Here are the Answers to NCLEX Preparation Course - Critical Thinking VI (11-20) -->
11. The client has been diagnosed to have sickle cell anemia. Which of the following is appropriate nursing action when the client experiences joint pains?
a) apply cold compress to the area
b) apply warm compress to the area
c) immobilize the involved area
d) massage the involved area
12. Which of the following statements when made by the client with systemic lupus erythematosus indicates that she has good understanding of her care plan?
a) I will avoid using lotion after bathing
b) I need to have adequate sunlight in the morning
c) I am allowed to go and watch basketball games
d) range of motion of my joints will be good to maintain joint and muscle functions
13. Which of the following is least likely be included when the nurse is giving information about hepatitis A? Select all that apply
a) it is transmitted through oro-fecal route
b) it is associated with eating shellfish from contaminated water
c) it is common in places with poor sanitation
d) it may be associated with multiple blood transfusion
e) it is a co-infection with hepatitis B
f) it usually follows intake of certain drugs
g) it is transmitted through blood and body fluids
14. The patient had been diagnosed to have Addison's disease. The nursing care plan of the client should include the following appropriate interventions. Select all that apply
a) monitor the client's weight and vital signs
b) restrict potassium-rich foods in the diet
c) monitor serum glucose levels
d) check for hypertension and hyperglycemia
e) observe for masculinization in women
f) avoid exposure to infection
15. The Monitor Tech called the attention of the nurse in a loud and urgent voice informing her that the patient is in asystole in her monitor. In responding to the situation, what should the nurse do first?
a) call code blue immediately
b) call the physician for orders
c) go to the patient, check for presence of pulse and blood pressure
d) get the crash cart and defibrillate the patient
16. Which among the following patient has the highest priority for a referral to an interdisciplinary team?
a) a post-CVA patient with hemiparesis for physical therapy evaluation and teaching
b) a patient with chronic pancreatitis for dietary teaching by the nutritionist
c) a patient with 1-week old carpal tunnel syndrome who wants immediate session with the occupational therapist
d) a patient with fracture of the femur who is in cast
17. The client has been complaining of severe discomfort during menstrual period. She would not take any analgesic but considers herbal approach. What would you suggest to her?
a) cranberry relieves spastic pain during menstrual period
b) echinacea should be taken because aside from enhancing the immune system, it relieves spasm during menstruation
c) ginseng promote uterine circulation
d) black cohosh relieves spastic pain of menstruation
18. A client had undergone herniorrhaphy. Which of the following measures should be included in the nursing interventions postop?
a) increase fluid intake
b) encourage to do deep breathing and coughing exercises
c) place the client in semi-fowler's position most of the time
d) provide liquid diet until wound heals
19. Which of the following problems should be given highest priority by the nurse when caring for a client with Guillain-Barre Syndrome?
a) weakness
b) aspiration
c) difficulty in speaking
d) ascending paralysis
20. The patient has positive (+) carpal spasm response. The appropriate action by the nurse is
a) take BP on the other arm
b) wait for 15 minutes and reassess again by taking BP at the same arm
c) take the BP on both arms every hour
d) repeat taking BP on the same arm after 4 hours
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NCLEX Preparation Course - Critical Thinking Exercises VI (Questions 11-20)
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