Test: ADRINCLEXPN EXAM
Category: Self Assessment
Description: American Dream Review Center NCLEX PN Exam
Keywords: AmDream, American Dream, Review Center, Cebu
A nurse approaches a client with recent colostomy for a routine assessment and finds him tearful. Which of the following actions is appropriate?
Asking open-ended questions and appearing interested in what the client has to say will encourage verbalization of feelings. Leaving the client may make him feel unaccepted. Asking close-ended questions won't encourage verbalization of feelings. Ignoring the client's present state isn't therapeutic for the client.
sit down with the client and ask if he'd like to talk about anything
assess the client if he's having pain or discomfort
tell the client she needs to perform an assessment
tell the client she'll come back another time
What position should the nurse place the head of the bed in order to obtain the most accurate reading of jugular vein distention?
Jugular venous pressure is measured with a centimeter ruler to obtain the vertical distance between the sternal angle and the point of highest pulsation with the head of the bed inclined between 15 and 30 degrees. Increased pressure can't be seen when the client is supine or when the head of the bed is raised 10 degrees because the point that marks the pressure level is above the jaw (therefore, not visible). In high Fowler's position, the veins would be barely discernible above the clavicle.
High Fowler's
Raised 10 degrees
Raised 30 degrees
Supine position
What is the definitive test used to diagnose an abdominal aortic aneurysm?
An arteriogram accurately and directly depicts the vasculature; therefore, it clearly delineates the vessels and any abnormalities. An abdominal aneurysm would only be visible on an x-ray if it were calcified. CT scan and ultrasound don't give a direct view of the vessels and don't yield as accurate a diagnosis as the arteriogram.
Abdominal x-ray
Ultrasound
Computed tomography (CT) scan
Arteriogram
A client has been informed that he needs surgery for rectal cancer. His response is, "There's nothing wrong with me. I just have hemorrhoids." Which of the following defense mechanism is the client using?
Denial is the blocking out of thoughts or feelings perceived as painful. The client is blocking the news that he has rectal cancer and needs surgery.
suppression
repression
displacement
denial
Comments
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A Nurse Approaches A Client With A Recent Colostomy For A Routine Assessment And Finds Him Tearful. Her Most Appropriate Response Would Be To
Approaches A Client With A Recent Colostomy For A Routine Assessment And Finds The Client Tearful. The Nurse S Most Appropriate
Nurse Approaches A Client With A Recent Colostomy For A Routine Assessment Finds Him Tearful Quizlet
A Nurse Approaches A Client With A Recent Colostomy For A Routine Assessment And Finds The Client Tearful. The Nurse S Most Appropriate Response
Jvd Reading Head Of The Bed
A Nurse Approaches A Client With A Recent Colostomy For A Routine Assessment And Finds The Client Tearful. The Nurses Most Appropriate Response Would Be To
Adrinclexpn.com
A Nurse Approaches A Client With A Recent Colostomy For A Routine Assessment
A Nurse Approaches A Client With A Recent Colostomy For A Routine Assessment And Finds The Client Tearful. The Nurse S Most Appropriate Response Would Be To
A Nurse Approaches A Client With A Recent Colostomy For A Routine Assessment And Finds Him Tearful. Her Most Appropriate Responce Would Be To
Adrinclexpn
Place The Head Of The Bed Jugular Vein Distention
Accurate Jugular Venous Distension Reading Position
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