Page 2598 - Saunders Comprehensive Review For NCLEX-RN

Level of Cognitive Ability: Evaluating
Client Needs: Safe and Effective Care Environment
Integrated Process: Teaching and Learning
Content Area: Maternity: Newborn
Health Problem: Newborn: Newborn of a mother with HIV/AIDS
Priority Concepts: Client Education; Infection
Reference: McKinney et al. (2018), pp. 568-569, 940.

896. Answer: 4

Rationale: If the adolescent wears contact lenses, the adolescent should be
instructed to discontinue wearing them until the infection has cleared completely.
Obtaining new contact lenses would eliminate the chance of reinfection from
contaminated contact lenses and would lessen the risk of a corneal ulceration.
Test-Taking Strategy: Note the strategic words, need for further information. These
words indicate a negative event query and ask you to select an option that is
incorrect. Options 1, 2, and 3 are comparable or alike in that they relate to avoiding
the use of contact lenses during infection.
Level of Cognitive Ability: Evaluating
Client Needs: Safe and Effective Care Environment
Integrated Process: Teaching and Learning
Content Area: Pediatrics: Eye/Ear
Health Problem: Pediatric-Specific: Conjunctivitis
Priority Concepts: Client Education; Infection
Reference: McKinney et al. (2018), p. 1363.

897. Answer: 3

Rationale: An insulin vial in current use can be kept at room temperature for 1
month without significant loss of activity. Direct sunlight and heat must be avoided.
Therefore, options 1, 2, and 4 are incorrect.
Test-Taking Strategy: Note the subject, client understanding of discharge
instructions related to storage of insulin. Noting the closed-ended words “only” in
option 1 and all in option 2 will assist you in eliminating these options. Recalling that
direct sunlight and heat need to be avoided will assist you in eliminating option 4.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Evaluation
Content Area: Pharmacology: Endocrine Medications: Insulin
Health Problem: Adult Health: Endocrine: Diabetes mellitus
Priority Concepts: Client Education; Glucose Regulation
Reference: Ignatavicius, Workman, Rebar (2018), p. 1297.

898. Answer: 4

Rationale: A trans-sphenoidal hypophysectomy is a surgical approach that uses
the nasal sinuses and nose for access to the pituitary gland. Based on the location of

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