Newest /Hesi Comprehensive Review For NGN NCLEX-
RN Exam Preparation /Hesi Comprehensive Review
For NGN NCLEX-RN Practice Exam With Complete
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What types of procedures should be assigned to professional nurses? - answer-
Sterile or invasive procedures.
Negligence is measured by reasonableness. What question might the nurse ask
when determining such reasonableness? - answer-Would a reasonable and
prudent nurse act in the same manner under the same circumstances?
List the 4 elements that are necessary to prove negligence. - answer-Duty.
Failure to protect client again unreasonable risk. Breach of duty. Failure to
perform according to established standards. Causation. A connection exists
between conduct of the nurse and the resulting damage. Damages. Damage is
done to the client, physical or mental.
Define an intentional tort and five one example. - answer-Conduct causing
damage to another person in a willful or intentional way without just cause.
Example Hitting a client out of anger, not in a manner of self protection.
,Identify nursing/medical interventions that prevent postoperative paralytic
ileus. - answer-Early ambulation, limiting use of narcotic analgesics, and NG
tube decompression.
List four nursing interventions that prevent postoperative thrombophlebitits. -
answer-Teaching in bed leg exercises, encouraging early ambulation, applying
antiembolus stockings, teaching avoidance of positions and pressures that
obstruct venous flow.
During the intraoperative period, what activities should the OR nurse perform
to ensure safety during surgery? - answer-Ascertain correct sponge, needle,
and instrument count, position client to avoid injury, apply ground during
electrocautery use, apply strict use of surgical asepsis.
HIV clients with TB - answer-Requires respiratory isolation.
Identify the ways HIV is transmitted - answer-Blood and body fluids.
Unprotected sex, sharing needles, infected blood products, breast milk and
needle sticks.
Vertical transmission from mother to fetus occurs how often if the mother is
not treated during pregnancy? - answer-Vertical transmission occurs 30%-50%
of the time.
,What are the side effects of amphotericin B - answer-Anorexia, cramping
muscle, and joint pain, and circulatory problems. They can be quite severe.
What does the CD4 T-cell count describe? - answer-Describes the number of
infection-fighting lymphocytes the person has.
Why does the CD4 T-cell count drop in HIV infections? - answer-It drops
because the virus destroys CD-4 T-cells as it invades them and replicates.
Describe the ways a pediatric client might acquire HIV infection. - answer-
Pediatric acquisition may occur through infected blood products, through
sexual abuse and through breast milk.
What modalities are associated with the gate control pain theory? - answer-
Massage, heart and cold, acupuncture, and TENS.
How does past experience with pain influence current pain experience? -
answer-The more pain experienced in childhood, the greater is the perception
of pain in adulthood or with current pain.
What modalities are thought to increase the production of endogenous
opiates? - answer-Acupuncture, administration of placebos, and TENS.
What 6 factors should the nurse include when assessing the pain experience? -
answer-Location, intensity, comfort measures, quality, chronology, and
subjective view of pain.
, If narcotic agonist/antagonist drugs are administered to a client already taking
narcotic drugs, what may be the result? - answer-Initiation of withdrawal
symptoms.
List four side effects of narcotic medications. - answer-Nausea, vomiting,
constipation, CNS depression and respiratory depression.
What is the antidote fro narcotic-induced respiratory depression? - answer-
Narcan. naloxone
What is the first sign of tolerance to pain analgesics? - answer-Decreased
duration of drug effectiveness.
Which route of administration for pain medications has the quickest onset and
the shortest duration? - answer-IV push or bolus.
List the 6 modalities that are considered noninvasive, nonpharmacologic pain
relief measures. - answer-Heat and cold applications, TENS, massage,
distraction, relaxation techniques, and biofeedback techniques.
Identify the 5 stage of grief associated with dying. - answer-Denial, anger,
bargaining, depression, and acceptance.
A client has been told of a positive breast biopsy report. She asks no questions
and leaves the health care provider's office. She is overhead telling her
husband, "The doctor didn't find anything." What coping style is operating at
this stage of grief? - answer-Denial.