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Exam (elaborations)

NCLEX RN Practice Test 60QuestionsAnd Answers 2022/2023

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The home care nurse instructs a client diagnosed with multiple sclerosis. The client states " I have poor concentration and difficulty pronouncing words". The nurse notes that the client's speech is slow and slurred. Which statement, if made by the client to the nurse, indicates further teaching is necessary? 1. "I will sit up straight when I talk and will feel confident." 2. "I will turn off the TV when speaking and look at the person with whom I am talking." 3. "During a conversation, I will carefully build up to my most important points." 4. "If words fail me, I will draw a picture." - Answer - 3) CORRECT— false statement for communicating with MS Care and handling for a gastrostomy tube - Answer - 1) gastrostomy insertion site should be covered with sterile bandage to reduce the risk of infection 2) only 4 hours of enteral feeding should be added to bag (not 8) to reduce the risk of bacterial contamination 3) CORRECT — the gastrostomy tube should be rotated 360 degrees once daily, to reduce the risk of skin irritation and breakdown 4) insertion of air is not recommended for gastrostomy tube placement assessment. 5) CORRECT — slight in-and-out movement of the gastrostomy tube indicates that its not embedded in the wall of stomach decreased dorsiflexion strength of the left extremity - Answer - Footdrop right-sided stroke with left-sided unilateral neglect syndrome - Answer - a stroke affecting the right parietal lobe of the brain can lead to neglect for the left side of the visual field S&S of Hypoglycemia - Answer - Cold/Clammy = Need Some Candy HE IS TIRED HEadache Irritable/Sweating Tachycardia (Tremor) Irritability Restlessness Excessive hunger Dizziness

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Institution
NCLEX RN Practice
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NCLEX RN Practice

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Uploaded on
October 11, 2022
Number of pages
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Written in
2022/2023
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Questions & answers

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