verified answers-2022

NU 301- NCLEX Challenge 7-with 100% verified answers-2022 WITH 55 Q&A

• A nurse is caring for four clients. After administering morning

medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?

Check the client’s vital signs.

• A nurse is caring for a client who has a new diagnosis of type 1

diabetes mellitus. To focus on effective learning with this client, which of the following interventions should the nurse use?

Explore the client’s feelings about dietary modifications.

• A nurse is preparing to use the Z-track technique to administer a

medication to a client. Which of the following is an appropriate action during this procedure?

Aspirate for 5 to 10 seconds.

• A nurse is assessing a client who has an acoustic neuroma. Which of

the following client manifestations should the nurse expect?

Vertigo.

• A nurse in an ophthalmology clinic is interviewing a client who was

referred by his primary care provider for suspicion of cataracts. The nurse should expect the client to report?

Having a decreased ability to perceive colors.

• A nurse is reviewing the medication list for a client who has a new

diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance?

Prednisone.

• A nurse is caring for a client who has difficulty swallowing medications

and is prescribed enteric-coated aspirin PO once daily. The client asks if

the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

“Crushing the medication might cause you to have a stomachache or indigestion.”

• A nurse is providing teaching to a client who has a new diagnosis of

type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply).

Blurred vision Tachycardia Moist, clammy skin

• A nurse is caring for a client who is receiving mydriatic eye drops.

Which of the following manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect?

Constipation.

• A nurse is providing teaching for a client who is newly diagnosed with

type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide?

“Glipizide stimulates your pancreas to release insulin.”

• A nurse is administering timolol eye drops to a client who has

glaucoma. Which of the following actions should the nurse take?

Drop prescribed amount of medication into the conjunctival sac.

• A nurse is teaching an older adult client who has diabetes mellitus

about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

“Maintain stable blood glucose levels.”

• A nurse accidentally administers the wrong medication to a client,

which results in a severe allergic reaction and prolongs the client’s hospitalization. The client could rightfully sue the nurse for which of the following?

Malpractice.

• A nurse is caring for a client who is postoperative following a left

corneal transplant. The nurse observes purulent drainage from the affected eye. Which of the following actions is the nurse’s priority?

Notify the surgeon.

• A nurse is teaching a client who has diabetes mellitus and receives

25 units of NPH insulin every morning if her blood glucose level is above 200 mg/dL. Which of the following information should the nurse include?

Expect the NPH insulin to peak in 6 to 14 hr.

• A nurse is caring for a client who has type 1 diabetes mellitus. The

nurse misread the client’s morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the client’s breakfast. Which of the following actions is the nurse’s priority?

Monitor the client for hypoglycemia.

• A nurse is providing dietary teaching to a client who has a history of

recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching?

Drink 3 L of fluid every day.

• A nurse at an outpatient surgery center is providing discharge

teaching to a client and his spouse following surgical removal of a cataract. Which of the following should the nurse include in the teaching?

The client should wear dark glasses while outdoors.

• A nurse at an ophthalmology clinic is providing teaching to a client

who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?

The medication should be applied on a regular schedule for the rest of the client’s life.