19th Edition Comprehensive NCLEX-RN Review

A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. The client threatened suicide to a teacher at school. Which of the following statements should the nurse include in the assessment? a)Tell me about your siblings? B)Tell me what kind of music you like? c) Tell me how often do you drink alcohol? d) Tell me about your school schedule? - Tell me how often do you drink alcohol A nurse is observing bonding to the client her newborn. Which of the following actions by the client requires the nurse to intervene? A- Holding the new born in an en face position b- asking the father to change the newborns diaper c- requesting the nurse to take the newborn nursery so she can rest d- Viewing the newborns actions to be uncooperative - Viewing the newborns actions to be uncooperative A nurse is caring for a client who is taking levothyroxine. Which of the following findings should indicate that the medication is effective? A- Weight loss b- Asking the father to change the newborns diaper c- absence of seizures d- Decrease inflammation - Weightloss this drug acts as T4 and will normalize the effects of hypothyroidism A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in the teaching? A- contact the provider if the cord still turns black b- clean the base of the cord with hydrogen peroxide daily c- Keep the cord dry unitl it falls off d- The cord stump will fall off in five days - Keep the cord dry until it falls off (cord should be kept clean and dry to prevent infection, it will turn black, clean with neutral ph cleanser, cord falls off in 10-14 days) A nurse is assessing a client in PACU. Which of the following findings indicates decreased cardiac output? A- Shivering b- oliguria c- Bradypnea d- Constricted pupils - Oliguria