NCLEX-PN

NCLEX-PN

ScienceMedicineNursing muemamutunga01 Save Renal NCLEX 98 terms conzy2Preview Immune 69 terms mrslove19867Preview Immunity and Infection (70,71, 47) 36 terms hannah_hanania Preview NCLEX Teacher ang Abrupt, high-pitched snapping noise heart murmur is normal and represent the S1 (first heart sound) and S2 (second heart sound) Lubb-dubb sounds is described as a scratchy, leathery heart sound pericardial friction rub Vomiting will cause the loss of hydrochloric acid and subsequent metabolic _____ would occur in a child experiencing diarrhea because of the loss of bicarbonate.Metabolic acidosis An ____ involves insertion of needle electrodes into selected skeletal muscles to evaluate changes & electrical potential of the muscles & the nerves that lead to them. The test is useful in evaluating suspected lumbar or cervical disk disease, myasthenia gravis, muscular dystrophy, and other musculoskeletal diseases. The needle will not electrocute him or her, & will experience sensations comparable to an injection as the needles are inserted. An informed consent is required, & no other special preparation is required for this test.electromyogram

The nurse is preparing a client for surgery. Which would be a component of the plan of care?Review the results of the preoperative laboratory studies.one of the most common skin infections among kids, usually produces blisters or sores on the face, neck, hands, and diaper area. This contagious superficial skin infection is generally caused by one of two bacteria: Staphylococcus aureus or Streptococcus pyogenes impetigo a RN in a charge position is reinforcinbg goals to the health care team. which of these itmes best decribes the goals of continous quality improvement (CQI) in a health care setting?improve the quality of care in a proactive manner.the clienbt who recently expericned a stroke has an order to amublate with assistanc. which statement by the nurse provides the best instructions to the UAP to assist the client to ambulate?"have the client lift & move the walker out at arms length then wlak into the walker." the nurse should give clear & concise inof to the UAP about what is expected to safely conmplete any task, which is why the optionn about using the walker is correct. the person assisting the client to ambulate should walk on the client's weak side. UAP cannot assess or eval a client; only nurses can peform the steps of the nursing process. if a client gets dizzy, the UAP should assist the client to sit.the practical nurse (PN) is reassigned to work on an acute care unit. which of these clients would be most appropriate for this PN to accept?an older adult client Dx w/ cystitis who has an indwelling urethral catheter =PNs who are reassigned to clients who are stable. the older adult Dx w// cystitis is the most stable & the outcomes for care are failry predictable. the other clients have more complex problems, as well as a higher risk for instability. PNs should not accept an assignment that is beyond their knowledge or skills which nursing practice best reduces the chance of communication errors that might otherwise lead to negative client outcomes?use standardized forms for client handoffs.the clients states to the nurse: "I am ready to stop all of these Tx. I just want to go home & enjoy my family for the little bit of time I have left." which action is most appropriate?encourage the cleint to discuss this decision w/ the health care provider & family.=the cleint has the right to stop Tx & should be supported in clearly communicating this decision w/ the HCP & family. the nurse needs to act as an advocate for the client.the nurse, who is caring for a wclient w/ complex & unique health needs, describes the nautre of the illness in an online social forum for nurses.neither the cleint's real name nor any other personal identifiers are used. what, if any, consequence could result from posting this info online?the nurse could be fired for breach of confidentiality.

a 90yr. old is readmitted to the hospital, less than 2wks after being DC, for the same health concern. what factors contirbute to hospital readmissions among older adults? (select all that apply) =poor communication among providers =client health status =family preferences two members of the interdisciplinary team are arguing about the plan of care for a client. which action culd any one of the members of the team use as a de-escalation strategy?bring the communication focus back to the client during a discussion about a living will w/ a 75yr old client & the client's son, the son says, "I do not understand the need for a living will." which of these statements would be accurate & appropriate for the nurse to say in a response to this question?"health care decisions can be made based on the client's wishes" the nurse is assessing the client during a home health visit & the client states: "i had PT yesterday. I thought it was supposed to help but my back hurts so much after each visit." the nurse's responsibility include which of the following actions? select all that apply =report the client's finding to the nursing supervisor for further assessment.=report the client's findings to the PT =gather more info about the location, duration, intensity of the pain an 80yr old client is hospitalized for a chronic condition. the cleint informs family members that a living will has been prepared & the client wants no life prolonging measures performed. the client's condition deteriorates & the client becomes unresponsive. which of the following nurisng actions is most appropriate?/ notify the attending physician =the first action would be notify physician for further orders. then the family members can be contacted about his condition. when a client has an adavanced directive, it is NOT appropriate to perform CPR on him.a client w/ Dx of bipolar disorder has been referred to a halfway house to be considered for placement. a social worker telephones the hospital unit & asks for info about the client's mental status & adjustment. what must the nurse understand in order to respond to this request for info??info can be released if there is written consent from the client.during a discussion w/ the nurse manager, a staff nurse confides that she is attracted to a client regularly assigned to her. which of the following actions should be implemented following this discussion?the nurse transfers the care of the client to another nurse.the nurse is using SBAR technique to communicate w/ the HCP. which of the following phrases would be associated w/ "B-background"?"the cleint's Tx are..." the HCP background info about the client includes: age, primary Dx, Tx, etc. stating that the clients condition is deteriorating is the situation (S).stating, "I would like you to..." is the request or recommendation (R). V/S are part of the assessment (A).

the child is newly Dx w/ Hepatitis A. which teaching instructions would the nurse reinforce w/ the child's parents?wash hands thoroughly w/ soap & warm water after contact w/ the child.=spread through contaminated food or water, unsanitary conditions in childcare facilities or schools. the infection resolves spontaneously & symptoms relief is usually the only Tx. the child oes not have to be confined to bed s/he can safely return to daycare or school one wk after symptoms began. infants & young children usually do not develop jaundice.the client is Dx w/ active TB & the case has been reported to the health department. what is the most important reason for notifying the health department?contacts need to be traced & screened.=active TB is a reportable disease bc people who had contact w/ the client must be traced, evaluated for the disease, & possibly treated prophylactically. statistics are kept & trends documented, but that is not the primary reason for required reporting.at 3month, the infants has cleft ip & soft palate repair. in the immediate pos-op period for a cleft lipp repair, which action is the priority?remove soft elbow/arm restraints q2hr under supervision.an outpt. client is scheduled to recieve on oral solution of radioactive iodine. in order to reduce hazards, the PN should reinforce which info?urine & saliva will be radioactive for 24hr after ingestion.fall prevention involves managing a client's underlying fall risk factors & then implementing strategies to reduce falls. using restraints, including side rails, can actually increase the risk of fall-related injuries & deaths. clients w/ dementia cannot process the info we provide when we attempt to reorient them to our reality.true A nurse is stuck in the hand by an exposed needle left in a client's bed linens. what immediate action should the nurse take?immediately wash hands w/ vigor.=it will help remove the contaminate. then, the sequence of actions would be options "notify," "look up" & "contact" the RN is preparing a client & her healthy newborn for DC & provides info about hormonal effects in newborns. the LPN understands that which finding in the newborn is due to the maternal hormones?enlargement of the breast.the nurse is measuring BP at a community health fair. when the nurse tells someone that his BP is 160/96mmHg, he states, "my BP is usually much lower." what is the best response to this statement?"get your BP checked again w/in the next 48-72 hrs" a home health nurse is making an initial visit to a 70yr old client. what should be the first action to meet the client's health needs?identify learning needs.