NCSBN QBANK 1-15. All Questions & Answers. Rated A+

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NCSBN QBANK 1-15. All Questions & Answers. Rated A+ The nurse is admitting a client who is newly diagnosed with a frontal lobe brain tumor. Which statement made by a spouse may provide important in... formation about this diagnosis and should be communicated to the health care provider? "It seems our sex life is nonexistent over the past six months." "His breathing rate is usually below 12." "I find the mood swings and the change from being a calm person to being angry all the time hard to deal with." "In the morning and evening he complains that reading is next to impossible because the print is blurry." - Ans-"I find the mood swings and the change from being a calm person to being angry all the time hard to deal with." The frontal lobe of the brain controls affect, judgment and emotions. Dysfunction in this area results in findings such as emotional lability, changes in personality, inattentiveness, flat affect and inappropriate behavior. A nurse is teaching a group of adults about modifiable cardiac risk factors. Which of the following should the nurse focus on first? Weight reduction Stress management Smoking cessationPhysical exercise - Ans-Smoking cessation Smoking cessation is the priority for clients at risk for cardiac disease. Smoking's effects result in reduction of cell oxygenation and constriction of the blood vessels. All of the other factors should be addressed at some point in time. A client has had a positive reaction to purified protein derivative (PPD). When the client asks, "What does this mean?" the nurse should respond with which statement? "You have been exposed to the organism Mycobacterium tuberculosis." "This means you have never had or been around someone with tuberculosis." "You are mostly likely have a natural immunity to the bacteria." "You most likely have a resistant form of active tuberculosis. - Ans-"You have been exposed to the organism Mycobacterium tuberculosis." The PPD skin test is used to determine the presence of tuberculosis antibodies. In an otherwise healthy person, an induration greater than or equal to 15 mm is considered a positive skin test. This indicates that the client has been exposed to the organism Mycobacterium tuberculosis. Additional tests such as a chest x-ray and sputum culture will be needed to determine if active tuberculosis is present. The sputum cytology test is the only definitive test to confirm a diagnosis of active TB. The nurse is providing information to a client about a prescribed medication. Which one of these statements, if made by a client, indicates that teaching about propranolol (Inderal) has been effective? - Ans-"I can have a heart attack if I stop this medication suddenly."Propranolol is commonly used to treat hypertension, abnormal heart rhythms, heart disease and certain types of tremor. It is in a class of medications called beta blockers. Suddenly discontinuing a beta blocker can cause angina, hypertension, arrhythmias, or even a heart attack. The nurse needs to accurately assess gastric placement of a nasogastric tube prior to the administration of an enteral feeding. What is the priority action the nurse should take before starting the infusion? - Ans-Check the pH of the aspirate Once the initial placement of the tube has been confirmed by x-ray, the nurse will check the pH of the aspirate before administering medications or enteral feeding solutions. Current practice recommendations include assessing the feeding tube placement by testing the pH of aspirates, measuring the external portion of the tube, and observing for changes in the volume and appearance of feeding tube aspirates. If tube placement is in doubt, an x-ray should be obtained. The other methods are older approaches that are no longer recommended. The registered nurse (RN) is planning the care of an 80-year-old client with skin abrasions from a fall in the home. What aspect of this client's care is the primary responsibility of the nurse? - Ans-Perform a head-to-toe assessment [Show More]

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