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Test: ADRINCLEXPN EXAM

Category: Self Assessment

Description: American Dream Review Center NCLEX PN Exam

Keywords: AmDream, American Dream, Review Center, Cebu

Relevant Website: http://www.adrinclexpn.com

A client has been informed that he needs surgery for rectal cancer. His response is, "There's nothing wrong with me. I just have hemorrhoids." Which of the following defense mechanism is the client using?

Denial is the blocking out of thoughts or feelings perceived as painful. The client is blocking the news that he has rectal cancer and needs surgery. suppression repression displacement denial

What is the definitive test used to diagnose an abdominal aortic aneurysm?

An arteriogram accurately and directly depicts the vasculature; therefore, it clearly delineates the vessels and any abnormalities. An abdominal aneurysm would only be visible on an x-ray if it were calcified. CT scan and ultrasound don't give a direct view of the vessels and don't yield as accurate a diagnosis as the arteriogram. Abdominal x-ray Ultrasound Computed tomography (CT) scan Arteriogram

A nurse approaches a client with recent colostomy for a routine assessment and finds him tearful. Which of the following actions is appropriate?

Asking open-ended questions and appearing interested in what the client has to say will encourage verbalization of feelings. Leaving the client may make him feel unaccepted. Asking close-ended questions won't encourage verbalization of feelings. Ignoring the client's present state isn't therapeutic for the client. sit down with the client and ask if he'd like to talk about anything assess the client if he's having pain or discomfort tell the client she needs to perform an assessment tell the client she'll come back another time

What position should the nurse place the head of the bed in order to obtain the most accurate reading of jugular vein distention?

Jugular venous pressure is measured with a centimeter ruler to obtain the vertical distance between the sternal angle and the point of highest pulsation with the head of the bed inclined between 15 and 30 degrees. Increased pressure can't be seen when the client is supine or when the head of the bed is raised 10 degrees because the point that marks the pressure level is above the jaw (therefore, not visible). In high Fowler's position, the veins would be barely discernible above the clavicle. High Fowler's Raised 10 degrees Raised 30 degrees Supine position

Comments

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Nurse Approaches Client With

Recent

Colostomy For Routine Assessment

And

Finds Him Tearful. Her

Most

Appropriate Response Would Be

To

The S Tearful Quizlet

Jvd

Reading Head Of Bed

Nurses

Adrinclexpn.com Responce Adrinclexpn Place

Jugular

Vein Distention Accurate Venous

Distension

Position Www.adrinclexpn.com Blonde Test