NCLEX RN Basic Care and Comfort

NCLEX RN Basic Care and Comfort Related

Review NCLEX RN Basic Care and Comfort related questions and content

The nurse is preparing to receive an 18-month-old client from surgery who had repair of a congenital hip deformity. What type of traction does the nurse anticipate setting up for the client?

  • A. Bryant’s traction
  • B. Russell’s traction
  • C. Buck’s traction
  • D. Skeletal traction
Correct Answer: A

Rationale: Bryant's traction is commonly used for young children with hip deformities, such as developmental dysplasia of the hip, to maintain alignment post-surgery. It involves elevating both legs at a 90-degree angle to the torso.

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A client with gastroesophageal reflux disease (GERD) is talking to the nurse about ways to manage her condition. Which statement reflects an understanding of management of GERD?

  • A. I can elevate the head of my bed 6 to 12 inches to help prevent nighttime reflux.
  • B. I can eat a large breakfast and smaller meals for lunch and dinner to help me feel better.
  • C. Lying on my left side will promote oxygenation and frequent swallowing to help clear my esophagus.
  • D. I should take liquid antacids to coat my esophagus and buffer acid 2 hours before I eat and 1 hour after meals.
Correct Answer: A

Rationale: Elevating the head of the bed 6 to 12 inches prevents nighttime reflux by using gravity to keep stomach acid down. Large meals, left-side lying, and incorrect antacid timing do not effectively manage GERD.

The nurse is teaching infant CPR to a group of newly graduated nurses hired to work in the labor and delivery unit. The nurse understands that proper technique with infants includes which action? Select all that apply.

  • A. The femoral artery is checked for a pulse following each cycle of CPR.
  • B. Chest compression depth should be approximately 1.5 inches, or 4 cm.
  • C. A single rescuer should use three fingers on the dominant hand to do compressions.
  • D. Rest the infant facedown on the forearm with the hand supporting the head and jaw.
  • E. If arrest is witnessed the emergency response system should be activated before beginning CPR.
Correct Answer: B,E

Rationale: Compression depth of 1.5 inches (B) and activating emergency response before CPR in witnessed arrest (E) are correct. Brachial pulse is checked (A), two fingers are used (C), and facedown positioning is for choking (D).

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