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Basic Physical Care NCLEX Exam Questions and Verified Correct Answers Western Governors

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Basic Physical Care NCLEX Exam
Questions and Verified Correct Answers
Western Governors University
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,The nurse is caring for a client with emphysema. Which
nursing interventions are appropriate? - Answer:
Diaphragmatic, pursed-lip breathing strengthens
respiratory muscles and enhances oxygenation in clients
with emphysema. Low-flow oxygen should be
administered because a client with emphysema has
chronic hypercapnia and a hypoxic respiratory drive.
Alternating activity with rest allows the client to perform
activities without excessive distress. If the client has
copious secretions and has difficulty mobilizing secretions,
the nurse should teach him and his family members how
to perform postural drainage and chest physiotherapy.
Fluid intake should be increased to 3,000 ml/day, if not
contraindicated, to liquefy secretions and facilitate their
removal. The client should be placed in high-Fowler's
position to improve ventilation.

A client twists the right ankle while playing basketball and
seeks care for ankle pain and swelling. After the nurse
applies ice to the ankle for 30 minutes, which statement
by the client suggests that ice application has been
effective? - Answer: Ice application decreases pain and
swelling. Continued or increased pain, redness, and
increased warmth are signs of inflammation that
shouldn't occur after ice application.

,The nurse is preparing to help a client with weakness in his
right leg get out of bed to a chair. Where should the nurse
place the chair? - Answer: The client can maintain his
weight and pivot with his left foot if the chair is placed on
his right side parallel to the bed. The nurse shouldn't place
the chair on his left side or perpendicular to the bed
because the client won't be able to support his weight on
his right leg.

A child with rheumatic fever complains of painful joints.
What nonpharmacologic measures should the nurse use
to reduce the child's pain? - Answer: In rheumatic fever,
the joints may be so painful that even the weight of the
bed linens can cause pain. A bed cradle lifts the weight of
the linens off the child, reducing pain. Pain may be
increased when the affected joint is moved; therefore,
passive range-of-motion exercises aren't recommended.
Pain isn't likely to be relieved by massaging the joints. The
child should be encouraged to change positions at least
every 2 hours to reduce the risk of skin breakdown, but
this is unlikely to relieve joint pain

A scrub nurse in the operating room has which
responsibility? - Answer: The scrub nurse assists the
surgeon by providing appropriate surgical instruments

, and supplies, maintaining strict surgical asepsis and, with
the circulating nurse, accounting for all gauze sponges,
needles, and instruments. The circulating nurse assists the
surgeon and scrub nurse, positions the client, assists with
gowning and gloving, applies appropriate equipment and
surgical drapes, and provides the surgeon and scrub nurse
with supplies.

A client is admitted to the health care facility with active
tuberculosis (TB). The nurse should include which
intervention in the care plan? - Answer: Because TB is
transmitted by droplet nuclei from the respiratory tract,
the nurse should put on a mask when entering the client's
room. Occupation Safety and Health Administration
standards require an individually fitted mask. Having the
client wear a mask at all times would hinder sputum
expectoration and make the mask moist from
respirations. If no contact with the client's blood or body
fluids is anticipated, the nurse need not wear a gown or
gloves when providing direct care. A client with TB should
be in a room with laminar airflow, and the room's door
should be shut at all times.

A client with terminal breast cancer is being cared for by a
long-time friend who's a physician. The client has
identified her twin sister as the agent in her durable power

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