Saunders Comprehensive NCLEX-RN review
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1. The nurse is caring for Engaging in immoral acts
a client with anorex- Always reinforcing self-approval
ia nervosa. Which be- Observing rigid rules and regulations
havior is characteris- Having the need always to make the right decision
tic of this disorder and
reflects anxiety man- Clients with anorexia nervosa have the desire to please others. Their need
agement? to be correct or perfect interferes with rational decision-making processes.
These clients are moralistic. Rules and rituals help these clients manage their
anxiety.
Focus on the subject, managing anxiety. Eliminate options 2 and 4 because
of the closed-ended word "always." Option 1 is not characteristic of a client
with anorexia.
2. The nurse provides "Iron supplements will give me diarrhea."
instructions to a "Meat does not provide iron and should be avoided."
malnourished preg- "The iron is best absorbed if taken on an empty stomach."
nant client regard- "On the days that I eat green leafy vegetables or calf liver I can omit taking
ing iron supplemen- the iron supplement."
tation. Which client
statement indicates Iron is needed to allow for transfer of adequate iron to the fetus and to
an understanding of permit expansion of the maternal red blood cell mass. During pregnancy,
the instructions? the relative excess of plasma causes a decrease in the hemoglobin concen-
tration and hematocrit, known as physiological anemia of pregnancy. This is
a normal adaptation during pregnancy. Iron is best absorbed if taken on an
empty stomach. Taking it with a fluid high in ascorbic acid such as tomato
juice enhances absorption. Iron supplements usually cause constipation.
Meats are an excellent source of iron. The client needs to take the iron
supplements regardless of food intake.
Note the subject, iron supplementation during pregnancy. Focus on the
words understanding of the instructions. Knowledge of basic principles
, Saunders Comprehensive NCLEX-RN review
Study online at https://quizlet.com/_cxcqsg
related to nutrition during pregnancy will assist in eliminating options 2 and
4. From the remaining options, remember that iron causes constipation.
3. Levothyroxine is pre- A decreased dosage of levothyroxine
scribed for a client An increased dosage of levothyroxine
diagnosed with hy- A decreased dosage of warfarin sodium
pothyroidism. Upon An increased dosage of warfarin sodium
review of the client's
record, the nurse Levothyroxine accelerates the degradation of vitamin K-dependent clotting
notes that the client factors. As a result, the effects of warfarin are enhanced. If thyroid hormone
is taking warfarin. replacement therapy is instituted in a client who has been taking warfarin,
Which modification to the dosage of warfarin would be reduced.
the plan of care would
Focus on the subject, the use of levothyroxine concurrently with warfarin.
the nurse review with
Recalling that levothyroxine enhances the effects of warfarin will direct you
the client's primary
to the correct option.
health care provider?
4. The nurse is teach- Sitting up and leaning on a table
ing a client with em- Standing and leaning against a wall
physema about posi- Lying supine with the feet elevated
tions that help breath- Sitting up with the elbows resting on knees
ing during dyspneic Lying on the back in a low-Fowler's position
episodes. The nurse
instructs the client The client would use the positions outlined in options 1, 2, and 4. These
that which positions allow for maximal chest expansion. The client would not lie on the back
alleviate dyspnea? Se- because this reduces movement of a large area of the client's chest wall.
lect all that apply. Sitting is better than standing, whenever possible. If no chair is available,
leaning against a wall while standing allows accessory muscles to be used
for breathing and not posture control.
Focus on the subject, the positions that could alleviate dyspnea. Remember
Study online at https://quizlet.com/_cxcqsg
1. The nurse is caring for Engaging in immoral acts
a client with anorex- Always reinforcing self-approval
ia nervosa. Which be- Observing rigid rules and regulations
havior is characteris- Having the need always to make the right decision
tic of this disorder and
reflects anxiety man- Clients with anorexia nervosa have the desire to please others. Their need
agement? to be correct or perfect interferes with rational decision-making processes.
These clients are moralistic. Rules and rituals help these clients manage their
anxiety.
Focus on the subject, managing anxiety. Eliminate options 2 and 4 because
of the closed-ended word "always." Option 1 is not characteristic of a client
with anorexia.
2. The nurse provides "Iron supplements will give me diarrhea."
instructions to a "Meat does not provide iron and should be avoided."
malnourished preg- "The iron is best absorbed if taken on an empty stomach."
nant client regard- "On the days that I eat green leafy vegetables or calf liver I can omit taking
ing iron supplemen- the iron supplement."
tation. Which client
statement indicates Iron is needed to allow for transfer of adequate iron to the fetus and to
an understanding of permit expansion of the maternal red blood cell mass. During pregnancy,
the instructions? the relative excess of plasma causes a decrease in the hemoglobin concen-
tration and hematocrit, known as physiological anemia of pregnancy. This is
a normal adaptation during pregnancy. Iron is best absorbed if taken on an
empty stomach. Taking it with a fluid high in ascorbic acid such as tomato
juice enhances absorption. Iron supplements usually cause constipation.
Meats are an excellent source of iron. The client needs to take the iron
supplements regardless of food intake.
Note the subject, iron supplementation during pregnancy. Focus on the
words understanding of the instructions. Knowledge of basic principles
, Saunders Comprehensive NCLEX-RN review
Study online at https://quizlet.com/_cxcqsg
related to nutrition during pregnancy will assist in eliminating options 2 and
4. From the remaining options, remember that iron causes constipation.
3. Levothyroxine is pre- A decreased dosage of levothyroxine
scribed for a client An increased dosage of levothyroxine
diagnosed with hy- A decreased dosage of warfarin sodium
pothyroidism. Upon An increased dosage of warfarin sodium
review of the client's
record, the nurse Levothyroxine accelerates the degradation of vitamin K-dependent clotting
notes that the client factors. As a result, the effects of warfarin are enhanced. If thyroid hormone
is taking warfarin. replacement therapy is instituted in a client who has been taking warfarin,
Which modification to the dosage of warfarin would be reduced.
the plan of care would
Focus on the subject, the use of levothyroxine concurrently with warfarin.
the nurse review with
Recalling that levothyroxine enhances the effects of warfarin will direct you
the client's primary
to the correct option.
health care provider?
4. The nurse is teach- Sitting up and leaning on a table
ing a client with em- Standing and leaning against a wall
physema about posi- Lying supine with the feet elevated
tions that help breath- Sitting up with the elbows resting on knees
ing during dyspneic Lying on the back in a low-Fowler's position
episodes. The nurse
instructs the client The client would use the positions outlined in options 1, 2, and 4. These
that which positions allow for maximal chest expansion. The client would not lie on the back
alleviate dyspnea? Se- because this reduces movement of a large area of the client's chest wall.
lect all that apply. Sitting is better than standing, whenever possible. If no chair is available,
leaning against a wall while standing allows accessory muscles to be used
for breathing and not posture control.
Focus on the subject, the positions that could alleviate dyspnea. Remember
