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Question 44

Following a bicycle accident, a 12-year-old client sustained a complete fracture of the left femur. He was placed in 90◦-90◦ skeletal traction with a pin in the distal end of the femur to achieve realignment and immobilization of the left femur. When providing nursing care, it is important for the nurse to remember that:

Options:

A.

The nurse may lift only the weights that are applying traction in order to reposition him in bed

B.

The client will need special skin care at the pin site according to hospital policy or the physician’s preference

C.

The traction pull should result in an immediate increase in comfort and reduce the need for pain medication

D.

The client should be discouraged from participating in self-care activities to avoid the risk of disrupting the traction

Question 45

A client is going to have a pneumonectomy in the morning. She had a previous negative surgical experience, is talking rapidly, and has an increased pulse and respiratory rate. Nursing interventions for this client should include:

Options:

A.

Providing opportunities to ask questions and talk about concerns

B.

Providing distractors such as reading or watching television

C.

Telling her that she should not be so nervous and assuring her that everything will be OK

D.

Reminding her that this surgery is not as extensive as her past surgery was

Question 46

A client returns to the cardiovascular intensive care unit following his coronary artery bypass graft. In planning his care, the most important electrolyte the nurse needs to monitor will be:

Options:

A.

Chloride

B.

HCO3

C.

Potassium

D.

Sodium

Question 47

A 22-year-old client presents with a diagnosis of antisocial personality disorder and a history of using drugs, writing numerous checks with insufficient funds, and stealing. He appears charming and intelligent, and the other clients are impressed and want to be liked by him. The greatest problem that may arise from this situation is that:

Options:

A.

He will manipulate the other clients for his own benefit

B.

He will cause the other clients to become psychotic

C.

He will become delusional and hallucinate as a result of the excess attention given to him by peers

D.

He may exhibit self-mutilative behavior

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Exam Code: NCLEX-RN
Exam Name: National Council Licensure Examination(NCLEX-RN)
Last Update: Dec 22, 2024
Questions: 860
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