nclex pass point set 7 study verified questions and answers

Refrain from driving a car for 6 weeks. Alternate rest and activity. Make an appointment for the staples to be removed. Report early signs of infection. -ANSWER- Report early signs of infection. Explanation: Clients who have had a splenectomy are especially prone to infection. The reduction of immunoglobulin M leaves the client especially at risk for immunologic deficiency infections. All clients who have had major abdominal surgery usually receive discharge instructions not to drive because the stomach muscles are not strong enough to brake hard or quickly after the abdominal muscles have been separated. All clients need to pace activity and rest when going home after major surgery. Rest and sleep allow the growth hormone to repair the tissue, and activity allows the energy and strength to build endurance and muscle strength. An appointment is usually made to see the surgeon in the office 1 week after discharge for follow-up and to remove sutures or staples if this has not already been done. A nurse is caring for an infant who requires intravenous therapy. The nurse notes that the only available IV pump is in a toddler's room. In which order should the nurse complete the following actions?1. Remove pump from toddler's room.2. Clean the pump.3. Take pump into infant's room.4. Use the pump. 1, 2, 3, 4 1, 3, 2, 4 2, 1, 3, 4 2, 3, 1, 4 -ANSWER- 1, 2, 3, 4 Explanation: Properly cleaning the monitoring equipment is the correct infection control process. Best practices would include removing the pump from the toddler's room, cleaning the pump, taking the pump into the infant's room, and using the pump. What action should the nurse take first when a client is coughing up pink, frothy sputum? Place the client in high-Fowlers position Plan to administer a diuretic Start an IV line Apply supplemental oxygen -ANSWER- Place the client in high-Fowlers position Explanation: Production of pink, frothy sputum is a classic sign of acute pulmonary edema. Pulmonary edema requires immediate emergency treatment. The priority action is to place the client placed in high-Fowler's position to facilitate air exchange and improve oxygenation. After positioning the client, application of supplemental oxygen, IV access, and drug therapy can be performed. The goal of treatment is to reduce the amount of fluid in the lungs, improve gas exchange and heart function, and, if possible, correct the underlying disease. Because this client is at high risk for decompensation, the nurse should call for help without leaving the room. After an eye examination, a client is diagnosed with open-angle glaucoma. The physician orders pilocarpine ophthalmic solution, 0.25% gtt i, OU q.i.d. Based on this prescription, the nurse should teach the client or a family member to administer the drug by instilling one drop of pilocarpine 0.25% into both eyes daily. instilling one drop of pilocarpine 0.25% into both eyes four times daily. instilling one drop of pilocarpine 0.25% into the right eye daily. instilling one drop of pilocarpine 0.25% into the left eye four times daily. -ANSWER- instilling one drop of pilocarpine 0.25% into both eyes four times daily. Explanation: The abbreviation "gtt" stands for drop, "i" is the apothecary symbol for the number 1, "OU" signifies both eyes, and "q.i.d." means four times per day. Therefore, one drop of pilocarpine 0.25% should be instilled into both eyes four times daily.