NCLEX DEC FILE 1

NCLEX DEC FILE 1 1. How to prevent a renal calculi? limit tea and chocolate 2. If a patient is in F-vib what medication to give? Adenosine 3. A nurse is caring for a patient and is unable to palpate a pedal pulse. What should the nurse do next? Obtain a doppler 4. A client with a history of COPD has established a walking program. How do we know that walking is effective? Cardiovascular improvement 5. A client complains of pain in the right calf. What is the nurse's priority? Remain in bed 6. A client just returned after having a TURP and has clot. What should the nurse do? slowly irrigate 7. What's Priority for a client with Multiple Scerolosis and has urinary rention? Self cathetherization 8. The nurse is monitoring drainainge of an abscess. What lab should the nurse monitor? WBCs 9. What intervetion the nurse shoudl implement for a patient with Congestive Heart Failure? Use bedside commode when needing to void 10.What intervention should be done for post op cataract extraction? implement deep breathing 11. A client is discharged on Prednisolone. What should the patient report? Wt gain 12. A client is diagnosed with Pyelinephritis. What is priority? IV antibiotics 13. What is a diet for Osteomalacia? Milk and cereal 14. What should the nurse instruct a client who has Raynuads Syndrome to do at work? Use space heater 15. What to teach a client with GERD? Wear loose clothing 16. How should a client with COPD breath? Pursed lips 17. A client presents with the s/s of Diabetes type 2 and feeling shaky. What is the nurse priority? Obtain glucose level 18. What should the HCP order for a client with Hypothyroidism who has depression and can not sleep? Request PRN... 19. What should a client with Ulcerative Colitis report? Stool with fatty streaks 20.A nurse is monitoring a client who is receiving parenteral nutrition (PN). Which of the following signs and symptoms causes the nurse to suspect that the client is experiencing hyperglycemia as a complication? a. Nausea, thirst, and increased urine output . 21. At 1600 the nurse checks a client’s parenteral nutrition (PN) infusion bag and finds 1100 mL remaining in the 3000-mL bag. The solution is running at a rate of 100 mL/hr. The bag was hung the previous day at 1800. The nurse plans to change the infusion bag and tubing this evening at: a) 1800 . 23. A nurse answers a call bell and finds that the parenteral nutrition (PN) solution bag of an assigned client is empty. The new prescription was written for a new bag at the beginning of the shift, but it has not yet arrived from the pharmacy. Which of the following actions should the nurse take first? a) Hanging a solution of 10% dextrose in water . 24.A young female client with schizophrenia says to the nurse, “Since I started on Zyprexa [olanzapine] last year, I’m doing well in school and all, but I’ve gained so much weight, and it’s really bothering me. What can I do about this?” Which response by the nurse would be therapeutic? a) “Weight gain can be a side effect of the medication, so you need to watch your diet and exercise. How much weight have you gained?” . 25.A client with schizophrenia has been taking an antipsychotic medication for 2 months. For which adverse effect should the nurse monitor the client closely? a) Akathisia . 26.A client with schizophrenia who has been taking an antipsychotic medication calls the clinic nurse and says, “I need to cancel my appointment with the psychiatrist again, because I still have this awful sore throat. It’s so bad that my mouth has a sore.” How does the nurse respond to the