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The National Council Licensure Examination (NCLEX-RN) is a standardized exam that is designed to test the knowledge, skills, and abilities of individuals who wish to practice as registered nurses in the United States. NCLEX-RN Exam is required for licensure by all 50 states in the US, as well as the District of Columbia and the US territories of Guam, the Northern Mariana Islands, and American Samoa.
NEW QUESTION # 665
A female client at 10 weeks' gestation complains to her physician of slight vaginal bleeding and mild cramps.
On examination, her physician determines that her cervix is closed. The client is exhibiting signs of:
Answer: A
Explanation:
Explanation
(A) An inevitable abortion includes the signs of cervical dilation and effacement as well as pain and bleeding.
(B) A threatened abortion is a condition in which intrauterine bleeding occurs early in pregnancy, the cervix remains undilated, and the uterine contents are not necessarily expelled. (C) An incomplete abortion occurs when some portions of the products of conception are expelled from the uterus. (D) A missed abortion occurs when the embryo dies in utero and is retained in the uterus.
NEW QUESTION # 666
A client develops an intestinal obstruction postoperatively. A nasogastric tube is attached to low, intermittent suction with orders to "Irrigate NG tube with sterile saline q1h and prn." The rationale for using sterile saline, as opposed to using sterile water to irrigate the NG tube is:
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) Water is a hypotonic solution and will deplete electrolytes and cause metabolic acidosis when used for nasogastric irrigation. (B) Irrigating with saline does not cause abdominal discomfort. Severe, colicky abdominal pain is a symptom of intestinal obstruction. (C) Irrigating with water will not cause restlessness or insomnia in the postoperative client. Restlessness and insomnia can be emotional complications of surgery. (D) A nasogastric tube placed in the stomach is used to decompress the bowel. Irrigating with saline ensures a patent, well-functioning tube. Irrigating with saline will not increase peristalsis.
NEW QUESTION # 667
Prior to administering digoxin to a client with congestive heart failure, the nurse needs to assess:
Answer: A
Explanation:
Explanation
(A) Respiratory rate is not directly affected by digoxin therapy. (B) A radial pulse is not as accurate as an apical pulse. Dysrhythmias may not be detected. (C) A radial pulse is not as accurate as an apical pulse, regardless of assessment time. (D) Apical pulse should be measured for 1-minute prior to digoxin administration. Digoxin decreases the heart rate. Digoxin should be withheld if apical rates are <60 bpm or
>120 bpm.
NEW QUESTION # 668
The most important goal in the care plan for a child who was hospitalized with an accidental overdose would be to:
Answer: A
Explanation:
(A) This goal is not the most important. (B) There is always some guilt when an accident occurs; however, the priority is to be sure future accidents are prevented. (C) Ipecac is not used for caustic alkali and acid ingestions. (D) Determining the parent's knowledge about safety hazards and teaching appropriate preventive measures are likely to prevent recurrence of accidents.
NEW QUESTION # 669
Discharge teaching for the client who has a total gastrectomy should include which of the following?
Answer: A
Explanation:
Explanation
(A) There will be no need to increase fluid intake excessively, because dumping syndrome could present a problem. (B) Followup visits every 3 weeks are not a standard recommendation. Follow-up visits will be highly individualized. (C) With removal of the stomach, intrinsic factor will no longer be produced. Intrinsic factor is necessary for vitamin B12 absorption. Parenteral injections of B12 will be needed on a monthly basis for the rest of the person's life. (D) Smaller, more frequent meals, rather than large, bulky meals, are recommended to prevent problems with dumping syndrome.
NEW QUESTION # 670
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