NCLEX RANDOM

The nurse obtains a history from the parent of the 6-year-old child with a history of epilepsy. The child was admitted with uncontrolled seizures. It is most important for the nurse to ask which question?

"What was your child doing before the seizure?"

Babinksi Reflex Disappears

12 months, many others disappear before that though

Aminophylline

Bronchodilator

The nurse observes the student nurse care for the client. The student nurse wears a gown and gloves in addition to following standard precautions. The nurse determines care is appropriate if the student nurse performs which activity?

Changes the dressing for a client with a draining abscess.

The nurse in the outpatient clinic assists with the application of a cast to the left arm of the preschool-aged child. After the cast is applied, the nurse takes which action first?

Elevates the child's left arm on two pillows.

Which client statement indicates to the nurse the client is using the defense mechanism of conversion?

I was unable to take my final exams because I was unable to write." client has converted the anxiety over school performance into a physical symptom that interferes with the ability to perform

The 25-year-old primigravida is diagnosed with type 1 diabetes mellitus. The nurse reviews the insulin regimen with the client. The nurse explains insulin needs will change in which way?

Increase during pregnancy and decrease after delivery.

The nurse cares for the client several days after an above-knee amputation (AKA). Which symptom is characteristic of an infected residual limb wound?

The client reports persistent pain at the operative site.

The client receives tetracycline. The nurse includes which information in the teaching plan?

Use a maximum-protection sunscreen when outdoors. because of problems related to photosensitivity

Buspirone is used for

anxiety

Nifedipine

calcium channel blocker that should not be taken with tyramine

The nurse provides care for a client who has had an above-knee amputation (AKA) with an immediate prosthetic fitting. It is most important for the nurse to take which action

cast applied to provide uniform compression, prevents pain and contractures

when mixing short-acting insulin with other types of insulin, the client should draw up the

clear (short-acting [regular]) before the cloudy (intermediate-acting)

Mottling of the infant skin, acrocyanosis, and irregular respirations at the rate of 60 breaths per minute are symptoms of

cold stress

The teenage client diagnosed with anorexia nervosa is admitted to the hospital. Which behavior does the nurse expect the client to present?

display a marked preoccupation with food Want to discuss and plan meals.

electromyography

electrodes are attached to muscles, length of time for impulse transmission is measured

Trendelenburg test.

for varicose veins. If they fill proximally = varicosity.

diet for cystic fibrosis is

high calorie high protein

The neonate weighing 7 lb 4 oz with Apgar scores of 7 and 8 at 1 and 5 minutes, respectively. Because the infant's mother is diagnosed with type 1 diabetes, the nurse knows the infant is at greatest risk for developing which problem?

hypoglycemia

if there is hypocalcemia, first concern is

larygnospasm

The client has a three-way indwelling urinary catheter following a transurethral resection. Which finding causes the nurse to infuse the irrigating solution rapidly

nurse should irrigate three-way urinary catheter rapidly when bright-red drainage or clots are present; nurse should decrease irrigation rate to about 40 gtt/min when the drainage clears

legumes are an economical source

of protien

A hemiglossectomy is the surgical excision of _____

of the tongue.

hemiplegia

paralysis of one side of the body

The nurse cares for the client who has just had a prosthetic hip implant. The nurse places the client in which position?

position of abduction should be maintained

The nurse checks the incision of the client 48 hours after surgery for a hernia repair. Which finding indicates a possible complication?

red incision. pink is normal but red is not

insulin should be administered at

room temperature

The client is returned to the unit after surgery with a cuffed tracheostomy tube in place. The nurse knows the purpose of the cuff on the tracheostomy tube includes which reason?

seals trachea, helps to prevent aspiration

imipramine side effects

sedation/drowsiness; dry mouth; postural hypotension, palpitations; diarrhea; urinary retention; anorexia; confusion

The client has partial-thickness and full-thickness burns over 75% of the body. The nurse is most concerned if which symptom is observed?

tachypnea. body responds to early hypovolemic shock by adrenergic stimulation; vasoconstriction compensates for the loss of fluid, resulting in cool, clammy skin, tachycardia, tachypnea, and pale color

If clients has boggy uterus from possible full bladder, have them

void in bed pan before straight cath