This Quiz contains 25 item NCLEX Test about Foundation of Practice
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Answers and Rationales: Foundation of Practice Part II
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Allowing self-activity whenever possible
Encouraging family members to feed and assist the client
Limiting family visiting hours to the evening before the client sleeps
Planning all necessary care at one time with long rest periods in between
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Sitting down and standing up.”
Ambulating several hours a day.”
Standing and maintaining balance.”
Doing active exercises for muscle strengthening.”
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Should be left up to the client and the clients family
Should be considered and planned for early in the client’s care
Are not necessary, because the client will return to former activities
Are not necessary, because the client will probably not be able to work again
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Rehabilitation needs are best met by the client’s family and community resources
Rehabilitation is a specially area with unique methods for meeting the client’s needs
Rehabilitation needs, immediate or potential, are exhibited by all clients with a health problem
Rehabilitation is unnecessary for clients returning to their usual activities following hospitalization
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Implementation of nursing care by the nurse
Steps the nurse employs to provide nursing care goals
Process the nurse to determine nursing goal
Activities a nurse employs to identify a client’s problem.
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Identify goals for nursing care
State the client’s nursing needs
Obtain information about the client
Evaluation the effectiveness of nursing actions
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Proposed plan of care
Client’s health problems
Assessment of client data
Actual nursing intervention
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Primary nurse
Nurse clinician
Clinical specialist
Nurse coordinator
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Time available for care
Validity of the diagnoses
Method for providing care
Effectiveness of the interventions
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“What is diabetes?”
“Can I still be a cheerleader?”
“How do I give myself an injection?”
“When do I test my blood for glucose?”
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Establishing long-range goals for the client
Reinforcing success in task accomplished
Pointing out errors and helping to correct them
Demonstrating ways the client can regain independence
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Allergic response
Synergistic response
Paradoxical response
Individual hypersusceptibility
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An acquired atopic sensitization
Passive immunity to the penicillin allergen
Antibodies to penicillin developed after earlier use of the drug
Developed potent bivalent antibodies when the IV administration was started
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Ischemia
Asphyxia
Lactic acidosis
Antihistamenia
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Respiratory depression and cardiac standstill
Construction of capillaries and decreased peripheral resistance
Bronchial constriction and decreased peripheral resistance
Decreased cardiac output and dilation of major blood vessels
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"One capsule at 9 PM? Of course, I will give it to her.”
“Did you ask the doctor if she should have this tonight? “
I am certain the doctor knows about your daughter’s allergy.”
“I will ask your daughter’s doctor to write an order so I can give this medication to her.”
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0.5 ml
0.75 ml
1.0 ml
1.25 ml
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0.6 ml
1.0 ml
1.4 ml
1.6 ml
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0.25 ml
0.5 ml
0.75 ml
1.0 ml
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0.4 ml
0.6 ml
0.8 ml
1.0 ml
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0.75 ml
1.25 ml
1.50 ml
1.75 ml
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Insert a rectal suppository containing 100 mg phenytoin
Open the capsule and sprinkle the powder in a cup of water
Administer 4 ml of phenytoin suspension containing 125 mg/ 5 ml
Obtain a change in the prescribed administration route to allow IM administration
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“You are worried about to much pain”
“You want general anesthesia for delivery?”
“I will tell your doctor about this request.”
“I can understand that; labor is uncomfortable.”
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Client's past experiences.
Total stress of the situation.
Client's personal resources.
Type of onset of the disease.
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