NCLEX/RN Questions and 100% CORRECT anwers,2024

ANSWEREpiglottitis - ANSWERFracture types - ANSWERImpetigo - ANSWERIntussusception - ANSWERLPN - ANSWERMénière's disease - ANSWERMyasthenia gravis - ANSWERPulmonary embolism - ANSWERSomatropin (Humatrope) - ANSWERThrombophlebitis - ANSWERThyroidectomy - ANSWERTransrectal ultrasound examination "Therapeutic community," has as its focus living, learning, or working environment. Provide safe, therapeutic environment. All treatment team members are viewed significant & valuable to client's successful treatment outcomes. - ANSWERMilieu therapy (Antihistamine)Side effect; drowsiness/sedation, blurred vision, hypertension & sometimes hypotension, dry mouth, constipation, urinary retention, & sweating - ANSWERBrompheniramine maleate (BroveX) (extension) posturing characterized: rigid extension & pronation of arms & legs. Abnormal extension upper extremities with internal rotation of upper arms & wrists & extension of lower extremities with some internal rotation. Indicates damage in diencephalon, midbrain, or pons - ANSWERDecerebrate posturing (Eyelid drooping) Sagging of upper lid of eye so that it covers part of pupil. It can be caused by edema, or it can be result of third cranial nerve disorders or neuromuscular disorders - ANSWERPtosis (flexion) posturing; Abnormal flexion of upper extremities & extension of lower extremities with possible plantar flexion of feet. Indicates lesion in cerebral hemisphere or disruption of the corticospinal tracts. - ANSWERDecorticate posturing (MAOI) Avoid foods high in tyramine. Ingestion of these foods could trigger potentially fatal hypertensive crisis. Foods to avoid include yogurt; aged cheeses; smoked or processed meats; red wines; fruits such as avocados, raisins, or figs. - ANSWERPhenelzine (Nardil); for depression (Non-invasive) *Range-of-motion (ROM) exercise *Cleaning a client's dentures *Ambulating a postoperative client *Taking vital signs on clients *Assist client with urinary drainage catheter into chair *A client needing a bed bath *A client needing to ambulate *A client requiring assistance with feeding *A client needing to use bedside commode *Providing distraction for client by engaging him/her in a board game *Client admitted dehydration on strict I&O *Client who requires turning every 2 hours *Confused older client who requires feeding *Client 4 days postoperative exploratory laparotomy require ambulation 4 times day *Measuring client's height & weight *Monitoring oral intake & urinary output - ANSWERUnlicensed assistive personnel (UAP) (Prone toe-in position) will promote internal rotation of hips, which will relax muscle, thereby making injection less painful. - ANSWERAdministering (IM) injection gluteal muscle, position to best relax the muscle. (Stye); application warm compresses 15 mins four times day & instillation ophthalmic antibiotic ointment for causative infectious organism & prevent spread infection surrounding lid glands. Warm compresses promote comfort & aid bringing purulent contents to head, causing rupture with drainage. - ANSWERHordeolum *Pregnancy avoided for 1-3 months. *Vaccine administered subcutaneous route.*Exposure immunosuppressed individuals avoided. *Hypersensitivity reaction can occur if client has allergy to eggs. - ANSWERRubella virus vaccine Postpartum 0.45% saline (½ NS) - ANSWERHypotonic solution 1 oz = 30 ml - ANSWERTotal intake Calculation 1. Assess unconsciousness. 2. Open the airway. 3. Look in mouth & remove object blocking airway if seen. 4. Attempt ventilation. 5. Perform abdominal thrusts. - ANSWERA nursing student is asked to describe the correct steps for performing abdominal thrusts on an unconscious adult. In order of priority, how should the nurse perform this technique? 1. Check compatibility phenytoin with IV solution. 2. Draw up medication in a 3-mL syringe. 3. Check client's identification (ID) bracelet. 4. Pinch off IV tubing above injection port. 5. Inject the medication. 6. Document medication was administered. - ANSWERPrescription administer phenytoin (Dilantin) by intravenous push (IVP) throughIV line infusing 1000 mL of 0.9% sodium chloride. Arrange actions in order 1. Check the client's blood glucose level. 2. Give the client ½ cup of fruit juice to drink 3. Take the client's vital signs. 4. Retest the blood glucose level. 5. Give small snack carbohydrate & protein. 6. Document complaints, actions taken, & outcome. - ANSWERHospitalized client type 1 diabetes mellitus received Humulin N & Humulin R insulin 2 hours ago at 7:30 am. Calls nurse & reports feeling hungry, shaky, & weak. Ate breakfast at 8 am & is due to eat lunch at noon. (order of actions) 1. Clamp intravenous (IV) catheter. 2. Position client left Trendelenburg's position. 3. Contact health care provider (HCP). 4. Administer oxygen. 5. Take the client's vital signs. 6. Document the occurrence. - ANSWERA nurse is monitoring a client receiving total parenteral nutrition (TPN). The client suddenly develops respiratory distress, dyspnea, and chest pain, and the nurse suspects air embolism. In order of priority, how should the nurse plan the actions to take? 1. Close the roller clamp on the IV tubing. 2. Spike the IV bag & half-fill drip chamber. 3. Open roller clamp & fill the tubing. 4. Uncap the distal end of the tubing 5. Attach distal end of the tubing to the client - ANSWERPrepares solution & IV tubing; Arrange actions in order 1. Explain the procedure to the client. 2. Apply pressure over ulnar & radial arteries 3. Ask open & close the hand repeatedly. 4. Release pressure from the ulnar artery. 5. Assess color extremity distal to pressure point. 6. Document the findings - ANSWERSteps in which order to conduct an Allen's test? Allens test; determines adequacy of ulnar circulation 1. Fill volume control container desired amount (IV) fluid by opening clamp between volume control container & main IV bag. 2. Close clamp & check to be sure clamp on air vent volume control container is open. 3. Clean injection port on top of volume control container with antiseptic swab 4. Remove needle cap & insert needleless syringe tip through port, then inject medication & label volume control container with name medication, dosage, total volume including diluents, & time of administration. 5. Regulate IV infusion rate to allow medication infuse in time recommended by institutional polic