:: ::
Action
::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Open
:: ::
Action

Practice Question

The nurse is taking care of a 7-year-old female patient admitted for cellulitis of the right arm.

Answer Choices:

Correct Answer:

Fill out an event report and notify the provider.

Rationale:

⚠️An overdose of cefazolin increases the risk of toxicity, so immediate evaluation is essential.

🩺Obtaining vital signs and assessing neurological function alerts the nurse to early signs of adverse reactions.

📞Notifying the provider ensures timely orders for any necessary interventions or monitoring.

📝Completing an event report documents the error for quality improvement and system safety.

📌Core Message

Immediately assess for toxicity and report the error to ensure patient safety and regulatory compliance.

Want to practice more questions like this?

This question is from NCLEX-RN Practice Exam-4 which contains 123 questions.

More Questions from This Exam
A client seeks medical attention in the emergency department after developing acute abdominal pain two days prior. Which of the following actions by the nurse helps ensure accurate auscultation of the client's bowel sounds?

Answer Choices:

A. Auscultating the abdomen by utilizing the bell of the stethoscope
B. Listening for one full minute in each quadrant to confirm absence of bowel sounds
C. Pressing the stethoscope gently but deeply into the abdomen
D. Requiring that the client empty his or her bladder prior to auscultating the abdomen
A nurse is assigning beds to four new clients being admitted to the cardiac telemetry floor. Which of the following clients would most appropriately be assigned to the bed at the end of the hall, away from the nurses' station?

Answer Choices:

A. A 27-year-old client with unstable hyperthyroidism who has a heart rate of 110 beats per minute
B. A 55-year-old client in sinus rhythm transferring from the ICU three days post-coronary artery bypass grafting (CABG)
C. A 75-year-old client with sinus tachycardia who is confused and agitated three days following a prostatectomy
D. A 40-year-old client with mitral valve prolapse in sinus rhythm that is newly diagnosed with diabetes
A nurse is caring for a client with confusion secondary to a urinary tract infection. The client has just had a central intravenous (IV) line placed by the physician for antibiotic administration. Following the procedure, it is important for the nurse to complete which of the following?

Answer Choices:

A. Administer Ativan (lorazepam) as needed for agitation and anxiety.
B. Discuss with the client the importance and purpose of the central line.
C. Place soft restraints on the client’s wrists to prevent dislodgement.
D. Secure the line per policy and cover the line with gauze to disguise it.
A client being treated in a medical-surgical unit is receiving tube feedings. Over the past two days, the client has developed diarrhea, cramps, and abdominal distention. Which of the following interventions would be most appropriate for the nurse to complete? Select all that apply.

Answer Choices:

A. Anticipate changing to a lactose-free formula.
B. Change the feeding apparatus every 24 hours.
C. Slow the administration rate.
D. Use a diluted formula, gradually increasing the volume and concentration.
E. Use a higher volume of formula because the formula may be too hypotonic.
A nurse manager is scheduling nursing shifts for the next week. Which client would be best placed with a new nurse?

Answer Choices:

A. A client who sustained a leg fracture during a sporting event
B. A client with multiple medical problems and polypharmacy
C. A client with septicemia after a urinary tract infection
D. An alcoholic client who is actively detoxing from alcohol
From Exam
NCLEX-RN Practice Exam-4

123 Questions

View Full Exam
Question Details
  • Category: NCLEX RN
  • Subcategory: NCLEX-RN-Practice Exams
  • Domain: NCLEX RN (Practice Exams)
  • Answer Choices: 5
Was this question helpful?
0/5 average rating (0 votes)
Share your thoughts
Comments (0)