NCLEX-HURST REVIEW PRACTICE TEST.

NCLEX-HURST REVIEW PRACTICE TEST. Normal absolute neutrophil count (ANC) /mm3 Sublingual doses of nitroglycerin can be repeated every _____ minutes. What time frame should the nurse expect the earliest onset of effectiveness? every 5 mins The drug would start to be effective before 5 minutes. 0:11 / 0:15 Brainpower Read More The homecare nurse is providing family teaching on safety issues for a client diagnosed with Parkinson's disease. What adaptations should the nurse instruct the family to initiate? 1. Install grab bars on tub walls. 2. Place nightlights in hallways. 3. Add bran and fiber to daily diet. 4. Remove scatter rugs or loose cords. 5. Keep bedroom dark, cool and quiet. 6. Put tennis balls on legs of walker. 1., 2., 3., 4., & 5. Correct: Parkinson's disease causes deterioration of the basal ganglia, ultimately impacting motor control and function. As muscles become stiff and rigid, mobility slows, resulting in poor coordination and loss of balance. Safety is a chief concern in all ADLs, requiring modifications in activity, nutrition, and the client's environment. Because Parkinson's disease affects mobility, modification such as grab bars and night lights are essential. Clients develop constipation because of decreased peristalsis, so adding bran and fiber can address impending bowel issues. Scatter, or throw, rugs along with loose extension cords on the floor create a fall risk because the client is unable to pick up feet during ambulation. The shuffling gait that develops increases the risk for falls. These clients also have problems with insomnia along with poor REM sleep, leading to daytime drowsiness. Making the bedroom conducive to sleep may help alleviate symptoms for a period of time. A dark, cool room with no distractions is the most appropriate sleep environment. 6. Incorrect: The proper method of utilizing a walker is to step into the walker, pause and then move it forward before stepping again. Even though clients with Parkinson's disease have a shuffling gait and stooped posture, sliding a walker with tennis balls on the walker legs presents a serious safety issue. The client would not have the ability to control the speed or hold the walker steady while stepping into it. When providing care to a client diagnosed with pheochromocytoma, which actions could the nurse safely delegate to the unlicensed nursing personnel (UAP)? 1. Explain the purpose of the vanillylmandelic acid test. 2. Remove caffeinated beverages from the client's meal tray. 3. Remind client not to smoke. 4. Instruct the client to limit activity. 5. Monitor hydration status. 2., & 3. Correct: The UAP can follow directions about removing items from a client's meal tray. The UAP can provide simple instruction reminders after the nurse has provided teaching.