NCLEX-PN Preparation Review - Nursing Topics - Adult

NCLEX-PN Preparation Review - Nursing Topics - Adult

published on January 20, 2011444 responses 0 4.0★ / 5

An obese client is admitted to the hospital for abusing amphetamines in an attempt to lose weight. Which nursing intervention is appropriate for this client?

Encrouraging the client to suppress his feelings regarding obesity.
Reinforcing the client's concerns over physical appearance.
Using an abrupt, forceful manner to communicate with the client.
Teaching the client alternative ways to lose weight.

A client is admitted to the hospital with an exacerbation of her chronic systemic lupus erythematosus {SLE}. She gets angry when her call bell isn't answered immediately. The most appropriate response to her would be:

"You seem angry. Would you like to talk about it?"
"Calm down. You know that stress will make your symptoms worse."
"Would you like to talk about the problem with the nursing supervisor?"
"I can see you're angry. I'll come back when you're calmed down."

Which symptoms indicate that a client probably has a sinus infection?

Sore throat, fever, malaise, and no drainage in the oropharynx.
Enlarged tonsils, clear drainage in the oropharynx, and a dry hacking cough.
Productive cough, hoarseness, and shortness of breath.
Pain in the upper molars and tan or green drainage in the oropharynx.

The nurse provides care for a client who experienced an extensive myocardial infaction. The client exhibits behavior characteristic of the denial stage of the grieving process. What should the nurse do?

Reinforce and support the client's denial.
Let the client know that the nurse is available to talk.
Point out other clients with myocardial infaction who are doing well.
Explain to the client that he needs to accept his diagnosis.

The nurse is caring for a client with left-sided heart failure. To reduce fluid volume excess, the nurse can anticipate using:

antiembolism stockings
oxygen
diuretics
anticoagulants