Free NCLEX-RN Exam Braindumps (page: 158)

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An 8-year-old child is admitted to the hospital for surgery. She has had no previous hospitalizations, and both she and her family appear anxious and fearful. It will be most helpful for the nurse to:

  1. Take the child to her room and calmly and matter-offactly begin to get her ready to go to the operating room
  2. Take time to orient the child and her family to the hospital and the forthcoming events
  3. Explain that as soon as the child goes to the operating room she will have time to answer any questions the family has
  4. Tell the child and her family that there is nothing to worry about, that the operation will not take long, and she will soon be as "good as new"

Answer(s): B

Explanation:

(A) This action does nothing to prepare the child and her family for what will happen or to relieve their anxiety and fear. (B) This action provides security by preparing the child and the family for what will happen and will help to relieve fear and anxiety. (C) This action does nothing to help prepare the child for what will happen and does not give the parents permission to ask questions until later. (D) This action provides possibly false reassurance and may prevent the child and/or the family from asking pressing questions.



An 8-year-old child is admitted to the hospital for surgery. She has had no previous hospitalizations, and both she and her family appear anxious and fearful. It will be most helpful for the nurse to:

  1. Take the child to her room and calmly and matter-offactly begin to get her ready to go to the operating room
  2. Take time to orient the child and her family to the hospital and the forthcoming events
  3. Explain that as soon as the child goes to the operating room she will have time to answer any questions the family has
  4. Tell the child and her family that there is nothing to worry about, that the operation will not take long, and she will soon be as "good as new"

Answer(s): B

Explanation:

(A) This action does nothing to prepare the child and her family for what will happen or to relieve their anxiety and fear. (B) This action provides security by preparing the child and the family for what will happen and will help to relieve fear and anxiety. (C) This action does nothing to help prepare the child for what will happen and does not give the parents permission to ask questions until later. (D) This action provides possibly false reassurance and may prevent the child and/or the family from asking pressing questions.



One week ago, a 21-year-old client with a diagnosis of bipolar disorder was started on lithium 300 mg po qid. A lithium level is ordered. The client's level is 1.3 mEq/L. The nurse recognizes that this level is considered to be:

  1. Within therapeutic range
  2. Below therapeutic range
  3. Above therapeutic range
  4. At a level of toxic poisoning

Answer(s): A

Explanation:

(A) This answer is correct. The therapeutic range is 1.0­1.5 mEq/L in the acute phase. Maintenance control levels are 0.6­1.2 mEq/L. (B, C) This answer is incorrect. A level of 1.3 mEq/L is within therapeutic range. (D) This answer is incorrect. Toxic poisoning is usually at the 2.0 level or higher.



One week ago, a 21-year-old client with a diagnosis of bipolar disorder was started on lithium 300 mg po qid. A lithium level is ordered. The client's level is 1.3 mEq/L. The nurse recognizes that this level is considered to be:

  1. Within therapeutic range
  2. Below therapeutic range
  3. Above therapeutic range
  4. At a level of toxic poisoning

Answer(s): A

Explanation:

(A) This answer is correct. The therapeutic range is 1.0­1.5 mEq/L in the acute phase. Maintenance control levels are 0.6­1.2 mEq/L. (B, C) This answer is incorrect. A level of 1.3 mEq/L is within therapeutic range. (D) This answer is incorrect. Toxic poisoning is usually at the 2.0 level or higher.



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