NCLEX UWorld - Fundamentals Questions with 100% Correct Answers | Verified | Latest Update

NCLEX UWorld - Fundamentals Questions with 100% Correct Answers | Verified | Latest Update how often do you change peripheral IV sites - answer✔✔every 72 -96 hours unless complications develop Anaphylactic shock, the most severe form of an allergic reaction, is a medical emergency. Hives, itchin g, or a rash may or may not appear before rapid swelling of the mouth and throat (ie, angioedema) makes breathing difficult or impossible within minutes. SATA - i will keep epi pen close to child at all times - I will give injection if child has trouble breathing after bee sting -I will give injection in upper arm -injection can be given through clothing -if I give injection, I will still take child to ER - answer✔✔A,B,D,E The nurse should consider which of the following client reports as an indication of an allergic reaction? 1. I cant eat broccoli or cabbage when I take warfarin 2. i get a headache when using my nitro patch 3. my feet swell when I take felodipine 4. my lips swell when I eat bananas or avocados - answer✔✔People with latex allergy usually have a cross -allergy to foods such as bananas, kiwis, avocados, tomatoes, peaches, and grapes because some proteins in rubber are similar to food proteins. The nurs e is assisting with procedural moderate sedation (conscious sedation) at a client's bedside. The unlicensed assistive personnel (UAP) comes to the door and indicates that the client in the next room needs the nurse right now. How should the nurse respond? 1. Ask the UAP to go back and ask the client what the current needs are 2. ask UAP to stay and take over while nurse goes to check on client in next room 3. tell UAP to inform client in next room nurse will be there shortly 4. Tell UAP to tell charge n urse about the needs of the client in next room - answer✔✔4. The nurse should never leave the client during the procedure. The best response is to have an available nurse (the charge nurse) go assess and deal with the needs of the client next door. What c an cause leakage of urine from an indwelling urinary catheter - answer✔✔Obstruction (eg, clots, sediment), kinking/compression of catheter tubing, bladder spasms, and improper catheter size can cause leakage of urine from the insertion site of an indwellin g urinary catheter. Common benign causes of transient proteinuria include - answer✔✔fever, strenuous exercise, and prolonged standing. A client with terminal cancer is prescribed fentanyl patches for pain management while receiving hospice care at home. Wh ich instructions related to this medication should the nurse provide? Select all that apply. 1. apply heating pad over patch to aid in drug absorption 2. cut patch in half before application if less medication is needed 3 fold used patch in half and imm ediately discard 4 place patch 1 inch fr the source of pain for maximal effectiveness 5 remove old patch when applying new one every 72 hr - answer✔✔C,D Transdermal patches should be applied to an area of flat, intact skin (eg, upper back, chest) to prevent accidental removal. The site should be clean, with little hair. Unlike transdermal patches, topical analgesic patches (eg, lidocaine, capsicum) deliver drug locally and are placed near the site of pain. Used patches must be folded and discarded immedi ately, as some medication remains in a used patch. Opioid medications must be stored and disposed of securely (eg, flushed down the toilet, discarded in a sharps container) as accidental exposure is potentially fatal for children, pets, and caregivers (Opt ion 3). do not apply heat as this accelerates absorption The nurse is changing the dressing, injection caps, and IV tubing of a client who is receiving total parenteral nutrition through a right peripherally inserted central venous catheter. The nurse