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Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is caring for a client who had knee surgery this morning. Postoperative orders include a narcotic every three to four hours as needed for operative site pain and an ice bag. At 7:00 P.M., the client asks for pain medication. He was last medicated at 3:30 P.M. What is the best initial nursing action?

Correct Answer: B

Rationale: Assessing pain location and nature ensures the medication is appropriate for operative site pain, guiding safe administration. Administering without assessment, refilling ice, or repositioning are premature.

Question 2 of 5

The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about energy conservation. Which of the following strategies should the nurse recommend?

Correct Answer: B

Rationale: Using a shower chair conserves energy by reducing exertion during bathing, a taxing activity for COPD patients. Morning activity (
A) may not suit all, pursed-lip breathing (
C) aids respiration, and quick walking (
D) increases oxygen demand.

Extract:

For proper foot care, the nurse should provide a patient with non-insulin dependent mellitus with instructions to:


Question 3 of 5

For proper foot care, the nurse should provide a patient with non-insulin dependent mellitus with instructions to:

Correct Answer: B

Rationale: Wearing shoes and natural fiber socks protects diabetic feet and promotes circulation.

Extract:


Question 4 of 5

Which interventions are appropriate when caring for a client with acute thrombophlebitis?

Correct Answer: D

Rationale:
To help treat thrombophlebitis, the nurse should prevent venostasis with measures such as applying warm soaks and elevating the client's legs. The client should remain on bed rest during the acute phase, after which the client may begin to walk while wearing antiembolism stockings. Treatment for thrombophlebitis may also include anticoagulants to prolong clotting time.

Question 5 of 5

The nurse is caring for a preschooler who needs stitches resulting from an injury received during play in the yard. What would be the most appropriate way to prepare the child for the treatment he will receive?

Correct Answer: B

Rationale: Play-based explanation with dolls engages a preschooler's developmental level, effectively preparing them for stitches.

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