NCLEX APEA 4P STUDY EXAM NEWLY UPDATED JAN 2024 QUESTIONS WITH CORRECT ANSWERS
1. The client needs to see a health care provider for further care. Lactic
... [Show More] acidosis can occur when taking Metformin in the presence of dehydration and renal insufficiency, typically seen in type 2 di- abetics. Manifestations of lactic acidosis include Kussmaul's breathing and severe muscle pain caused by the buildup of lactic acid in the mus- cles.
2. b. Seek the assistance of a nurse on the floor who is fluent in the client's language. Correct
The nurse is responsible for ensuring that the client understands the information provided re- garding the procedure.
3. d. "My Dilantin dose will be increased several days before the procedure." Correct
Because the therapeutic action of ECT is to in- duce seizures, any medications that affect the client's seizure threshold must be decreased or discontinued several days before the procedure
4. "The living will documents your mother's wishes and must be followed." Correct
A living will is a document that expresses the client's wishes regarding medical treatment in the event the client becomes incapacitated and is fac- ing end-of-life issues. The client's wishes should be followed by the health care provider.
The triage nurse re- ceives a call from a client with a history of type 2 diabetes melli- tus controlled by met- formin (Glucophage). The client is reporting muscle pain and short- ness of breath with ex- ercise. Which of the following is the most appropriate response from the nurse
A nurse is preparing a client who speaks limit- ed English for surgery. Which of the following is the most appropriate nursing action in ob- taining informed con- sent from this client?
A nurse is performing initial teaching with a client who will be re- ceiving electroconvul- sive therapy (ECT).
Which statement by the client indicates a need for further teaching?
daughter of a client with a terminal illness pulls a nurse to the side and says, "Al- though my mother's liv- ing will states she is not to be resuscitated, the
5. If the nurse believes the provider's actions are directly against the client's wishes, the nurse should contact the hospital's ethics committee. These committees are typically multidisciplinary and are organized to consciously and reflective- ly consider significant and often difficult issues related to client care. Any nurse can consult the hospital's ethics committee when deemed neces- sary.
6. . "I have excellent job skills; I just need to find a new employer." Correct
Cognitive reframing is a simple and effective technique for reducing stress by looking at things in a more positive light in order to experience them as less stressful. Cognitive reframing for this client would involve building confidence in job skills and searching for a new job.
family wants everything done to save her if she has a cardiac arrest." How should the nurse respond?
A provider informs the wife of a comatose client with terminal can- cer that she will need to sign the consent
for insertion of a gas- trostomy feeding tube. The nurse knows this is against the client's wishes. What is the ap- propriate action by the nurse?
Management of Care: Stress management; teaching stress man- agement techniques
A client is seeking treatment for stress related to unexpect- ed loss of employ- ment and is engaging in the stress manage- ment technique of cog- nitive reframing. Which of the following state- ments would indicate to the nurse that
the client understands
this stress manage- ment technique [Show Less]