Chronic Obstructive Pulmonary Disease (COPD) Answers and Rationals
01. Answer: c. Right-sided heart failure is a complication of COPD that occurs because of pulmonary hypertension. Signs and symptoms of right-sided heart failure include peripheral edema, jugular venous distention, hepatomegaly, and...
Nclex RN Medication and IV Administration Q & A
Nclex RN Medication and IV Administration Q & A
1.A health care provider orders 0.5 mg of protamine sulfate for a client who is showing signs of bleeding after receiving a 100-unit dose of heparin. The nurse should expect the effects of the protamine sulfate to be noted in which of the following...
Intervention for Hydrocephalus nursing diagnosis Hydrocephalus
Intervention for Hydrocephalus
a) Maintain bed rest with the head flat and monitor vital signs as indicated after the lumbar puncture.
Rationale: Changes in cerebrospinal fluid pressure may be a potential risk of herniation of the brain stem, which requires immediate medical treatment.
b) Monitor...
Gastrointestinal Disorders RN-NCLEX Practice Question 2
1. A nurse preceptor is working with a student nurse who is administering medications. Which statement by the student indicates an understanding of the action of an antacid?a)"The action occurs in the stomach by increasing the pH of the stomach contents and decreasing pepsin activity."b) "The action...
Nclex Rn Examnination Practice Gastrointestinal Disorders Questions
1.A client with a bleeding ulcer is vomiting bright red blood. The nurse should assess the client for which of the following indicators of early shock?
a) Tachycardia.
b) Dry, flushed skin.
c) Increased urine output.
d) Loss of consciousness
2.A client with an incomplete small-bowel obstruction...
Answer & Rational Ventricular Tachycardia and Cardiac Disorders Nclex
Answer & Rational Ventricular Tachycardia and Cardiac Disorders Nclex
1.Answer: b . Rationale:Raynaud ’s disease responds favorably to eliminating caffeine from the diet and cessation of smoking. Medications may inhibit vessel spasm and prevent symptoms. Avoiding exposure to cold through a variety...
Chronic Obstructive Pulmonary Disease (COPD) Nclex RN Practice Questions
Chronic Obstructive Pulmonary Disease (COPD) Nclex RN Practice Questions
01.The nurse teaches a client with COPD to assess for s/s of right-sided heart failure. Which of the following s/s would be included in the teaching plan?
a. Clubbing of nail beds
b. Hypertension
c. Peripheral edema
d. Increased...
Ventricular Tachycardia and Cardiac Disorders Nclex Practice Questions
Ventricular Tachycardia and Cardiac Disorders Nclex Practice Questions
1.A nurse has given instructions to the client with Raynaud ’s disease about self-management of the disease process. The nurse determines that the client needs further reinforcement of teaching if the client states which...
Answer and Rational Respiratory Disorders Nclex RN Exams
Answer and Rational Respiratory Disorders Nclex RN Exams
01.Answer CRational: Nuchal rigidity is a sign/symptom of meningitis,which is a life-threatening potential complication of sinusitis resulting from the close proximity of the sinus cavities to the meninges.and Answer a,b,and d.Muscle weakness...
Respiratory Disorders Nclex RN Exams Practice Questions
Respiratory Disorders Nclex RN Exams Practice Questions
01. The client has been diagnosed with chronic sinusitis. Which signs and symptoms would alert the nurse to a potentially life-threatening complication?
a. Muscle weakness.
b. Purulent sputum.
c. Nuchal rigidity.
d. Intermittent loss of...
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