NCLEX-RN – Page 97 – NCLEX.ME Nurse

The nurse is teaching a group of nursing students about proper client positioning. Which statement by a student nurse indicates an understanding of proper positioning?

Posted on March 3, 2022 by NCLEX.ME Nurse

A client receiving an enema should be placed on the right side in the Sims’ position. A client with a below-the-knee amputation should be positioned with the af...

Basic Care and Comfort

The nurse is caring for a client who has a nasogastric tube for medication administration and tube feedings. How should the nurse care for the tube during her shift? Select all that apply.

Posted on March 3, 2022 by NCLEX.ME Nurse

flush tube every 4 hours with hot water to maintain patency allow the feeding and tubing to hang until empty, up to 48 hours maintain the head of bed in a high-...

Basic Care and Comfort

The nurse is discharging a client who was prescribed prednisone. The nurse tells the client that one of the side effects may be impaired sleep. The client says, “I already have a hard time sleeping. What can I do to help with that?” Which recommendations should the nurse make? Select all that apply.

Posted on March 3, 2022 by NCLEX.ME Nurse

avoid alcohol late in the evening keep the bedroom dark and quiet maintain the same consistent sleep schedule eat a large, heavy meal at dinner to help promote ...

Basic Care and Comfort

The nurse is preparing to discharge a client who was treated for tuberculosis. Which guidelines for home management should the nurse include in his discharge teaching? Select all that apply.

Posted on March 3, 2022 by NCLEX.ME Nurse

The client may resume his normal activities. The family should maintain respiratory isolation at home. The medication regimen should be followed diligently as p...

Basic Care and Comfort

The nurse is caring for a client whose lab results show triglycerides of 380 and cholesterol level of 240. Which foods would the nurse educate the client about including in his diet when he is discharged? Select all that apply.

Posted on March 3, 2022 by NCLEX.ME Nurse

wheat toast with sugar-free jelly grilled salmon seasoned with herbs an egg-white omelet with vegetables natural honey from a local farmer’s market plain grille...

Basic Care and Comfort

The nurse is preparing to receive an 18-month-old client from surgery who had repair of a congenital hip deformity. What type of traction does the nurse anticipate setting up for the client?

Posted on March 3, 2022 by NCLEX.ME Nurse

_____________________

Psychosocial Integrity

The mental health nurse is caring for a client with Cluster B personality disorder. The nurse would expect the client to exhibit which behaviors? Select all that apply.

Posted on March 3, 2022 by NCLEX.ME Nurse

suspicious of others, magical thinking, eccentric behavior, paranoia, relationship deficits preoccupation with rules and details, hoarding, ritualistic behavior...

Psychosocial Integrity

The nurse is precepting a new nurse in the psychiatric unit. The nurse is discussing interventions for schizophrenia. Which statement by the student nurse indicates an understanding of management of schizophrenia? Select all that apply.

Posted on March 3, 2022 by NCLEX.ME Nurse

“I should be warm and friendly to put the client at ease.” “I can reassure the client that he is in a safe environment.” “Puzzles or word games are good activit...

Psychosocial Integrity

The nurse is admitting a client with schizophrenia. The client is extremely socially withdrawn, is unable to perform activities of daily living, has an inappropriate affect, and has grimacing mannerisms. The nurse understands that this client is experiencing which type of schizophrenia?

Posted on March 3, 2022 by NCLEX.ME Nurse

residual schizophrenia paranoid schizophrenia catatonic schizophrenia disorganized schizophrenia undifferentiated schizophrenia

Psychosocial Integrity

The nurse is caring for a client with schizophrenia who is having active hallucinations. The nurse implements which actions to manage the client during the episode? Select all that apply.

Posted on March 3, 2022 by NCLEX.ME Nurse

administers medications as ordered uses gentle touch to reassure the client tells the client that others see or hear what he does distracts the client by placin...