NCLEX.ME Nurse – Page 35

The nurse is caring for a client whose native language is Korean; he speaks only a few words of English. The health care provider has determined that the client needs to undergo a coronary artery bypass graft. Which is the appropriate action by the nurse?

Posted on March 11, 2022 by NCLEX.ME Nurse

ask the client’s spouse to give consent for the procedure before explaining it to the client ask the client’s spouse to translate for the health care provider a...

NCLEX-RN Practice Test

Which assessment finding would the nurse expect in a client with long-term venous insufficiency with the presence of a venous ulcer?

Posted on March 11, 2022 by NCLEX.ME Nurse

decreased or absent pedal pulses with cool or cold foot the presence of stasis ulcers over the medial malleolus skin atrophy and pallor with elevation of the af...

NCLEX-RN Practice Test

The nurse is auscultating a client’s breath sounds. Low-pitched grating and rubbing are noted on inhalation and exhalation. What will the nurse chart under assessment findings?

Posted on March 11, 2022 by NCLEX.ME Nurse

ronchi stridor friction rub fine crackles

NCLEX-RN Practice Test

The nurse is caring for a client with stage 3 moderate chronic kidney disease. Which laboratory value would be expected for this client?

Posted on March 11, 2022 by NCLEX.ME Nurse

GFR of 92 mL/min GFR of 63 mL/min GFR of 39 mL/min GFR of 16mL/min

NCLEX-RN Practice Test

A client with a T5 spinal cord injury suddenly begins sweating profusely in the face and neck. Vital signs reveal sudden bradycardia and significant increase in blood pressure. Which is the priority nursing action?

Posted on March 11, 2022 by NCLEX.ME Nurse

administer nitrate or nifedipine check the client for fecal impaction check the client for bladder distention place the bed in the high Fowler’s position

NCLEX-RN Practice Test

A client has orders for zoledronic acid (Reclast). Which lab value finding would prompt the nurse to notify the prescriber?

Posted on March 11, 2022 by NCLEX.ME Nurse

ferritin level of 78 ng/mL magnesium level of 2.3 mEq/dL creatinine clearance of 29 mL/min platelet count of 135,000 cells/mcL

NCLEX-RN Practice Test

The nurse is caring for an obese client who had a diagnostic laparotomy with midline incision one week ago. The client just called the nurse to report a “popping” sensation in the abdomen. Upon assessment, the nurse notes loops of bowel protruding through the incision. Which is the priority nursing action for this client?

Posted on March 10, 2022 by NCLEX.ME Nurse

monitor vital signs stay with the client call for help and have the surgeon notified place the client in low Fowler’s with the knees bent

NCLEX-RN Practice Test

identify each intramuscular injection site on the diagram using the corresponding letter.

Posted on March 10, 2022 by NCLEX.ME Nurse

NCLEX-RN Practice Test

The nurse is caring for a client with bipolar disorder. The client has been manipulating some of the staff and other clients in order to get her way. Which actions by the nurse are appropriate in managing this client?

Posted on March 10, 2022 by NCLEX.ME Nurse

giving support when the client exhibits positive behaviors setting clear limits and communicating expected behaviors role playing with the client to demonstrate...

NCLEX-RN Practice Test

The nurse is working with a client in the psychiatric unit. The client has memory gaps, which she fills in with detailed fantasies that she believes to be true. The nurse understands that the client is exhibiting which type of abnormal thought process?

Posted on March 10, 2022 by NCLEX.ME Nurse

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