A client is diagnosed with organic brain disorder. The nursing care should include:
Answer(s): A
(A) A priority nursing goal is attending to the client's safety and well-being. Reorient frequently, remove dangerous objects, and maintain consistent environment. (B) Short, frequent visits are recommended to avoid overstimulation and fatigue. (C) Short, concise, simple Explanation are easier to understand. (D) Mental capability and attention span deficits make learning difficult and frustrating.
A pregnant client during labor is irritable and feels the urge to vomit. The nurse should recognize this as the:
Answer(s): C
(A) The fourth stage begins after expulsion of the placenta. Client symptoms are: fatigue; chills; scant, bloody vaginal discharge; and nausea. (B) The third stage is from birth to expulsion of placenta. Client symptoms are uterine contractions, gush of blood, and perineal pain. (C) The transition stage is characterized by strong uterine contractions and cervical dilation. Clientsymptoms are irritability, restlessness, belching, muscle tremors, nausea, and vomiting. (D) The second stage is characterized by full dilation of cervix. Client symptoms are perineal bulge, pushing with contractions, great irritability, and leg cramps.
Post your Comments and Discuss NCLEX NCLEX-RN exam with other Community members:
Naveen Ahlam Commented on January 18, 2025 Great stuff Anonymous
Om Commented on December 31, 2024 Good question Anonymous
Isadora Guimarães Commented on December 30, 2024 Very good to study UNITED STATES
Marydee Commented on April 02, 2020 Just purchased, will see if it is the real deal. Will give a further update later! Anonymous
Our website is free, but we have to fight against bots and content theft. We're sorry for the inconvenience caused by these security measures. You can access the rest of the NCLEX-RN content, but please register or login to continue.