- Details
- Category: NCLEX CAT
1. A client has paraplegia as a result of a motorcycle accident. What is the reason the nursing care plan should include turning the client every 1 to 2 hours?
2. What should the nurse do to control edema of the residual limb 1 week after a client has an above-the-knee amputation?
3. A client who had a total hip replacement asks the nurse about the continuous regional analgesia being used. What information should the nurse include when explaining the benefits of this treatment over conventional methods to control pain?
4. A health care provider orders the application of warm compresses for a client with arthritis. What is the appropriate temperature range for the compresses that the nurse applies?
5. Which position should a nurse avoid placing a client who had surgery for a total hip replacement?
- Details
- Category: NCLEX CAT
1. What should the nurse do to obtain an accurate urine output for a client with a continuous bladder irrigation (CBI)?
2. A pathology report states that a client’s urinary calculus is composed of uric acid. Which should the nurse instruct the client to avoid?
3. A client with cancer of the prostate requests the urinal at frequent intervals but either does not void or voids in very small amounts. What does the nurse conclude is most likely the causative factor?
4. A nurse is counseling a woman who had recurrent urinary tract infections. What factor should the nurse explain is the reason why women are at a greater risk than men for contracting a urinary tract infection?
5. A client in a nursing home is diagnosed with urethritis. What should the nurse plan to do before initiating antibiotic therapy prescribed by the health care provider?
- Details
- Category: NCLEX CAT
1. A nurse is caring for a client who had Clostridium welchii(Clostridium perfringens) cultured from a wound of the lower extremity. Which disease results when this organism enters a wound, causing crepitus?
2. A client with a history of arthritis has an acute episode of right ventricular heart failure and is receiving furosemide (Lasix). The health care provider lowers the client’s usual dosage of aspirin. The client asks the nurse the reason for the lower dose. What is the nurse’s best response?
3. What should the nurse expect the health care provider to prescribe if a client exhibits clinical indicators of warfarin (Coumadin) overdose?
4. A nurse in a public health clinic is teaching clients how to prevent toxoplasmosis. What should the nurse instruct the clients to avoid?
5. In the postanesthesia care unit it is reported that the client received intrathecal morphine intraoperatively to control pain. Considering the administration of this medication, what should the nurse include as part of the client’s initial 24-hour postoperative care?
- Details
- Category: NCLEX CAT
1. What should the nurse monitor to evaluate the effectiveness of carbamazepine (Tegretol) in the management of a client’s trigeminal neuralgia?
2. A nurse is planning care for a client with cancer who is receiving the plant alkaloid vinCRIStine. In contrast to the side effects of most chemotherapeutic agents, what is a common side effect of vinCRIStine that the nurse must address in the client’s care plan?
3. A client receiving chemotherapy asks the nurse why an antibiotic was also prescribed. Which tissue affected by chemotherapy should the nurse consider when formulating a response?
4. A nurse administers the drug desmopressin acetate (DDAVP) to a client with diabetes insipidus. What should the nurse monitor to evaluate the effectiveness of the drug?
5. A nurse administers leucovorin calcium to a client before the prescribed methotrexate (Trexall). The client asks the reason for this. What effect of leucovorin calcium should the nurse consider when formulating a response?
- Details
- Category: NCLEX CAT
1. Which is the most important assessment data for a nurse to gather from the client in crisis?
2. A staff member tells a nurse that an older client gets irritable when asked to assist with activities of daily living. On what general information about older adults should the nurse base a response?
3. A nurse reminds a client that it is time for group therapy. The client responds by yelling at the nurse, “You are always telling me what to do, just like my father!” What defense mechanism is the client using?
4. What is the most difficult initial task when developing a nurse-client relationship?
5. A person mowing the lawn is badly disfigured by the lawn mower blade. According to Erikson’s theory, which age will demonstrate the greatest risk of longer-term psychological effects?
- Details
- Category: NCLEX CAT
1. A nurse is teaching clients in a medication education group about side effects of medications. Which drug will cause a heightened skin reaction to sunlight?
2. A nurse is working with a married woman who has come to the emergency department several times with injuries that appear to be related to domestic violence. While talking with the nurse manager, a nurse expresses disgust that the woman returns to the same situation. What is the nurse manager’s best response?
3. A client with schizophrenia is taking benztropine (Cogentin) in conjunction with an antipsychotic. The client tells a nurse, “Sometimes I forget to take the Cogentin.” What should the nurse teach the client to do if this happens again?
4. A nurse is caring for a client who abruptly withdrew from barbiturate use. What should the nurse anticipate that the client may experience?
5. A client is scheduled for a 6-week electroconvulsive therapy (ECT) treatment program. What intervention is important during the 6-week course of treatment?
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