NCLEX-RN Exam Pack Set 7 (75Questions & Answers Updated2022)1.1. QuestionThe nurse is providing discharge teaching for the client withleukemia
NCLEX-RN Exam Pack Set 7 (75Questions & Answers Updated2022)1.1. QuestionThe nurse is providing discharge teaching for the client withleukemia.
The client should be told to avoid:oA. Using oil- or cream-based soapsoB. Flossing between the teethoC. The intake of saltoD. Using an electric razor•2. QuestionThe nurse is changing the ties of the client with a tracheostomy. Thesafest method of changing the tracheostomy ties is to:oA. Apply the new tie before removing the old one.oB. Have a helper present.
oOption B:Having a helper is good, but the helpermight not prevent the client from coughing out thetracheotomy.oOption C:Hold the tracheostomy with thenondominant hand while removing the old tie is notthe best way to prevent the client from coughing outthe tracheotomy.oOption D:Asking the doctor to suture thetracheostomy in place is unnecessary.Correct Answer: A. Apply the new tie before removing theold one.Leaving the old ties in place while securing the clean tiesprevents inadvertent dislodging of the tracheostomy tube.oOption A:Turning the client to the left side doesnothing to help the client.oOptions B and C:Milking the tube is done only withan order and will not help in this situation, and slowingthe intravenous infusion is not an appropriate action.Correct Answer: D. Notifying the physicianThe output of 300 mL is indicative of hemorrhage and should bereported immediately.oC. Hold the tracheostomy with the nondominant hand whileremoving the old tie.oD. Ask the doctor to suture the tracheostomy in place.•3. QuestionThe nurse is monitoring a client following a lung resection. The hourlyoutput from the chest tube was 300mL. The nurse should givepriorityto:oA. Turning the client to the left sideoB. Milking the tube to ensure patencyoC. Slowing the intravenous infusionoD. Notifying the physician
