NCLEX-PN 3000 QuestionsStudy online at parent of a preschooler with chick-enpox asks the nurse about measures to make the child comfortable. The nurse instructs the parent to avoid adminis-tering aspirin or any oth-er product that contains salicylates. Wh

NCLEX-PN 3000 QuestionsStudy online at https://quizlet.com/_qst5u1.The parent of a preschooler with chick-enpox asks the nurse about measures to make the child comfortable. The nurse instructs the parent to avoid adminis-tering aspirin or any oth-er product that contains salicylates. When given to children with chick-enpox, aspirin has been linked to which disor-der? 1. Guillain-Barré syn-drome 2. Rheumatic fever 3. Reye's syndrome 4. Scarlet feverCorrect Answer: 3RATIONALES: Research shows a correlation be-tween the use of aspirin during chickenpox and the development of Reye's syndrome (a disorder char-acterized by brain and liver toxicity). Therefore, the nurse should instruct the parents to avoid admin-istering aspirin or other products that contain sali-cylates and to consult the physician or pharmacist before administering any medication to a child with chickenpox. No research has found a link between aspirin use, chickenpox, and the development of Guillain-Barré syndrome, rheumatic fever, or scar-let fever.2.A client is to have an epidural block to relieve labor pain. The nurse an-ticipates that the anes-Correct Answer: 3RATIONALES: For an epidural block, the nurse should anticipate that the anesthesiologist will in-1 / 71

NCLEX-PN 3000 QuestionsStudy online at https://quizlet.com/_qst5uthesiologist will inject the anesthetic agent into the: 1. subarachnoid space. 2. area between the sub-arachnoid space and the dura mater. 3. area between the dura mater and the ligamen-tum flavum. 4. ligamentum flavum.ject a local anesthetic agent into the epidural space, located between the dura mater and the lig-amentum flavum in the lumbar region of the spinal column. When administering a spinal block, the anesthesiologist injects the anesthetic agent into the subarachnoid space. The ligamentum flavum and the area between the subarachnoid space and the dura mater are inappropriate injection sites.3.The physician pre-scribes penicillin potas-sium oral suspension 56 mg/kg/day in four divided doses for a client with anorexia ner-vosa who weighs 25 kg. The medication dis-pensed by the pharma-cy contains a dosage strength of 125 mg/5 ml. How many milliliters Correct Answer: 14RATIONALES: To determine the total daily dosage, set up the following proportion:25 kg/X = 1 kg/56 mgX = 1,400 mg.Next, divide the daily dosage by four doses to determine the dose to administer every 6 hours:X = 1,400 mg/4 dosesX = 350 mg/dose.The adolescent should receive 350 mg every 6 hours.2 / 71

NCLEX-PN 3000 QuestionsStudy online at https://quizlet.com/_qst5uof solution should the nurse administer with each dose?Lastly, calculate the volume to give for each dose by setting up this proportion:X/350 mg = 5 ml/125 mgX = 14 ml.4.The nurse must irrigate a gaping abdominal in-cision with sterile nor-mal saline, using a pis-ton syringe. How should the nurse proceed? 1. Irrigate continuous-ly until the solution be-comes clear or all of the solution has been used. 2. Moisten the area around the wound with normal saline after the ir-rigation. 3. Apply a wet-to-dry dressing to the wound after the irrigation. 4. Rapidly instill a stream Correct Answer: 1RATIONALES: To wash away tissue debris and drainage effectively, the nurse should irrigate the wound until the solution becomes clear or all of the solution has been used. After the irri-gation, the nurse should dry the area around the wound; moistening it promotes microorganism growth and skin irritation. When the area is dry, the nurse should apply a sterile dressing, rather than awet-to-dry dressing. The nurse always should in-still the irrigating solution gently; rapid or forceful instillation can damage tissues.3 / 71

NCLEX-PN 3000 QuestionsStudy online at https://quizlet.com/_qst5uof irrigating solution into the wound.5.As an adolescent is re-ceiving care, he's in-advertently injured with a warm compress. The nurse completes an in-cident report based on the knowledge that iden-tification of which of the following is a goal of the report? 1. To reprimand the in-volved staff members for their actions 2. To identify the learning needs of staff to prevent incident recurrences 3. To reprimand the nurse-manager respon-sible for the unit 4. To hold people ac-Correct Answer: 2RATIONALES: The purpose of an incident report is threefold: to identify ways to prevent incident recurrences, to identify patterns of care problems, and to identify facts surrounding each incident. In-cident reports aren't used to hold people account-able for their actions, to punish those involved in the incident, or to punish the nurse-manager responsible for the unit.4 / 71