NCLEX Review Study Guide 1

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NCLEX Review Study Guide 1

A client with diabetes mellitus calls the clinic nurse and reports that she has been vomiting during the night and now has diarrhea. Which question does the nurse make a priority of asking the client? - Ans "Have you tested your blood glucose?"

A client's oral intake of liquids includes 120 mL on the night shift, 800 mL on the day shift, and 650 mL on the evening shift. The client is receiving an intravenous (IV) antibiotic every 12 hours, diluted in 50 mL of normal saline solution. The nurse empties 700 mL of urine from the client's Foley catheter at the end of the day shift. Thereafter, 500 mL of urine is emptied at the end of the evening shift and 325 mL at the end of the night shift. Nasogastric tube drainage totals 155 mL for the 24-hour period, and the total drainage from the Jackson-Pratt device is 175 mL. What is the client's total intake during the 24-hour period? - Ans 1670mL

A client with heart failure suddenly experiences profound dyspnea, pallor, audible wheezing, and cyanosis, and the nurse suspects pulmonary edema. The nurse would

first: - Ans Raise the head of the client's bed

A client with cervical cancer who is undergoing chemotherapy with cisplatin (Platinol).For which adverse effect of cisplatin will the nurse assess the client? - Ans Hearing loss

Alendronate (Fosamax) is prescribed for a client with postmenopausal osteoporosis.The nurse provides information on the medication to the client. When does the nurse tell the client to take the alendronate? - Ans Every morning before breakfast, with a full glass of water

A client with emphysema is receiving theophylline (Theo-24). While providing dietary instructions, the nurse tells the client that it is acceptable to consume: - Ans Apple juice

A nurse is reviewing the record of a client scheduled for electroconvulsive therapy (ECT). Which of the following diagnoses, if noted on the client's record, would indicate a need to contact the physician who is scheduled to perform the ECT? - Ans Recent stroke

An emergency department nurse is assessing a client with acute closed-angle glaucoma. Which of the following characteristics of the disorder does the nurse expect the client to exhibit? Select all that apply. - Ans Nausea Eye pain Vomiting Headache

The nurse administers intravenous morphine sulfate to a client in pulmonary edema. For which intended effect of the medication does the nurse monitor the client? - Ans Relief of anxiety

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