nclex pn fundamentals
A child has been recognized with meningococcal meningitis. Which precautionary approach
is suitable to save you transmission of the ailment? - ANS-Isolation precautions for at the
least 24 hours after the initiation of antibiotics
A child is receiving edetate calcium disodium (calcium EDTA) for the treatment of lead
poisoning. Which laboratory result could be essential to screen in the course of remedy? -
ANS-Blood urea nitrogen (BUN) degree
A infant with leukemia is experiencing nausea associated with medication therapy. The
nurse, concerned about the kid's nutritional reputation, need to provide which during an
episode of nausea? - ANS-Cool, clear beverages
A client has been diagnosed with metabolic alkalosis. Which laboratory value(s) is most
critical for the nurse to display for this client? - ANS-Arterial blood gases (ABGs)
A patron has the following laboratory values: a pH of 7.55, an HCO3- stage of 22 mm Hg,
and a PCo2 of 30 mm Hg. Which movement should the nurse take? - ANS-Encourage the
customer to gradual down respiration.
A consumer is admitted to a protracted-time period care facility with the analysis of weight
reduction secondary to anorexia. The health care company inserts a nasogastric tube and
prescribes a tube feeding of a preferred system feeding to run at 50 mL/hr. The nurse plans
care, understanding that which is authentic concerning enteral feedings? - ANS-Enteral
feedings require the ordinary digestive skills of the gastrointestinal (GI) tract.
A client is having trouble remembering his prescribed medicine regimen. Which
announcement by way of the nurse is healing? - ANS-"Let me move over your prescribed
medicines with you again."
A patron is receiving popular oral anticoagulant therapy with warfarin (Coumadin). The result
of a newly drawn worldwide normalized ratio is three.8 seconds. The nurse anticipates
carrying out a prescription to do which action? - ANS-Hold the following dose of warfarin.
A patron is scheduled to get hold of digoxin (Lanoxin), zero.125 mg through mouth. The
licensed practical nurse (LPN) reads the drugs label and notes that every tablet contains
0.25 mg.The LPN have to perform which action? - ANS-Administer 1/2 of a remedy tablet.
A customer is seen in the clinic for a bodily exam. Laboratory studies are carried out and
screen that the hemoglobin and hematocrit are low, indicating the need for further diagnostic
studies and a blood transfusion. The purchaser is a Jehovah's Witness and refuses to have
a blood transfusion. Which have to be the suitable motion by means of the health facility
nurse? - ANS-Support the customer's selection now not to receive a blood transfusion.
, A purchaser is visible within the urgent care center for complaints of chest ache 2 days in the
past. Since that time, the patron has no longer been feeling well and fatigues without
problems. The nurse reviews the consequences of the laboratory checks and suspects
myocardial infarction at the time of chest pain 2 days in the past if which comes back high
quality? - ANS-Troponin I
A customer is to have an top gastrointestinal (GI) collection. Which nursing action need to be
performed concerning the technique? - ANS-Administer a laxative after the technique due to
the fact barium was administered.
A customer returns from the recovery room following an abdominal surgical treatment.
Following the advent of the client to the nursing unit, Which is the preliminary nursing
assessment? - ANS-Vital signs
A customer who has calcium phosphate kidney stones tells the nurse, "Tell me what I can
do, in order that I in no way have this ache once more." Which commands have to the nurse
plan to encompass inside the reinforcement of dietary commands? Select all that observe. -
ANS-Decrease sodium intake.
Limit the consumption of whole grains.
Limit protein to 5 to 7 servings in line with week
A purchaser who has open draining lesions from Kaposi's sarcoma wishes to be bathed and
feature mattress linens modified. Which need to the nurse put on to perform these
responsibilities? - ANS-Gown and gloves
A customer who has gone through a barium enema is being readied for discharge from the
ambulatory care unit. Which assertion via the customer suggests information of the
discharge commands? - ANS-"I must take a laxative and my stool need to go back to regular
coloration."
A consumer with a records of seizure disease is taking phenytoin (Dilantin). The nurse
critiques the laboratory results of the phenytoin stage and determines that the purchaser has
been noncompliant with medication remedy if which laboratory end result is stated? - ANS-5
mcg/mL
A patron with a seizure disorder is taking phenytoin (Dilantin). A pattern for a serum
phenytoin level is drawn, and the nurse determines that the subsequent dose of the
medicine may be administered if which laboratory result is cited? - ANS-17 mcg/mL
A consumer with diabetes mellitus calls the health center nurse to file that the blood glucose
stage is one hundred fifty mg/dL. After acquiring further records from the client, the nurse
determines that the customer ate lunch about 2 hours in the past. How ought to the nurse
interpret the information? - ANS-The blood glucose level is barely better than the normal
price.
A child has been recognized with meningococcal meningitis. Which precautionary approach
is suitable to save you transmission of the ailment? - ANS-Isolation precautions for at the
least 24 hours after the initiation of antibiotics
A child is receiving edetate calcium disodium (calcium EDTA) for the treatment of lead
poisoning. Which laboratory result could be essential to screen in the course of remedy? -
ANS-Blood urea nitrogen (BUN) degree
A infant with leukemia is experiencing nausea associated with medication therapy. The
nurse, concerned about the kid's nutritional reputation, need to provide which during an
episode of nausea? - ANS-Cool, clear beverages
A client has been diagnosed with metabolic alkalosis. Which laboratory value(s) is most
critical for the nurse to display for this client? - ANS-Arterial blood gases (ABGs)
A patron has the following laboratory values: a pH of 7.55, an HCO3- stage of 22 mm Hg,
and a PCo2 of 30 mm Hg. Which movement should the nurse take? - ANS-Encourage the
customer to gradual down respiration.
A consumer is admitted to a protracted-time period care facility with the analysis of weight
reduction secondary to anorexia. The health care company inserts a nasogastric tube and
prescribes a tube feeding of a preferred system feeding to run at 50 mL/hr. The nurse plans
care, understanding that which is authentic concerning enteral feedings? - ANS-Enteral
feedings require the ordinary digestive skills of the gastrointestinal (GI) tract.
A client is having trouble remembering his prescribed medicine regimen. Which
announcement by way of the nurse is healing? - ANS-"Let me move over your prescribed
medicines with you again."
A patron is receiving popular oral anticoagulant therapy with warfarin (Coumadin). The result
of a newly drawn worldwide normalized ratio is three.8 seconds. The nurse anticipates
carrying out a prescription to do which action? - ANS-Hold the following dose of warfarin.
A patron is scheduled to get hold of digoxin (Lanoxin), zero.125 mg through mouth. The
licensed practical nurse (LPN) reads the drugs label and notes that every tablet contains
0.25 mg.The LPN have to perform which action? - ANS-Administer 1/2 of a remedy tablet.
A customer is seen in the clinic for a bodily exam. Laboratory studies are carried out and
screen that the hemoglobin and hematocrit are low, indicating the need for further diagnostic
studies and a blood transfusion. The purchaser is a Jehovah's Witness and refuses to have
a blood transfusion. Which have to be the suitable motion by means of the health facility
nurse? - ANS-Support the customer's selection now not to receive a blood transfusion.
, A purchaser is visible within the urgent care center for complaints of chest ache 2 days in the
past. Since that time, the patron has no longer been feeling well and fatigues without
problems. The nurse reviews the consequences of the laboratory checks and suspects
myocardial infarction at the time of chest pain 2 days in the past if which comes back high
quality? - ANS-Troponin I
A customer is to have an top gastrointestinal (GI) collection. Which nursing action need to be
performed concerning the technique? - ANS-Administer a laxative after the technique due to
the fact barium was administered.
A customer returns from the recovery room following an abdominal surgical treatment.
Following the advent of the client to the nursing unit, Which is the preliminary nursing
assessment? - ANS-Vital signs
A customer who has calcium phosphate kidney stones tells the nurse, "Tell me what I can
do, in order that I in no way have this ache once more." Which commands have to the nurse
plan to encompass inside the reinforcement of dietary commands? Select all that observe. -
ANS-Decrease sodium intake.
Limit the consumption of whole grains.
Limit protein to 5 to 7 servings in line with week
A purchaser who has open draining lesions from Kaposi's sarcoma wishes to be bathed and
feature mattress linens modified. Which need to the nurse put on to perform these
responsibilities? - ANS-Gown and gloves
A customer who has gone through a barium enema is being readied for discharge from the
ambulatory care unit. Which assertion via the customer suggests information of the
discharge commands? - ANS-"I must take a laxative and my stool need to go back to regular
coloration."
A consumer with a records of seizure disease is taking phenytoin (Dilantin). The nurse
critiques the laboratory results of the phenytoin stage and determines that the purchaser has
been noncompliant with medication remedy if which laboratory end result is stated? - ANS-5
mcg/mL
A patron with a seizure disorder is taking phenytoin (Dilantin). A pattern for a serum
phenytoin level is drawn, and the nurse determines that the subsequent dose of the
medicine may be administered if which laboratory result is cited? - ANS-17 mcg/mL
A consumer with diabetes mellitus calls the health center nurse to file that the blood glucose
stage is one hundred fifty mg/dL. After acquiring further records from the client, the nurse
determines that the customer ate lunch about 2 hours in the past. How ought to the nurse
interpret the information? - ANS-The blood glucose level is barely better than the normal
price.
