Here are the Questions to NCLEX Preparation Course - Critical Thinking VI (21-30) -->
21) A
22) D
- absence of breath sounds on one side of the chest indicates atelectasis. A client with problem of airway or oxygenation should be given highest priority. ABC is a priority.23) A
- gingival hyperplasia indicates toxic reaction to anticonvulsant, specifically Dilantin. This needs follow-up. The other choices are normal findings.24) A
- inform the relative on the nearest health service facility, in case a problem or emergency situation arises.25) B, C, D, F
- comprise signs and symptoms of Cushing's reflex. The triad components of Cushing's reflex are blood pressure (systolic, diastolic, and pulse pressure), pulse rate and respiratory rate.26) A
- silvery white scales characterize psoriasisChoice B - describes scabies
Choice C - describes measles
Choice D - describes herpes zoster
27) B
- mestinon, a cholinergic is best given 20 to 30 minutes before meals to prevent choking in a client with Myasthenia gravis.28) C
- SIADH is hypersecretion of ADH. The client experiences excessive retention of water. Polyuria is not a manifestation of the disease. Polyuria is a characteristic of diabetes insipidus.29) A, C, D
-these are nursing interventions after tonsillectomy. Bleeding should be prevented and monitored. It is manifested by frequent swallowing. Ice cream contains milk. This increases viscosity of the saliva that riggers clearing of the throat. Deep breathing is indicated. However, coughing is to be avoided to prevent bleeding.30) B
- the LVN/LPN is allowed to do wound care and change of wound dressing. Choice A is a task to be done by RN; choices C and D are tasks to be done by the CNA.Related Topics:
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