MANAGEMENT OF CARE NCLEX EXAM NEWEST ACTUAL EXAM COMPLETE 160 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+.pdf

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NCLEX MANAGEMENT OF CARE EXAM QUESTIONS WITH CO
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RRECT ANSWERS n




A 13 year old, found unresponsive in the park, is brought into the emerge
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ncy department. The nurse sees a medical alert bracelet stating "Diabetic
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", and notes a fruity smell to the breath. There are no family members ava
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ilable to obtain consent for treatment and an attempt to call them has be
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en unsuccessful. What action should the nurse take?
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1. Obtain consent from the social worker on duty in the emergency depar
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tment.


2. Begin treatment by inserting two large bore IVs of Normal Saline.
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3. Give glucogon IM and wait for the arrival of a parent to consent to furth
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er treatment.
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4. Withhold treatment until a parent arrives to the emergency departme
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nt. ANS: 2. Begin treatment by inserting two large bore IVs of Normal
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Saline.


(2. Correct: In emergencies, if it is impossible to obtain consent from the
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client or an authorized person, a health care provider may perform a pro
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cedure required to benefit the client or save a life without liability for fail
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ure to obtain consent. In such cases the law assumes that the client woul
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d wish to be treated. Begin treatment for diabetic ketoacidosis (DKA).
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1. Incorrect: Consent for a minor is not needed in the event of an emerge
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ncy. The social worker does not give consent in this situation.
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3. Incorrect: This client is exhibiting signs of DKA, so glucagon is not nee
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ded. Emergency treatment can be provided without parental consent.
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4. Incorrect: Consent for a minor is not needed in the event of an emerge
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ncy. This is an emergency, so begin treatment for DKA.)
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A 70 year old client was admitted to the vascular surgery unit during the
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night shift with chronic hypertension. At 0830, the unlicensed nursing as
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sistant (UAP) reports that the client's BP is 198/94. What would be the b
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est action for the charge nurse to delegate at this time?
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1. Ask the UAP to put the client back in bed immediately.
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2. Tell the UAP to take the BP in the opposite arm in 15 minutes.
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3. Have the LPN/LVN administer the 0900 furosemide and enalapril now.
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4. Ask the LPN/LVN to assess the client for pain. ANS: 3. Have the LPN
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/LVN administer the 0900 furosemide and enalapril now.
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(3. Correct: The nurse should recognize the need for measures to reduce
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the blood pressure. Administering the client's blood pressure medicine i
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s aimed at correcting the problem. It is appropriate to administer the me
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dications at this time in relation to the time that the next dose is due.
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1., 2., & 4. Incorrect: This is an appropriate action, but does not address t
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he problem of lowering the client's blood pressure.)
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A case manager is assessing an unresponsive client diagnosed with termi
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nal hepatic encephalopathy for equipment needs upon discharge home f
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or hospice care. Which equipment should the case manager obtain for thi
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s client?
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Select all that apply. n n n




1. Alternating pressure mattress
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2. Hospital bed
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3. Walker
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4. Suction equipment
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5. Oxygen
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2. Hospital bed
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4. Suction equipment
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5. Oxygen
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(1., 2., 4., & 5. Correct: An alternating pressure mattress will help to preve
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nt pressure ulcers. The risk of respiratory compromise increases as the n
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eurologic status deteriorates. A hospital bed is needed so that the head of
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nthe client's bed can be elevated to 30 degrees to ease respirations and de
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crease the work of breathing. The client with hepatic encephalopathy is u
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nresponsive due to accumulation of toxins and may need suctioning if un
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able to clear secretions from the oropharynx. Hepatic encephalopathy fre
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quently has associated bleeding varices. The increasing ascites leads to h
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ypovolemia. Both of these conditions can result in hypoxemia for the clie
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nt at the end stages of liver disease; therefore, oxygen therapy is provide
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d.


3. Incorrect: As hepatic encephalopathy progresses and toxins accumulat
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e, the client lapses into a coma. Therefore, the unresponsive client will no
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t be ambulatory and would not need a walker.)
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A case manager is assessing an unresponsive client diagnosed with termi
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nal hepatic encephalopathy to determine equipment needs upon dischar
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ge to home for hospice care. Which equipment should the case manager
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obtain for this client? n n n




Select all that apply. n n n




1. Alternating pressure mattress
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2. Hospital bed
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3. Walker
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4. Suction equipment
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5. Oxygen
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2. Hospital bed
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