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Free NCLEX-RN Exam Braindumps (page: 242)

Page 242 of 431
PDF with 862 Questions

A 70-year-old homeless woman is admitted with pneumonia. She is weak, emaciated, and febrile. The physician orders enteral feedings intermittently by nasogastric tube. When inserting the nasogastric tube, once the tube passes through the oropharynx, the nurse will instruct the client to:

  1. Tilt her head backwards
  2. Swallow as tube passes
  3. Hold breath as tube passes
  4. Cough as tube passes

Answer(s): B

Explanation:

(A) Head should be tilted slightly forward to facilitate insertion. (B) Swallowing assists with insertion of tube and closes off airway. (C) Client should be swallowing as tube passes; holding the breath facilitates nothing.
(D) Coughing may expel tube.



A 70-year-old homeless woman is admitted with pneumonia. She is weak, emaciated, and febrile. The physician orders enteral feedings intermittently by nasogastric tube. When inserting the nasogastric tube, once the tube passes through the oropharynx, the nurse will instruct the client to:

  1. Tilt her head backwards
  2. Swallow as tube passes
  3. Hold breath as tube passes
  4. Cough as tube passes

Answer(s): B

Explanation:

(A) Head should be tilted slightly forward to facilitate insertion. (B) Swallowing assists with insertion of tube and closes off airway. (C) Client should be swallowing as tube passes; holding the breath facilitates nothing.
(D) Coughing may expel tube.



A 72-year-old male client had the Foley catheter that was inserted during the transurethral resection of his prostate removed today. He is concerned about the urinary incontinence he is having since removal of the Foley catheter. The nurse explains that:

  1. He should not be concerned about it because it will resolve quickly
  2. This is usually temporary
  3. The nurse will keep him dry, and he should notify the nurse when this happens
  4. This is related to the bladder spasms and will soon stop

Answer(s): B

Explanation:

(A) This problem is temporary, but it may take some time to resolve, especially in an older man. (B) This problem is usually temporary, but it may take some time to resolve. (C) Keeping the client dry will not relieve his anxiety about his incontinence. (D) The bladder spasms are not the cause of the client's incontinence.



A 72-year-old male client had the Foley catheter that was inserted during the transurethral resection of his prostate removed today. He is concerned about the urinary incontinence he is having since removal of the Foley catheter. The nurse explains that:

  1. He should not be concerned about it because it will resolve quickly
  2. This is usually temporary
  3. The nurse will keep him dry, and he should notify the nurse when this happens
  4. This is related to the bladder spasms and will soon stop

Answer(s): B

Explanation:

(A) This problem is temporary, but it may take some time to resolve, especially in an older man. (B) This problem is usually temporary, but it may take some time to resolve. (C) Keeping the client dry will not relieve his anxiety about his incontinence. (D) The bladder spasms are not the cause of the client's incontinence.



Page 242 of 431



Post your Comments and Discuss NCLEX NCLEX-RN exam with other Community members:

Naveen Ahlam commented on November 29, 2024
Great stuff
Anonymous
upvote

Isadora Guimarães commented on November 10, 2024
Very good to study
UNITED STATES
upvote

Marydee commented on April 02, 2020
Just purchased, will see if it is the real deal. Will give a further update later!
Anonymous
upvote