Page 2606 - Saunders Comprehensive Review For NCLEX-RN

Test-Taking Strategy: Focus on the subject, a medication calculation problem. In
this medication calculation problem, it is necessary first to convert micrograms to
milligrams. Next, use the formula to calculate the correct dose. Recheck your work
using a calculator, and make sure that the answer makes sense.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Skills: Dosage Calculations
Health Problem: Adult Health: Endocrine: Thyroid Disorders
Priority Concepts: Clinical Judgment; Safety
Reference: Potter et al. (2017), pp. 327-329.

915. Answer: 4

Rationale: The most common side effect of metformin is gastrointestinal
disturbances, including decreased appetite, nausea, and diarrhea. These generally
subside over time. This medication does not cause weight gain; clients lose an
average of 7 to 8 lb (3.2 to 3.6 kg) because the medication causes nausea and
decreased appetite. Although hypoglycemia can occur, it is not the most common
side effect. Flushing and palpitations are not specifically associated with this
medication.
Test-Taking Strategy: Note the strategic word, most. To answer correctly, it is
necessary to recall that the most common side effect of metformin is gastrointestinal
disturbances.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Pharmacology: Endocrine Medications: Oral hypoglycemics
Health Problem: Adult Health: Endocrine: Diabetes mellitus
Priority Concepts: Client Education; Glucose Regulation
Reference: Hodgson, Kizior (2018), p. 734.

916. Answer: 1, 3, 5, 6

Rationale: During a seizure, the nurse should stay with the child to reduce the
risk of injury and allow for observation and timing of the seizure. The child is not
restrained, because this could cause injury to the child. The child is placed on his or
her side in a lateral position. Nothing is placed in the child’s mouth during a seizure
because this could injure the child’s mouth, gums, or teeth. Positioning on the side
prevents aspiration, because saliva drains out of the corner of the child’s mouth. The
nurse should loosen clothing around the child’s neck and ensure a patent airway.
Test-Taking Strategy: Focus on the subject, care of the child experiencing

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