n clex review

The nurse is caring for a non-English-speaking client. Best practices for client safety and quality of care incorporates which actions by the nurse? Select all that apply.

1.) Use interpreters who are familiar with health care. 2.) Avoid the use of relatives as interpreters to prevent misinterpretation. 3.) Use dialect-specific interpreters who are the same gender if possible. 4.) Become familiar with common health care words used in the client's language.

A 26-year-old woman comes to the clinic and asks for a pregnancy test because she thinks she might be pregnant. The nurse assesses for which presumptive signs of pregnancy? Select all that apply.

1.)Breast tenderness 2.) Early morning nausea 3.) No menstruation for the last 8 weeks

Which are signs and symptoms characteristic of emphysema? Select all that apply.

1.) Cyanosis 2.) Weight loss 3.) Barrel chest 4.) Shortness of breath 5.) Decreased lung sounds

When caring for clients, the nurse knows that which ethical philosophies focus on understanding relationships and the use of personal narratives? Select all that apply.

1.) Ethics of care 2.) Feminist ethics

The nurse is reviewing data on a client with sepsis and acute kidney injury with related azotemia and oliguria. Which are the primary features of azotemia and oliguria? Select all that apply.

1.) Increase in serum creatinine 2.) Increase in blood urea nitrogen (BUN) 3.) Urine output less than 0.5 mL/kg/hour

The nurse caring for a client in the postoperative period following an enucleation notes bloody staining on the surgical eye dressing. Which is the appropriate nursing action?

Contact the registered nurse.

The clinic nurse periodically cares for the client diagnosed with acquired immunodeficiency syndrome. The nurse should assess for an early manifestation of Pneumocystis jiroveci infection by monitoring for which sign/symptom at each client visit?

Cough

The nurse is teaching a client, newly diagnosed with diabetes mellitus, to mix 24 units NPH and 12 units regular insulin in the same syringe. Which instructions should the nurse give to the client to take after wiping the vials with an alcohol wipe?

Inject 24 units of air into the NPH insulin vial.

A primary health care provider is about to remove a chest tube from a client. Once the dressing is removed and the sutures have been cut, the nurse assisting the primary health care provider asks the client to do which action?

Perform the Valsalva maneuver.

The nurse is teaching an adolescent female about menstruation. Which statements if made by the adolescent female demonstrate a need for further teaching? Select all that apply.

1.) The average duration of menstruation is 3 days." 2.) The day of ovulation is counted as the first day of the menstrual cycle."

The nurse has given dietary instructions to a client to minimize the risk of osteoporosis. The nurse determines that the client understands the recommended changes if the client verbalizes the intention to increase intake of which foods? Select all that apply.

1.) Yogurt 2.) Cottage cheese