NCLEX.ME Nurse – Page 87

The nurse is caring for a client in the intensive care unit. The nurse recognizes that to prevent sensory alteration in a client, the nurse needs to do which of the following interventions? Select all that apply.

Posted on March 5, 2022 by NCLEX.ME Nurse

orient the client to person, place, and time during every contact limit visitors to one 15-minute visit per 8-hour shift explain all nursing care keep the light...

NCLEX-RN Practice Test

A client has recently lost her best friend to cancer. The client tells the nurse, “I’m very sad about the loss of my friend.” Which of the following responses by the nurse is the most appropriate?

Posted on March 5, 2022 by NCLEX.ME Nurse

“I lost my best friend two years ago, but I feel better now.” “It’s important for you to keep busy.” “Why do you feel this way?” “It’s normal to feel loss. Tell...

NCLEX-RN Practice Test

An 88-year-old client fractured a hip after a fall in her home. Because of her peripheral vascular disease and asthma, surgery is not an option. The client tells the nurse she does not know how she is going to get better. Which response by the nurse is best ?

Posted on March 5, 2022 by NCLEX.ME Nurse

“You’ll do just fine.” “You can’t live alone anymore.” “What are you most worried about?” “You should get a second opinion.”

NCLEX-RN Practice Test

A client asks what diabetes mellitus does to the body over time. Which condition should the nurse include in teaching as a common chronic complication of diabetes mellitus?

Posted on March 5, 2022 by NCLEX.ME Nurse

hyperglycemia diabetic ketoacidosis hyperglycemia retinopathy

NCLEX-RN Practice Test

The nurse is preparing to pull a thin, frail client up in the bed. No one responds to the nurse’s call for lifting assistance. Which is the best action by the nurse?

Posted on March 5, 2022 by NCLEX.ME Nurse

call again and apologize to the client for the wait stand behind the bed at the client’s head, and pull her up gently from her armpits since the client is small...

NCLEX-RN Practice Test

Four 6-month-old children arrive at the clinic for diphtheria-pertussis-tetanus immunization. Which child can safely receive the immunization at this time?

Posted on March 5, 2022 by NCLEX.ME Nurse

the child with a runny nose the child who experienced a seizure after the last immunization the child who experienced a life-threatening allergic reaction after...

NCLEX-RN Practice Test

The nurse is caring for a client on airborne precautions. Which of the following would the nurse expect to see in the client’s medical record?

Posted on March 5, 2022 by NCLEX.ME Nurse

measles influenza Lyme disease herpes simplex

NCLEX-RN Practice Test

A client is on contact and airborne precautions. In which order should the nurse don personal protective equipment (PPE) before entering the room?

Posted on March 5, 2022 by NCLEX.ME Nurse

perform hand hygiene, don the gown, don the mask, don eye protection, apply gloves don the gown, perform hand hygiene, don the mask, apply gloves, don eye prote...

NCLEX-RN Practice Test

The nurse is working with an unlicensed assistive personnel (UAP). In planning the morning’s care, which tasks can the nurse delegate to the UAP? Select all that apply.

Posted on March 5, 2022 by NCLEX.ME Nurse

feeding a client who has lost the use of his hands starting an IV in a confused client who pulled her IV out assisting a stable and alert client up to the bedsi...

NCLEX-RN Practice Test

A client has signed the consent form for a right radical mastectomy. Shortly before the client is to be taken to surgery, she tells the nurse, “I’m not really sure that this is what I want to do. Everything was so sudden.” Which response by the nurse is most appropriate?

Posted on March 5, 2022 by NCLEX.ME Nurse

“You will be glad you did it once it’s over.” “What are your thoughts right now on this procedure?” “I will notify the surgeon and let her know you have concern...