NCLEX-PN Comprehensive Test
The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis. The child is in the
... [Show More] convalescent stage and is being prepared for discharge. Which statement by the parents indicates a need for further teaching?
1. We need to encourage adequate fluid intake
2. Coughing spells may be triggered by dust or smoke
3. We need to maintain respiratory precautions & a quiet environment for at least 2 weeks
4. Good hand-washing techniques need to be instituted to prevent - correct answer 3. We need to maintain respiratory precautions & a quiet environment for at least 2 weeks
A client enters the emergency department confused, twitching, & having seizures. His family states he recently was placed on corticosteroids for arthritis & was feeling better & exercising daily. Upon assessment, he has flushed skin, dry mucous membranes, an elevated temperature, & poor skin turgor. His serum sodium level is 172 mEq/L. Which interventions would the health care provider likely prescribe? select all that apply.
1. Monitor the vital signs
2. Monitor intake & output
3. Increase wa - correct answer 1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
The nurse is monitoring a client receiving glipizide (glucotrol). Which outcome indicates an ineffective response from the medication.
1. A decrease in polyuria
2. A decrease in polyphagia
3. A fasting plasma glucose of 100 mg/dL
4. A glycosylated hemoglobin level of 12% - correct answer 4. A glycosylated hemoglobin level of 12%
The nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which should be included in the plan of care for instructions?
1. Maintain a high fluid intake
2. Discontinue the medication when feeling better
3. If the urine turns dark brown, call the health care provider immediately
4. Decrease the dosage when symptoms are improving to prevent an allergic response - correct answer 1. Maintain a high fluid intake [Show Less]