NCLEX PN Practice Test with NGN Practice Question
Potential Intervention, Expected, Not Expected,, Radio
Scenario/Extract:
The nurse is caring for a client in the clinic.
Nurses' Notes
Initial Clinic Visit
The client reports progressive fatigue and weakness over the past 2 months. Pallor and minor glossitis are noted. Laboratory results show a decreased hemoglobin. The client is instructed to take an iron supplement for treatment of iron-deficiency anemia.
Clinic Visit: 2 Weeks Later
The client reports discomfort and straining with bowel movements over the past week. Stool has become increasingly hard and pellet-like. The client reports feeling bloated with crampy abdominal pain that is relieved with defecation. The abdomen is nontender to palpation.
The nurse is contributing to the client's plan of care. For each potential intervention, click to specify if the intervention is expected or not expected for the care of the client.
Correct Answer: A,C,E,F
Rationale: A: Stool softeners are expected to manage constipation, a side effect of iron supplements. C: Warm fluids aid bowel motility. E: Raw fruits and vegetables increase fiber to relieve constipation. F: Adequate hydration softens stool and prevents constipation.
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