Pass the NCLEX Certification NCLEX-PN Questions and answers with ExamsMirror

If a delegator has confidence in his subordinates and feels that a task will be performed correctly, he is more

likely to delegate. Reasons that delegators are reluctant to delegate include their own lack of confidence, fear of

losing authority or personal satisfaction, and feeling that the task can only be performed correctly if they do it

themselves.Coordinated Care

Fifth’s disease, erythema infectiosum, is uncommon in adults. All the other statements are correct.Safety and

Infection Control

Toddlers are possessive and struggle for independence. The other play activities are too advanced for a

2-year-old child.Health Promotion and Maintenance

Legal protection of confidentiality extends to both written and verbal information identifiable as individual

private health information.Coordinated Care

Denial (Kübler-Ross’s Stages of Grieving) is the refusal to believe that loss is happening.Psychosocial Integrity

Client education entails giving the client accurate and understandable information.Basic Care and Comfort

Pressure ulcers usually occur over bony prominences and are caused by decreased circulation. The client who

is left in one position in bed for extended periods of time is more prone to decreased circulation to an area of the

body and to acquiring a pressure ulcer.Basic Care and Comfort

Testicular exams should be performed after a warm shower or bath to relax the scrotum. Testicular exams

should be performed on a monthly basis by all men beginning at about age 15. Reddening or darkening of the

scrotum is not normal finding and should be reported to a physician.Physiological Adaptation

HIV mutates very rapidly, and any interruption of therapy can allow viral resistance to emerge—even taking

a dose late. Choice 2 is incorrect because, when the virus is kept in check with anti-retrovirals, the client’s own

immune system is able to keep opportunistic infections at bay. Choices 3 and 4 are incorrect because therapy

should not be interrupted for any reason. If the client develops toxicity, another anti-retroviral drug might be

prescribed.Physiological Adaptation

Oral iron preparations are often used to treat clients who have iron deficiency anemia to regain a positive iron

balance. These preparations need to be supplemented with adequate dietary intake of iron. It can take 2–3 weeks

to see improvement and up to 6–10 months to return to a stable iron level after a deficiency exists. The most

common adverse effects associated with oral iron intake are related to direct GI upset, anorexia, nausea, vomiting,

diarrhea, dark stools, and constipation. Nursing comfort measures include taking the preparations with meals,

teaching about black stools, encouragement, and proper nutrition.Physiological Adaptation

A full bladder is required to serve as a landmark to define pelvic organs. No sedation is given, so the client

may drive herself home after the test.Reduction of Risk Potential

It is important to measure intake (I) and output (O), which should be approximately equal. Enteral feedings

are hyperosmotic agents pulling fluid from cells into the vascular bed. Water given before feeding presents a

hyperosmotic diuresis. I and O measures assess fluid balance.Basic Care and Comfort

The client’s pain is affective as well as sensory. Grieving his wife’s death is a normal response that does not necessarily require psychiatric consult. Choices 1 and 2 address the sensory, not the affective component of his pain.Basic Care and Comfort

Milieu therapy provides repetitive ordinary experiences on a daily basis, controls the environment by

minimizing change as much as possible, and decreases disruptive behavior by keeping tasks simple.Psychosocial

Integrity

Single-grain infant cereals are recommended first because they are easily digestible and have added iron content. Choice 3 is incorrect because yogurt is a milk product and introduction should be delayed until the child is 12 months of age because of the risk of milk allergy. Choices 1 and 2 are incorrect because fruits and vegetables are usually given following the introduction of cereals.Basic Care and Comfort