NCLEX RN ( Haad, DHA) Vinayan A N

An elderly patient is admitted to the hospital with swollen ankles. The best way to limit

edema of the feet is for the nurse to:

• Restrict fluids

• Apply bandages

• Elevate the leg

• Do passive range of exercise

Which of the following actions is the most effective measure to reduce hospital acquired

infections?

• Double bagging of all contaminated laundry

• Restrict visitors

• Using disposable supplies

• Correct hand washing

A patient is diagnosed with diabetic ketoacidosis. The nurse would expect the physician to

prescribe:

• Regular insulin

• NPH insulin SC

• Glucogon IM

• Mixed insulin SC

The rationale for the patient void before an abdominal paracentesis procedure is to:

• Minimize discomfort

• Avoid abdominal distention

• Prevent bladder puncture

• Reduce infection rate

An 85-year-old man is admitted with dementia. He continuously attempts to remove his

nasogastric tube. The nurse applies cloth wrist restraints as ordered. Which of the following

actions by the nurse is most appropriate?

• Evaluate tge need to restrain by observing patient behavior once every 24hrs

• Perform circulation check to the extremities every two hrs

• Remove tge restraint while sleeping

• Instruct family to limit physical contact with the patient