NCLEX Question Trainer Test 3 Real Exam Questions & Answers, Rated A+,The client has a total laryngectomy with a permanent tracheostomy. The nurse plans nutritional intake for the next 3 days. Which a... ction is necessary for the nurse to consider regarding the client's nutrition? 1. To facilitate healing of the surgical area, a nasogastric tube may be utilized and tube feedings may be implemented. 2. The client will be unable to maintain any oral intake as long as the tracheostomy is in place. 3. Nutritional and/or gastric feedings will not be attempted for approximately 3 weeks to decrease the incidence of aspiration. 4. Because the client is dependent on the ventilator, nutritional intake will be delayed. - To facilitate healing of the surgical area, a nasogastric tube may be utilized and tube feedings may be implemented. The nurse cares for the elderly client who is admitted with confusion, mood lability, impaired communication, and lethargy. Which order from the healthcare provider does the nurse question? 1. Dexamethasone suppression test 2. Thyroid studies 3. Drug toxicology screen 4. Trendelenburg test - Trendelenburg test The client has a neurological disorder. Which nursing assessment is MOST helpful to determine subtle changes in the client's level of consciousness? 1. Client posturing 2. Glasgow coma scale 3. Client thinking pattern 4. Occurrence of hallucinations - Glasgo coma scale The nurse conducts a physical examination of the client suspected to have bulimia. Which nursing observation MOST likely indicates bulimia? 1. Edema of the lower extremities 2. The presence of lanugo 3. Ulcerated oral mucous membranes 4. Dry, yellowish colored skin - Ulcerated oral mucous membranes The nurse prepares a dopamine infusion for the client. Which action does the nurse take FIRST? 1. Evaluates the urine output 2. Obtains the client's weight 3. Determines the patency of the IV line 4. Measures pulmonary artery pressures - Determines the patency of the IV line The nurse assists a nursing assistive personnel (NAP) in providing a bed bath to the comatose client with incontinence. The nurse intervenes if which action is noted? 1. The NAP answers the phone while wearing gloves 2. The NAP log rolls the client to provide back care 3. The NAP places an incontinence pad under the client 4. The NAP positions the client on the left side, head elevated - The NAP answers the phone while wearing gloves [Show More]
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