Please include the rationales with your answers. Thank you!… Please include the
Please include the rationales with your answers. Thank you!… Please include the rationales with your answers. Thank you!Nclex-PN exam 2 practice 2. The nurse is contributing to a staff education conference about informed consent. Which of the following information should the nurse suggest including?”A client’s knowledge of the procedure includes the name of the procedure, length of hospital stay and medications prescribed.””A nurse should ask a client if there is anyone that they would like to have present during the explanation of the procedure.””A client could file a charge of assault if the consent is not signed before a procedure is performed.””A nurse should avoid answering a client’s questions about the procedure until the consent is signed.”5. The nurse is preparing a staff development conference about informed consent. Which of the following information should the nurse suggest including? Select all that apply.”The emancipated 16-year-old client who is pregnant is considered legally capable of signing an informed consent form.””The 17-year-old client who is enlisted in the military is considered legally capable of signing an informed consent form.””The client with mental illness who is declared incompetent as judged by a group of professionals is not considered legally capable of signing a consent form.””The 12-year-old client whose parents are divorced must have both parents’ signatures on the informed consent form prior to receiving care.””The client who is incapable of signing an informed consent form due to a life-threatening situation must have the form signed by a family member prior to receiving care.”6. The nurse has received a change-of-shift report about a client who had a left radical mastectomy 6 hours ago. The nurse has been advised that since surgery the client has consumed 3 cups of ice chips, has not been out of bed, and has had a urinary output of 200 mL. Which of the following actions would be appropriate for the nurse to take in the next 2 hours?check the client’s urinary outputshow the client a 30-minute videotape about wound careassist the client to ambulate in the hallway for 20 minutesperform passive range-of-motion (ROM) exercises with the client’s left arm8. The nurse is contributing to a staff education conference about advance directives and the responsibilities of the nurse. Which of the following should the nurse suggest including? Select all that apply.”Encourage the client to complete advance directives.””Answer the client’s legal questions regarding advance directives.””You may serve as a witness for the client’s advance directives if asked.””Make sure a copy of the client’s advance directives is in the medical record.””Encourage the client to discuss health care preferences with family members.””You may reassure the client that advance directives can be changed at any time.”22. The nurse is reinforcing teaching with the parent of a 3-year-old client about how to administer a prescribed eyedrop medication and a prescribed eye ointment. Which of the following should the nurse reinforce? Select all that apply.1.”It is best to administer the eye ointment soon after your child awakens in the morning.”2.”Administer the eyedrops prior to the eye ointment.”3.”You can ask your spouse to help immobilize your child’s head and arms.”4.”Clean each eye from the outer canthus to the inner canthus prior to administering the medications.”5.”Apply the ointment in a thin strip along the conjunctival sac.”27. The nurse has reinforced teaching with a client about healthy sleep patterns. It would require follow-up if the client reports before bed1.performing aerobic exercise2.eating a carbohydrate-containing snack3.taking an over-the-counter (OTC) lavender supplement4.listening to music28. The nurse has reinforced teaching with a client who is receiving prescribed alprazolam. Which of the following statements by the client would require follow-up?1.”I will avoid drinking grapefruit juice while taking alprazolam.”2.”I can divide the total daily dose of alprazolam into more frequent intervals.”3.”I should avoid drinking alcohol while taking alprazolam.”4.”I will need to take alprazolam for the rest of my life.”33. The charge nurse is talking with a coworker who has returned from a meal break 5 minutes ago. The charge nurse observes that the coworker’s eyes appear glassy and the speech is slurred. Which of the following actions should the charge nurse take? Select all that apply.1.Send the coworker to the employee health department to have a urine specimen obtained for a drug screen.2.Suggest the coworker rinse the eyes with cool water, and telephone the coworker’s spouse to drive the coworker home.3.Reassign the coworker’s clients, and ask the coworker to wait in the conference room.4.Notify the facility’s security officer, and ask the officer to question the coworker.5.Provide assistance to the impaired colleague by reporting the behavior to the appropriate supervisor.37. The nurse has reinforced teaching with a client with pheochromocytoma who is scheduled for adrenal arteriography. Which of the following statements by the client would indicate a correct understanding of the teaching?1.”I may experience numbness or tingling in my legs during the procedure.”2.”I may be at risk for severe hypotension during the procedure.”3.”I will need to remain flat in bed for 10 hours after the procedure.”4.”I will need to have coagulation studies prior to the procedure.”43. The nurse is reinforcing teaching with a client with osteoarthritis. Which of the following information should the nurse reinforce?1.”Balance periods of exercise with periods of rest.”2.”Increase your intake of foods that are high in calcium.”3.”Isotonic exercises place less stress on your joints than isometric exercises.”4.”Limit your alcohol consumption to 1 drink per day while taking prescribed nonsteroidal anti-inflammatory drugs (NSAIDs).”47. The nurse is preparing to administer prescribed oral medications to a client who had a total hip replacement 2 days ago. Of which of the following scheduled medications should the nurse withhold the dose? Click the exhibit button for additional client information.1.captopril2.albuterol3.sennosides/docusate sodium4.hydrocodone/acetaminophen59. The nurse has received the following information about assigned clients. The nurse should first check the client1.with diverticulitis who has had 4 episodes of diarrhea in the past 12 hours2.who has a long leg cast and is reporting that the toes feel numb3.with right-sided heart failure who has 3 pitting edema of the lower extremities4.who has pleurisy and is reporting right-sided chest pain while deep-breathing62. The nurse is collecting data from a client with major depression. The client tells the nurse, “Yesterday I felt like killing myself, but today I feel better.” Which of the following statements would be essential for the nurse to make?1.”This information will help us to plan further treatment for you.”2.”Do you think your treatment has been effective?”3.”I am glad you are feeling better.”4.”Will you promise to contact someone if these feelings recur?”64. The nurse is caring for assigned clients. The nurse should first evaluate the equipment of a client who hasa patient-controlled analgesia (PCA) device and reports that the medication is not received each time that the button on the pump is activated.a pulse oximeter sensor attached to the finger and reports that the numbers on the pulse oximeter screen change every few seconds.a nasogastric (NG) tube connected to low, intermittent suction and reports that bubbles appear in the NG tubing when the machine turns on.sequential compression stockings and reports that the stockings have remained inflated for the past several minutes. Health Science Science Nursing NURS 4223B Share QuestionEmailCopy link Comments (0)

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