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Questions 227

NCLEX-PN

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Extract:

When a patient return from the recovery room following a subtotal thyroidectomy, the nurse should immediately


Question 1 of 5

inspect the incision.

Correct Answer: D

Rationale: Thyroid surgery sometimes results in accidental removal of the parathyroid glands. A resultant hypocalcemia may lead to contraction of the glottis, causing airway obstruction; edema also causes obstruction. Having a tracheostomy set ready is critical.

Extract:


Question 2 of 5

The nurse is caring for a client with tuberculosis. Which precautions should the nurse take when providing care for this client? Select all that apply:

Correct Answer: A,B,F

Rationale: The nurse should always wear gloves when handling items contaminated with sputum or body secretions. All staff and visitors must wear face masks when coming in contact with the client in his room; masks must be discarded before leaving the client's room. Hand washing is required after direct contact with the client or contaminated articles. Strict isolation isn't required if the client adheres to special respiratory precautions. The client, not the people in contact with him, must wear a mask when leaving the room for tests. The client should be in a negative-pressure, private room, and the door should remain closed at all times to prevent the spread of infection.

Question 3 of 5

When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?

Correct Answer: C

Rationale: The maximum flow rate for a nasal cannula is 6 liters/minute to avoid drying nasal passages and discomfort. Higher rates require a mask. Reduction of Risk Potential

Extract:

Most asthmatic attacks respond to Epinephrine (Adrenalin)


Question 4 of 5

Most asthmatic attacks respond to Epinephrine (Adrenalin) and it may be used as a therapeutic agent in the treatment of some allergic conditions because it:

Correct Answer: C

Rationale: Epinephrine dilates bronchi, relieving bronchospasm in asthma and allergic reactions.

Extract:

Gastrostomy tube was placed on the patient with terminal stage of throat cancer. Feeding is started today.


Question 5 of 5

Prior to initiating the first gastrostomy feeding, the nurse should perform which of the following?

Correct Answer: D

Rationale: Flushing the tube ensures patency before feeding, preventing blockages and ensuring safe administration.

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