Page 2599 - Saunders Comprehensive Review For NCLEX-RN

the surgical procedure, spinal anesthesia would not be used. In addition, the hair
would not be shaved. Although ambulating is important, specific to this procedure is
avoiding brushing the teeth to prevent disruption of the surgical site.
Test-Taking Strategy: Focus on the subject, a preoperative instruction. Consider
the anatomical location and the surgical procedure itself to eliminate options 1 and 2.
Although you may be tempted to select option 3, note the location of the surgery to
direct you to the correct option.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Adult Health: Endocrine
Health Problem: Adult Health: Endocrine: Pituitary disorders
Priority Concepts: Safety; Tissue Integrity
Reference: Ignatavicius, Workman, Rebar (2018), p. 1249.

899. Answer: 4

Rationale: Fresh fruits and vegetables provide vitamins and minerals needed for
healthy gums. Drinking water with meals has no direct effect on gums. Cracked
wheat bread may abrade the tender gums. Eating saltine crackers can also abrade the
tender gums.
Test-Taking Strategy: Focus on the subject, dental health during pregnancy.
Eliminate options 2 and 3 first because these measures could irritate fragile gums.
From the remaining options, eliminate option 1 by remembering that drinking water
with meals has no direct effect on gums and does not provide needed vitamins and
minerals.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Evaluation
Content Area: Maternity: Antepartum
Health Problem: Adult Health: Hematological: Bleeding/clotting disorders
Priority Concepts: Client Education; Nutrition
Reference: Lowdermilk et al. (2016), p. 320.

900. Answer: 3

Rationale: Radiation therapy is usually delayed until a child is 8 years old,
whenever possible, to prevent retardation of bone growth and soft tissue
development. Options 1, 2, and 4 are inappropriate responses to the mother and
place the mother’s question on hold.
Test-Taking Strategy: Note the strategic word, best. Also, note the subject, effects
of radiation therapy, and the age of the child. In addition, use therapeutic
communication techniques and knowledge regarding the effects of radiation to
answer this question. Options 1, 2, and 4 are nontherapeutic and place the mother’s
inquiry on hold. Also use the child’s age as a guide in directing you to the correct
option.
Level of Cognitive Ability: Applying

2599