Kaplan NCLEX-RN Question Trainer 5 (150 Questions)
The nurse prepares a patient for an 8:00 AM outpatient electroconvulsive (ECT) treatment. Which of
... [Show More] the following questions is MOST important for the nurse to ask?
1
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2 "Have you had any headaches since your last treatment?"
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3 "Who came with you to the hospital today?"
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4 "Have you had much memory loss since you began your treatments?"
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A client is diagnosed with a flaccid bladder following a spinal cord injury. The nurse teaches the client about dietary changes. Which of the following beverages, if selected by the client, indicates to the nurse that teaching is effective?
Select all that apply.
1 Lemonade.
2
.
3 Milk.
4 Orange juice.
5
.
6
.
The nurse cares for a client with a long history of alcohol and drug dependence. It is MOST important for the nurse to include which of the following as part of the discharge planning?
1. Refer to a social service agency for assistance with housing.
2. Refer to an aftercare center in the community.
3.
4. Ask the client to obtain a prescription for an antidepressant medication.
The client comes to the clinic for hepatitis B vaccine and asks if more than one injection is necessary. Which of the following responses by the nurse is BEST?
1 "A booster shot is required yearly."
2
.
3 "Repeat doses are given at two and four months."
4 "Revaccination is not required."
The nurse plans care for a client returning from surgery after a bowel resection with an IV of 0.9 % NaCl infusing at 100 mL/h into the left wrist. Which of the following actions, if performed by the nurse, is BEST?
1 Change the IV tubing each time a new IV solution is hung.
.
2 Cleanse the IV site with an alcohol swab using long strokes.
.
3
.
4 Adjust the drop rate to keep the total volume of IV fluids on schedule.
.
The nurse notes that one of the staff members caring for clients has a watery discharge from the right eye and the eye appears red. Which of the following actions, if taken by the nurse, is BEST?
1
.
2 Assess the staff member's compliance with standard precautions.
3 Assign the staff member only to clients with chronic diseases.
4 Reassign the staff member to clean the supply closet.
The nursing staff plans to use behavior modification techniques for an elderly woman who constantly screams. Which of the following nursing assessments is necessary to establish a successful program?
1 Monitor the client's ability to complete her activities of daily living (ADL).
2 Assess the client's levels of pain and correlate it with her response to analgesia.
3
.
4 Ask the client why she is screaming and document it on her nursing assessment record.
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