Science Medicine Nursing
NCLEX-PN FUNDAMENTALS of CARE
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Arterial blood gases (ABGs) are obtained Respiratory alkalosis
on a client with pneumonia. The ABG
results are pH, 7.50; Pco2, 30 mm Hg; Rationale:Normal pH is 7.35 to 7.45. Normal Pco2 is 35 to 45 mm Hg. Remember that
HCO3-, 20 mEq/L; and Po2, 75 mm Hg. The when a respiratory condition exists, an opposite effect will be found between the pH
nurse interprets these results and and the Pco2. In respiratory alkalosis, the pH will be elevated and the Pco2 level
determines that which acid-base condition decreased.
exists?
A bone marrow aspiration is scheduled for The site will be cleansed thoroughly with an antiseptic and allowed to air dry before
a client suspected of having leukemia. the procedure.
What intervention does the nurse anticipate
will be done to protect the aspiration site
and client from becoming infected?
See an expert-written answer!
A caregiver of a client with an advanced 1 Wash soiled clothes in hot water.
case of acquired immune deficiency 2 Use gloves when handling body fluids.
syndrome (AIDS) asks the nurse to review 3 Soak cleaning rags, sponges and mops in a 1:10 bleach solution for 5 minutes.
instructions in order to take care of the
client. Which instructions would be
appropriate for the nurse to reinforce?
Select all that apply.
, 1.030
A client has been diagnosed as having
syndrome of inappropriate antidiuretic Rationale:The normal range for urine specific gravity, the comparison of urine
hormone (SIADH) secretion following concentration to water is from 1.016 to 1.022. Elevations may occur with SIADH
cranial surgery. The nurse interprets that because the kidneys are stimulated to reabsorb water, thus causing a higher
this complication is not resolving if which concentration of the urine. The client retains water in the circulating blood volume
urine specific gravity measurement is leading to hyponatremia and low sodium levels, which cause decreased mental
obtained? alertness and functioning. Specific gravities of 1.016, 1.018, and 1.020 are all within the
normal range.
See an expert-written answer!
A client has just returned to a nursing unit Supine, with the residual limb supported with pillows
after an above-knee amputation of the
right leg. The nurse should plan to place
the client in which position?
A client who had knee surgery 4 days ago 1 "What have you been eating and drinking since the surgery?"
reports to the home health nurse that he
has not had a bowel movement since 2 "Have you been experiencing any urge to move your bowels?"
before the surgery. Which questions would
assist the nurse in the collection of data 3 "What kind and how often have you been taking medications for pain?"
regarding the client's problem? Select all
that apply.
A client with a diagnosis of tonic-clonic 1 Restraints
seizures is being admitted to the hospital, 2 Padded tongue blade
and the nurse needs to institute seizure
precautions. During a seizure, which items
are inappropriate to use and could cause
harm to the client? Select all that apply.
A client with a history of seizure disorder is 15 mcg/mL
having a routine serum phenytoin level
drawn. The nurse who receives a telephone
report of the results notes that the client's
blood level of the medication is within the
normal range if which value is reported?
A client with ascites is scheduled for a Upright
paracentesis. The nurse is assisting the
primary health care provider (PHCP) with Rationale:An upright position allows the intestine to float posteriorly and helps
performing the procedure. Which position prevent intestinal laceration during catheter insertion. Options 1, 3, and 4 are
should the nurse assist the client into for incorrect positions.
this procedure?
See an expert-written answer!
A client with new onset migraine 1 Verapamil
headaches is being seen in the clinic. The
client has a history of hypotension and 2 Propranolol
diabetes mellitus. The nurse understands
the client is at risk for cardiac side effects if 3Sumatriptan
the primary health care provider prescribes
which medications? Select all that apply.
NCLEX-PN FUNDAMENTALS of CARE
Save
Students also studied
Flashcard sets Study guides Practice tests
Comprehensive Nursing Health Ass... Chapter 55: Assessment of Integum... Nursing interventions Anxiety (Seve... Nursing
67 terms Teacher 30 terms 8 terms 5 terms
rachel_hafer41 Preview abelen12 Preview samuelemail Preview quiz
Arterial blood gases (ABGs) are obtained Respiratory alkalosis
on a client with pneumonia. The ABG
results are pH, 7.50; Pco2, 30 mm Hg; Rationale:Normal pH is 7.35 to 7.45. Normal Pco2 is 35 to 45 mm Hg. Remember that
HCO3-, 20 mEq/L; and Po2, 75 mm Hg. The when a respiratory condition exists, an opposite effect will be found between the pH
nurse interprets these results and and the Pco2. In respiratory alkalosis, the pH will be elevated and the Pco2 level
determines that which acid-base condition decreased.
exists?
A bone marrow aspiration is scheduled for The site will be cleansed thoroughly with an antiseptic and allowed to air dry before
a client suspected of having leukemia. the procedure.
What intervention does the nurse anticipate
will be done to protect the aspiration site
and client from becoming infected?
See an expert-written answer!
A caregiver of a client with an advanced 1 Wash soiled clothes in hot water.
case of acquired immune deficiency 2 Use gloves when handling body fluids.
syndrome (AIDS) asks the nurse to review 3 Soak cleaning rags, sponges and mops in a 1:10 bleach solution for 5 minutes.
instructions in order to take care of the
client. Which instructions would be
appropriate for the nurse to reinforce?
Select all that apply.
, 1.030
A client has been diagnosed as having
syndrome of inappropriate antidiuretic Rationale:The normal range for urine specific gravity, the comparison of urine
hormone (SIADH) secretion following concentration to water is from 1.016 to 1.022. Elevations may occur with SIADH
cranial surgery. The nurse interprets that because the kidneys are stimulated to reabsorb water, thus causing a higher
this complication is not resolving if which concentration of the urine. The client retains water in the circulating blood volume
urine specific gravity measurement is leading to hyponatremia and low sodium levels, which cause decreased mental
obtained? alertness and functioning. Specific gravities of 1.016, 1.018, and 1.020 are all within the
normal range.
See an expert-written answer!
A client has just returned to a nursing unit Supine, with the residual limb supported with pillows
after an above-knee amputation of the
right leg. The nurse should plan to place
the client in which position?
A client who had knee surgery 4 days ago 1 "What have you been eating and drinking since the surgery?"
reports to the home health nurse that he
has not had a bowel movement since 2 "Have you been experiencing any urge to move your bowels?"
before the surgery. Which questions would
assist the nurse in the collection of data 3 "What kind and how often have you been taking medications for pain?"
regarding the client's problem? Select all
that apply.
A client with a diagnosis of tonic-clonic 1 Restraints
seizures is being admitted to the hospital, 2 Padded tongue blade
and the nurse needs to institute seizure
precautions. During a seizure, which items
are inappropriate to use and could cause
harm to the client? Select all that apply.
A client with a history of seizure disorder is 15 mcg/mL
having a routine serum phenytoin level
drawn. The nurse who receives a telephone
report of the results notes that the client's
blood level of the medication is within the
normal range if which value is reported?
A client with ascites is scheduled for a Upright
paracentesis. The nurse is assisting the
primary health care provider (PHCP) with Rationale:An upright position allows the intestine to float posteriorly and helps
performing the procedure. Which position prevent intestinal laceration during catheter insertion. Options 1, 3, and 4 are
should the nurse assist the client into for incorrect positions.
this procedure?
See an expert-written answer!
A client with new onset migraine 1 Verapamil
headaches is being seen in the clinic. The
client has a history of hypotension and 2 Propranolol
diabetes mellitus. The nurse understands
the client is at risk for cardiac side effects if 3Sumatriptan
the primary health care provider prescribes
which medications? Select all that apply.
