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Extra info for Davis's Q&A for the NCLEX-RN® Examination
18 Physiological Integrity Pharmacological and Parenteral Therapies: Providing care related to the administration of medications and parenteral therapies. A nurse is administering promethazine (Phenergan®) to a postoperative client. In evaluating the effectiveness of the medication, which finding should the nurse anticipate? 1. Absence of pain 2. Decrease in heart rate 3. Increase in urine output 4. Absence of nausea and vomiting ANSWER: 4 Promethazine (Phenergan®) has inhibitory effects on the chemoreceptor trigger zone in the medulla with resultant antiemetic properties.
Taxonomy of Educational Objectives: The Classification of Educational Goals, Handbook. New York: David McKay. , & Vallerand, A. (2010). ). Philadelphia: F. A. Davis. , & Workman, M. (2006). ). St. Louis, MO: Elsevier/Saunders. , & Bucher, L. (2007). ). St. Louis, MO: Mosby. National Council of State Boards of Nursing. (2009). NCLEX-RN® Examination Candidate Bulletin. Chicago: Author. National Council of State Boards of Nursing. (2009). NCLEX-RN® Examination: Test Plan for the National Council Licensure Examination for Registered Nurses, Effective April 2010.
1 Application Level of Cognitive Ability A client is transferred from a recovery room to a surgical unit after undergoing a pyelolithotomy with placement of a nephrostomy tube. Which nursing action is least likely to benefit the client at this time? 1. Calling the physician after noting the urine output is 20 mL per hour 2. Turning the client from side to side to check for bleeding under the client 3. Teaching the client about dietary changes to prevent further stone formation 4. Straining the client’s urine from both the nephrostomy tube and the urinary catheter ANSWER: 3 The immediate postoperative period is an inappropriate time for teaching on dietary changes for stone prevention.