NCLEX-RN questions & answers 2024/2025

NCLEX-RN A client in a hospice program has increasing pain, and the nurse is collaborating with the client to make a pain management plan. Which plan will be most effective for the client? administering doses of analgesic when pain is a "5" on a scale of 1 to 10. providing enough analgesia to keep the client semi-somnolent allowing an analgesia-free period so that the client can carry out daily hygienic activities. administering pain medications over a 24-hour period - correct answer The desired outcome for management of pain is that the client's or family's subjective report of pain is acceptable and documented using a pain scale; the goal is that behavioral and physiologic indicators of pain are absent around the clock. The nurse and client/family should develop a systematic approach to pain management using information gathered from history and a hierarchy of pain measurement. Pain should be assessed at frequent intervals. The client should not wait to receive medication until the pain is midpoint on the pain scale, nor should the client receive so much pain medication that he or she is not alert. Continuous pain relief is the goal, not just during particular periods during the day. The nurse is instructing a client who has had an ileostomy about the diet following surgery. The nurse should tell the client: "Limit your fluids to 1,000 mL/day." "Chew your food thoroughly." "There is no need to monitor your diet." "Six small meals a day will prevent abdominal distention." - correct answer The client is instructed to chew food well to aid digestion and prevent obstruction.The client should maintain an adequate fluid intake.The client is usually placed on a regular diet but is encouraged to eat high-fiber, high-cellulose foods (e.g., nuts, popcorn, corn, peas, tomatoes) with caution; these foods may swell in the intestine and cause an obstruction.Eating six small meals a day is not necessary. A client with a history of posttraumatic stress is panting and breathing heavily while shouting out some strange words. The nurse reviews the nursing assessment and understands that the client is practicing a form of relaxation called power breathing. The best action for the nurse to take is to: monitor the client for respiratory difficulties. contact the health care provider for a psychiatric consult. allow privacy, but check on the client frequently.