*NURSING > NCLEX-RN > chamberlain-college-of-nursing-practice-for-the-nclex-rn-practice-exam-3-and-rationales-with-complet (All)
A newly admitted client has sickle cell crisis. The nurse is planning care based on assessment of the client. The client is complaining of severe pain in his feet and hands. The pulse oximetry is • ... Which of the following interventions would be implemented first? Assume that there are orders for each intervention. • Adjust the room temperature • Give a bolus of IV fluids • Start O2 • Administer meperidine (Demerol) 75mg IV push • The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select? • Roast beef, gelatin salad, green beans, and peach pie • Chicken salad sandwich, coleslaw, French fries, ice cream • Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie • Pork chop, creamed potatoes, corn, and coconut cake • Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend? • A family vacation in the Rocky Mountains • Chaperoning the local boys club on a snow-skiing trip • Traveling by airplane for business trips • A bus trip to the Museum of Natural History • The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which of the following would the nurse include in the physical assessment? • Palpate the spleen • Take the blood pressure • Examine the feet for petechiae • Examine the tongue • An African American female comes to the outpatient clinic. The physician suspects vitamin B12 deficiency anemia. Because jaundice is often a clinical manifestation of this type of anemia, what body part would be the best indicator? • Conjunctiva of the eye • Soles of the feet • Roof of the mouth • Shins • The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia? A. BP 146/88 • Respirations 28 shallow • Weight gain of 10 pounds in 6 months • Pink complexion [Show More]
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