Saunders Comprehensive Review as The NCLEX-RN® Examination

Saunders Comprehensive Review as The NCLEX-RN® Examination Saunders Comprehensive Review as The NCLEX-RN® Examination 1. A client with a history of upper gastrointestinal bleeding has a platelet count of 300,000mm3 (300 × 109 /L). The nurse should take which action after seeing the laboratory results? 2. Report the abnormally low count. 3. Report the abnormally high count. 4. Place the client on bleeding precautions. 4. Place the normal report on the client's medical record. 2. The nurse is teaching a client who has iron deficiency anemia about foods she should include on the diet. The nurse determines that the client understands the dietary modifications if which items are selected from the menu? 1. Nuts and milk 2. Coffee and tea 3. Cooked rolled oats and fish 4. Oranges and dark green leafy vegetables 3. The nurse is planning to teach a client with malabsorption syndrome about the necessity of following a low-fat diet. The nurse develops a list of high-fat foods to avoidand should include which food items on the list? Select all that apply. 1. Oranges 2. Broccoli 3. Margarine 4. Cream cheese 5. Luncheon meats 6. Broiled haddock 4. A client with a gastric ulcer is scheduled as surgery. The client cannot sign the operative consent form because of sedation from opioid analgesics that have been administered. The nurse should take which most appropriate action on the care of thisclient? STUDYMAFIA 4. Obtain a telephone consent from a family member, following agencypolicy. 5. The nurse assesses a client's surgical incision as signs of infection. Which finding by thenurse would be interpreted as a normal finding at the surgical site? 1. Red, hard skin 2. Serous drainage 3. Purulent drainage 4. Warm, tender skin 6. A gastrectomy is performed on a client with gastric cancer. on the immediate postoperative period, the nurse notes bloody drainage from the nasogastric tube. The nurse should take which most appropriate action? 1. Measure abdominal girth. 2. Irrigate the nasogastric tube. 3. Continue to monitor the drainage. 4. Notify the primary health care provider (PHCP). 7. The nurse is teaching a client about the risk factors associated with colorectal cancer. The nurse determines that further teaching is necessary related to colorectal cancerif the client identifies which item as an associated risk factor? 1. Age younger than 50 years 2. History of colorectal polyps 3. Family history of colorectal cancer 4. Chronic inflammatory bowel disease 8. The nurse is assessing the perineal wound on a client who has returned from the operating room following an abdominal perineal resection and notes serosanguineous drainage from the wound. Which nursing intervention is most appropriate? 1. Clamp the surgical drain. 2. Change the dressing as prescribed. 3. Notify the surgeon. STUDYMAFIA 9. A client is diagnosed as having a intestinal tumor. The nurse should monitor the clientas which complications of this type of tumor? Select all that apply. 1. Flatulence 2. Peritonitis 3. Hemorrhage 4. Fistula formation 5. Bowel perforation 6. Lactose intolerance 10. The nurse is providing dietary teaching as a client with a diagnosis of chronic gastritis. The nurse instructs the client to include which foods rich on vitamin B12 on the diet? Select all that apply. 1. Nuts 2. Corn 3. Liver 4. Apples 5. Lentils 6. Bananas 11. The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitiswho is scheduled as surgery on 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. Which is the most appropriate nursing intervention? 1. Administer the prescribed pain medication. 2. Notify the primary health care provider (PHCP). 3. Call and ask the operating room team to perform surgery as soon aspossible. 4. Reposition the client and apply a heating pad on the warm setting t