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NCLEX RN uworld #06 QUESTIONS AND ANSWERS A GRADED

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The labor and delivery (L&D) nurse is floated to a medical-surgical floor for a shift. Which client is MOST APPROPRIATE for the charge nurse to assign to the L&D nurse? #72116868 (14) 1. Chi... ld with an occluded arteriovenous fistula receiving IV heparin infusion. 2. Client with cirrhosis and ascites who requires bedside paracentesis. 3. Client with diabetes who is one day postoperative below-the-knee amputation. 4. Client with pyelonephritis who is febrile and receiving IV antibiotics Correct Answer: 4 frequently care for pregnant woman with urinary tract infections and would be familiar with the management of a client with pyelonephritis. #72116868 (14) Correct Answer: labor and delivery (L&D) A client is admitted with SICKLE CELL CRISIS has a hemoglobin level of 9 g/dL. The client reports severe pain in the back and leg joints. The nurse would anticipate which of the following ?"SELECT ALL THAT APPLY " #72116868 (15) 1. Folic acid supplements 2. Folic high in Iron 3. Ice packs to painful joints 4. Intravenous hydration 5. Intravenous morphine Correct Answer: 1,4,5 treatment are narcotic analgesia, aggressive hydration, oxygenation and folic acid, not iron supplementation. Correct Answer: sickle cell crisis reduces the viscosity of the blood and prevent sickling. Ice pack should not be applied to swollen joints. #72116868(15) Correct Answer: Hydration The nurse is performing a physical examination on a 10 year old client with abdominal discomfort. Which actions would be APPROPRIATE during the examination? "SELECT ALL THAT APPLY" #72116868 ( 16) 1. Ask the accompany parent to rate and describe the client's pain. 2. Ask the client to describe the the chief symptom. 3. Conduct a head-to-toe assessment in the same manner as an adult assessment 4. Explain the outcome of the examination to the parent without the child present 5. Honor the client's request to be examined without a parent consent. Correct Answer: 2,3,5 The client screams at the nurse, "you are all incompetent here , I have been waiting for 2 hours"How should the nurse respond "INITIALLY"? 1. "I know you are upset, but I will have to call security if you continue to scream." #72116868 (17) 2. "I see that you are upset. Let's focus on how I can help you." 3. "I want you to know that the health care providers (HCP) are all well-qualified professionals." 4. "It is frustrating to wait so long, and I am sorry for the delay." Correct Answer: 4 [Show More]

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