NCLEX: Fundamentals of Nursing questions with 100% correct answers

NCLEX: Fundamentals of NursingHow often do you need to remove and assess restraints? - correct answer every 2 hours What do you do to a patient that has a seizure sitting or standing? - correct answer ease to floor and protect head what do you do to a patient that has a seizure in bed? - correct answer put side rails up and pad RACE definition - correct answer Rescue, Alarm, Contain, Extinguish PASS definition - correct answer Pull, Aim, Squeeze, Sweep when moving client from bed to chair or chair to bed what side do you move towards?: - correct answer strong side HOB at 30 Use: Gastric feedings, head injury, postop cranial surgery, resp illness with dyspnea, postop cataract removal, ICP - correct answer Semi-Fowlers HOB at 45 Use: head injury, postop cranial surgery, postop abdominal surgery, resp illness or cardiac probs with dyspnea, bleeding esophageal varices, postop thyroidectomy, cataract removal, ICP - correct answer Fowlers HOB at 90 Use: Resp illness with dyspnea, emphysema, status asthmaticus, pneumothorax, cardiac probs with dyspnea, feeding, meal times, hiatal hernia, during and after meals - correct answer High-Fowlers Lying on back, head, and shoulders; slightly elevated with small pillow