ACTUAL EXAM COMPLETE 150 QUESTIONS WITH
DETAILED VERIFIED ANSWERS AND RATIONALES
(100% CORRECT ANSWERS) /ALREADY GRADED A+
TheQnurseQisQpreparingQanQadultQclientQforQanQupperQgastrointestinalQ(UGI)Qseries.Q
WhichQinformationQshouldQtheQnurseQincludeQinQtheQteachingQplan?
TheQxrayQprocedureQmayQlastQforQseveralQhours.
AQnasogastricQtubeQ(NGT)QisQinsertedQtoQinstillQtheQbarium.
EnemasQareQgivenQtoQemptyQtheQbowelQafterQtheQprocedure.
NothingQbyQmouthQisQallowedQforQ6QtoQ8QhoursQbeforeQtheQstudy.Q-
Q answerNothingQbyQmouthQisQallowedQforQ6QtoQ8QhoursQbeforeQtheQstudy
rationale:QTheQclientQshouldQbeQNPO,QtoQincludeQsmokingQorQchewingQgumQforQatQl
eastQ6QhoursQbeforeQtheQUGIQstudy.
AQclientQwithQacuteQappendicitisQisQexperiencingQanxietyQandQlossQofQsleepQaboutQ
missingQfinalQexaminationQweekQatQcollege.QWhichQoutcomeQisQmostQimportantQforQ
theQnurseQtoQincludeQinQtheQplanQofQcare?
,SleepingQsixQtoQeightQhours.
AchieveQaQsenseQofQcontrol.
UtilizeQproblemQsolvingQskills.
IncreasedQfocusQofQattention.Q-
verallQoutcomeQofQthisQclient'sQnursingQcareQplan.
Q answerAchieveQaQsenseQofQcontrol
rationale:Q
TheQexperienceQofQpsychologicalQdiscomfortQmayQbeQasQrealQasQphysicalQpainQforQt
heQclientQandQshouldQbeQseenQasQaQpriorityQinQcare.QBecauseQtheQclientQisQexperien
cingQanxiety,QachievingQaQsenseQofQcontrolQisQtheQo
TheQnurseQisQcaringQforQaQclientQreceivingQtamoxifenQ(Nolvadex)QforQtheQtreatmentQ
ofQbreastQcancer.QWhichQactionQshouldQtheQnurseQincludeQinQtheQclient'sQplanQofQca
re?
IncreaseQfluidQintake.
MonitorQsodiumQchlorideQintake.
,AssistQtheQclientQinQcopingQwithQhotQflashes.
EncourageQmilkQproductsQtoQincreaseQcalciumQintake.Q-
Q answerAssistQtheQclientQinQcopingQwithQhotQflashes.
rationale:QTamoxifen,QanQestrogenQreceptorQblockingQagent,QcanQcauseQhotQflashe
s,QsoQclientQeducationQregardingQmenopausal-
likeQsymptomsQshouldQbeQincludedQinQtheQplanQofQcare.
TheQnurseQisQpreparingQaQteachingQplanQforQaQclientQwithQnewlyQdiagnosedQglacom
aQandQaQhistoryQofQallergicQrhinitis.QWhichQinformationQisQmostQimportantQforQtheQn
urseQtoQprovideQtheQclientQaboutQusingQover-the-
counterQ(OTC)QmedicationsQforQallergies?
NotifyQyourQhealthcareQproviderQifQthereQisQanQincreaseQinQheartQrate.
IncreaseQfluidQintakeQwhileQtakingQanQantihistamineQorQdecongestant.
AvoidQallergyQmedicationsQthatQcontainQpseudoephedrineQorQphenylephrine.
OphthalmicQlubricatingQdropsQmayQbeQusedQforQeyeQdrynessQdueQtoQallergyQmedic
ations.Q-
, Q answerAvoidQallergyQmedicationsQthatQcontainQpseudoephedrineQorQphenylephrin
e.
rationale:
OTCQallergyQmedicationsQmayQcontainQephedrine,Qphenylephrine,QorQpseudoephed
rine,QwhichQcanQcauseQadrenergicQsideQeffects,QsuchQasQincreasedQintraocularQpre
ssure,QsoQaQclientQwithQglaucomaQshouldQavoidQusingQtheseQOTCQmedications.
TheQnurseQisQcaringQforQaQclientQwhoQisQtwoQdaysQpostoperative.QWhichQobservatio
nQshouldQalertQtheQnurseQtoQcallQtheQRapidQResponseQTeamQ(RRT)?
FreshQbleedingQnotedQonQabdominalQsurgicalQwoundQdressing.
PulseQchangeQfromQ85Qto160Qbeats/minuteQlastingQmoreQthanQ10Qminutes.
TemperatureQofQ103.1QFQandQwhiteQbloodQcellQ(WBC)QcountQofQ16,000Qmm3.
Weakness,Qdiaphoresis,QcomplaintsQofQfeelingQfaint.QBPQ100/56QmmQHg.Q-
Q answerPulseQchangeQfromQ85Qto160Qbeats/minuteQlastingQmoreQthanQ10Qminutes.
rationale:Q