Safe and Effective Care Environment Nclex PN Questions - Nurselytic

Correct Answer: C

Rationale: The correct answer is
Toradol.
Toradol is the first injectable NSAID that has been found to be comparable to morphine in terms of efficacy. Feldene (choice
A) is not known for being comparable to morphine in efficacy. Stodal (choice
B) is a homeopathic cough syrup and not an NSAID. Elavil (choice
D) is a tricyclic antidepressant and not an NSAID, so it is not comparable to morphine in efficacy.
Therefore,
Toradol is the most appropriate choice as it matches the description provided in the question.

Correct Answer: D

Rationale: The correct answer is 'urine.' Urine output is routinely measured to assess renal function and fluid balance.

Choices A, B, and C are types of fluid output that are typically measured in a clinical setting. Chest tube drainage is monitored to evaluate drainage from the chest cavity, emesis refers to vomitus which can indicate gastrointestinal issues, and evaporative water from the respiratory tract is considered insensible loss and is not directly measured but estimated in overall fluid balance assessments.

Correct Answer: C

Rationale: When performing a paracentesis, the client must be sitting up to allow the fluid to settle in the lower abdomen.
To prevent trauma to the bladder while inserting a needle to aspirate the fluid, the bladder must be empty.
Choice A is incorrect as excessive fluid intake can make the procedure more difficult due to increased abdominal distension.
Choice B is unrelated to the procedure of paracentesis.
Choice D is incorrect as the client should be sitting up, not in the prone position, during the procedure.

Correct Answer: C

Rationale: When fetal distress is indicated, interventions are aimed at improving oxygenation and blood flow to the fetus. Increasing maternal fluids helps improve blood flow and oxygen delivery, administering oxygen increases oxygenation levels, and turning the mother can help optimize fetal oxygenation. Decreasing maternal fluids would negatively impact blood volume and can worsen fetal distress, making it the exception among the listed interventions.
Therefore, decreasing maternal fluids should not be performed when fetal distress is present.

Correct Answer: A

Rationale: The correct instruction for a client undergoing mammography is not to use underarm deodorant. Underarm deodorant can cause confusing shadows on the X-ray film, affecting the accuracy of the mammogram.

Choices B, C, and D are incorrect. While wearing comfortable clothing is advisable, it is not the primary instruction for mammography. Avoiding caffeine and bringing a list of current medications are not specific instructions related to mammography preparation and are therefore not the correct answers.