NCLEX NCLEX-PN Exam Made Easy: Step-by-Step Preparation Guide

Toradol is an NSAID found to be very effective for brief periods of time for acute pain. It can be given IM,

IV, or PO.Basic Care and Comfort

For the client with an NG tube who begins vomiting, the nurse should check the tube placement because

it might be displaced, thereby leading to vomiting. The other responses are not appropriate.Reduction of Risk

Potential

Child abuse is higher in households with lower socioeconomic status and single parents. The increased incidence might be due to increased stress and fewer support systems.Psychosocial Integrity

Head lag should be completely resolved by 4 months of age. Continuing head lag at 6 months of age

indicates the need for further developmental or neurological evaluation. Laying the infant on her stomach

promotes muscle development of the neck and shoulder muscles, but because of the age of this child, a referral

should be the first action. These findings are not normal for a 6-month-old infant. Significant head lag can be seen

in infants with Down syndrome and hypoxia, as well as neurologic and other metabolic disorders. Some of those

disorders might have mental retardation as a component. However, this child needs to have the referral to

determine the cause of the head lag first.Health Promotion and Maintenance

The method of splinting is always dictated by the severity of the client’s condition and the priority decision.

Basic Care and Comfort

Single mothers with two or three children are the fastest-growing segment of the homeless population. The majority of the children are under the age of five, and the total number of children who are homeless account for more than one-third of the homeless population in the United States. In the past, single adults were the largest group in the homeless population, with more men than women being homeless. Runaway adolescents account for another group of homeless children. Many are victims of abuse or long-term family or school problems.HealthPromotion and Maintenance

Serosanguious drainage is expected at this time. The dressing should be reinforced. Changing a new postop

dressing increases the risk of infection. An abdominal binder interferes with visualization of the dressing.Basic

Care and Comfort

Mammography is used to detect tumors or cysts in the breasts, not the other conditions.Reduction of Risk

Potential

Due to the high cholesterol content of red meats, such as hamburger, intake needs to be decreased. The other

options do not have high cholesterol content, so they do not need to be decreased.Reduction of Risk Potential

Every person is worthy of dignity and respect. Every person has the potential to change and grow. All people

have basic human needs in common with others. All behavior has meaning and can be understood from the

client’s perspective.Psychosocial Integrity

The client with Parkinson’s disease can develop a shuffling gait and rigidity, causing impaired physical

mobility. The other diagnoses do not necessarily relate to a client with Parkinson’s disease.Reduction of Risk

Potential

Prevention of child abuse is centered on teaching the parents how to care for their child and cope with the

demands of infant care. Parenting classes can help build self-confidence, self-esteem, and coping skills. Parents

benefit by understanding the developmental needs of their children, while learning how to manage their home

environment more effectively. The classes also increase the parents’ social contacts and teach about community

resources.Psychosocial Integrity

A client with cirrhosis is at risk for developing a high ammonia level.Reduction of Risk Potential

Vitamin B12 is the primary nutritional deficiency of concern for a strict vegetarian.Health Promotion and

Maintenance

Granulocyte transfusion is not indicated to prevent infection. Produced in the bone marrow, granulocytes

normally comprise 70% of all WBCs. They are subdivided into three types based on staining properties:

neutrophils, eosinophils, and basophils. They can be beneficial in a selected population of infected, severely

granulocytopenic clients (less than 500/mm3) who do not respond to antibiotic therapy and who are expected

to experience prolonged suppression of granulocyte production.Physiological Adaptation