Page 1536 - Saunders Comprehensive Review For NCLEX-RN

important; however, the client’s airway is the priority.
Test-Taking Strategy: Note the strategic words, highest priority. Use the ABCs—
airway, breathing, and circulation. The correct option addresses the airway.
Level of Cognitive Ability: Analyzing
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Planning
Content Area: Foundations of Care: Diagnostic Tests
Health Problem: N/A
Priority Concepts: Clinical Judgment; Safety
Reference: Ignatavicius, Workman, Rebar (2018), p.1071.

537. Answer: 3

Rationale: The client does have to lie still for ERCP, which takes about 1 hour to
perform. The client also has to sign a consent form. Intravenous sedation is given to
relax the client, and an anesthetic spray is used to help keep the client from gagging
as the endoscope is passed.
Test-Taking Strategy: Note the strategic words, needs further information. These
words indicate a negative event query and ask you to select an option that is
incorrect. Invasive procedures require consent, so option 1 can be eliminated. Noting
the name of the procedure and considering the anatomical location will assist you in
eliminating options 2 and 4.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Foundations of Care: Diagnostic Tests
Health Problem: N/A
Priority Concepts: Client Education; Safety
Reference: Lewis et al. (2017), p. 850.

538. Answer: 2

Rationale: Hepatitis A is transmitted by the fecal-oral route via contaminated
water or food (improperly cooked shellfish), or infected food handlers. Hepatitis B,
C, and D are transmitted most commonly via infected blood or body fluids, such as
in the cases of intravenous drug abuse, history of blood transfusion, or unprotected
sex with multiple partners.
Test-Taking Strategy: Focus on the subject, hepatitis A. Recalling the modes of
transmission of the various types of hepatitis is required to answer this question.
Remember that hepatitis A is transmitted by the fecal-oral route.
Level of Cognitive Ability: Analyzing
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Assessment
Content Area: Adult Health: Gastrointestinal
Health Problem: Adult Health: Gastrointestinal: GI Accessory Organs
Priority Concepts: Infection; Inflammation
Reference: Lewis et al. (2017), p. 975.

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