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NCLEX-RN and Next Generation NCLEX (NGN) Questions and Answers Section

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likely to instruct the nursing team in the patient’s care? Select all that apply. A. Give patient opioid analgesics B. Discontinue breastfeeding C. Use antibiotics for a week D. Continue breast... feeding despite the mastitis E. Use hot and cold compresses for pain relief F. All of the above Answer: C, D, and E Mastitis is a bacterial infection caused by staphylococcus aureus directly from the infant. That means the mother can continue breastfeeding without any harm to the baby. Treatment is through antibiotics, and analgesics can provide pain relief. Also, using hot and cold compresses helps with pain. 2. You are required to insert a nasogastric tube into a patient. Which is the correct position to place the patient for placement? A. Semi-Fowler’s position with the head in a neutral position B. High Fowler’s position with the head in a neutral position C. Semi-Fowler’s position with the head tilted back D. High Fowler’s position with the head tilted forward E. High Fowler’s position with the head tilted back Answer: D For proper placement of the nasogastric tube, tilt the patient’s head forward while they are in high Fowler’s position to open the esophagus and close the trachea. That way, the tube will go in correctly. Observe the nasal passages for the one with the best airflow and use it to insert the length of the tube. Lubricate the end of the tube for ease of insertion. 3. An Alzheimer’s patient is admitted to the hospital, looking disheveled, underweight, and dirty. The patient lives with her daughter but appears afraid of the daughter. What would you suspect as a nurse in this case? Select all that apply A. Caregiver neglect B. Physical abuse C. Psychological abuse D. Self-neglect E. All of the above Answer: A, B, and C The patient is not receiving sufficient attention from the caregiver (daughter), hence the weight loss. Either she is not being fed enough, or there is no supervision to ensure she eats. The patient’s fear indicates threats may have been used by the daughter to coerce the patient, or she has been physically abused. 4. A patient has been inserted with a three-chamber drainage system chest tube, but there is noticeable continuous water bubbling in the water seal chamber. What could be the likely problem? A. The chamber has inadequate suction B. There is an air leak in the drainage system C. Pneumothorax D. The chest tube has been positioned incorrectly Answer: B The constant bubbling signifies air is entering the system, indicating an air leak. With pneumothorax, the bubbling would have been intermittent. The water in the water seal chamber should fluctuate; if it doesn’t, it indicates inadequate suction. You should see only gentle bubbling in the suction control chamber. [Show More]

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