; respiratory and GI diagnostic procedures; GU and Cardiac surgeries.Administering an antipyretic medication should follow the administration of antibiotics.Temperatures may be as high as 102-104 degrees F. in clients with infective endocarditis. Antipyretics are a priority for this client, but it is a lower priority than blood cultures and antibiotic administration. Clients at risk for endocarditis should be treated with prophylactic antibiotics prior to dental procedures; respiratory and GI diagnostic procedures; GU and Cardiac surgeries.

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https://www.stuvia.com/doc/1094888/nclex-rn-maternal-newbern-ob-exam4-versionslatest-2021- answers-verified-100-correct This study source was downloaded by 100000774780401 from CourseHero.com on 08-11-2021 04:26:46 GMT -05:00 https://www.coursehero.com/file/91730862/NCLEX-LEADERSHIP-MANAGEMENT-PROCTORED-EXAMdocx/ This study resource was shared via CourseHero.com