Page 2574 - Saunders Comprehensive Review For NCLEX-RN

many of the family members are very emotional. What is the most
appropriate nursing action for this client?
1. Restrict the number of family members visiting at one time.
2. Inform the family that emotional outbursts are to be avoided.
3. Make the necessary arrangements so that family members can
visit.
4. Contact the primary health care provider to speak to the family
regarding their behaviors.
876. A client presents to the emergency department with upper gastrointestinal
bleeding and is in moderate distress. In planning care, what is the priority
nursing action for this client?
1. Assessment of vital signs
2. Completion of abdominal examination
3. Insertion of the prescribed nasogastric tube
4. Thorough investigation of precipitating events
877. The nurse is performing an assessment on a client with dementia. Which
piece of data gathered during the assessment indicates a manifestation
associated with dementia?
1. Use of confabulation
2. Improvement in sleeping
3. Absence of sundown syndrome
4. Presence of personal hygienic care
878. The nurse is caring for a client with anorexia nervosa. Which behavior is
characteristic of this disorder and reflects anxiety management?
1. Engaging in immoral acts
2. Always reinforcing self-approval
3. Observing rigid rules and regulations
4. Having the need always to make the right decision
879. The nurse provides instructions to a malnourished pregnant client regarding
iron supplementation. Which client statement indicates an understanding of
the instructions?
1. “Iron supplements will give me diarrhea.”
2. “Meat does not provide iron and should be avoided.”
3. “The iron is best absorbed if taken on an empty stomach.”
4. “On the days that I eat green leafy vegetables or calf liver I can
omit taking the iron supplement.”
880. Levothyroxine is prescribed for a client diagnosed with hypothyroidism.
Upon review of the client’s record, the nurse notes that the client is taking
warfarin. Which modification to the plan of care should the nurse review
with the client’s primary health care provider?
1. A decreased dosage of levothyroxine
2. An increased dosage of levothyroxine
3. A decreased dosage of warfarin sodium
4. An increased dosage of warfarin sodium
881. The nurse is teaching a client with emphysema about positions that help
breathing during dyspneic episodes. The nurse instructs the client that which
positions alleviate dyspnea? Select all that apply.

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