*NURSING > NCLEX > NCLEX 100; Past Nclex Questions 7.Revision Questions to Score A in your Exams. (All)
. 160. The unlicensed nursing assistant is applying elastic compression stockings to the client. Which action by the assistant would warrant immediate intervention by the nurse? A. The assistant is... putting the stockings on while the the client is in the chair. B. The assistant inserted two (2) fingers under the proximal end of the stocking. C. The assistant elevated the feet while lying down prior to putting on the stockings. D. The assistant made sure the toes were warm after putting the stockings on. 6. 161. The nurse is administering a beta blocker to the client diagnosed with essential hypertension. Which data would cause the nurse to question administering the medication? A. The client’s BP is 110/70. B. The client’s potassium level is 3.4 mEq/L. C. The client has a barky cough. D. The client’s apical pulse is 56. 7. 162. The client diagnosed with acute deep vein thrombosis is receiving a continuous heparin drip, an intravenous anticoagulant. The health-care provider orders warfarin (Coumadin), an oral anticoagulant. Which action should the nurse take? A. Discontinue the heparin drip prior to initiating the Coumadin. This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:40:10 GMT -05:00 https://www.coursehero.com/file/85696092/Past-Nclex-Questions-7docx/ This study resource was shared via CourseHero.com B. Check the client’s INR prior to beginning Coumadin. C. Clarify the order with the health-care provider as soon as possible. D. Administer the Coumadin along with the heparin drip as ordered. 8. 163. The nurse is caring for the client on strict bed rest. Which intervention is priority when caring for this client? A. Encourage the client to drink liquids. B. Perform active range of motion exercises. C. Elevate the head of the bed to 45 degrees. D. Provide a high-fiber diet to the client. 9. 164. The nurse is caring for clients on a medical floor. Which client will the nurse assess first? A. The client with an abdominal aortic aneurysm who is constipated. B. The client on bed rest who ambulated to the bathroom. C. The client with essential hypertension who has epistaxis and a headache. D. The client with arterial occlusive disease who has a decreased pedal pulse. 10. 165. The client with peripheral venous disease is scheduled to go to the whirlpool for dressing change. Which is the nurse’s priority intervention? A. Escort the client to the physical therapy department. B. Medicate the client 30 minutes before going to whirlpool. C. Obtain the sterile dressing supplies for the client [Show More]
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