Question of the Week

This is how it works!  
At the beginning of each week there will be a NCLEX question, and you the student, can e-mail your answer with a rationale. The correct answer will be e-mailed to you from now on. If you provide an incorrect answer with a rationale you will still earn 2 WUSNA points just for trying. If you provide the correct answer and rationale you will earn 4 WUSNA points! Don't forget to add your name when you e-mail!!!!

Here is an Example:

A 44-year-old woman is admitted with pneumonia.  She tells the nurse she has been taking hormone replacement therapy for menopausal symptoms.  What findings during the admission assessment would most concern the nurse?

a.  Diminished breath sounds in the bases of the lungs
b.  Redness and warmth of the right leg
c.  Cough, Productive for thick green sputum
d.  Fatigue and muscle weakness

you would e-mail your response to (there is an underscore between WUSNA and Club, it's hard to see) with an answer looking something like this:

The correct answer is B. 
The question is asking what assessment finding would be vital for the nurse to know when caring for a client with pneumonia who is also prescribed hormone replacement therapy for menopausal symptoms.  Estrogen has been implicated in thromboembolic disease.  Redness and warmth of the leg would indicate a possible thrombus.  A client with pneumonia would be expected to have diminished breath sounds (option a).  Thick green sputum is indicative of an infection, which is consistent with the diagnosis of pneumonia (option c).  Fatigue and muscle weakness are also symptoms that would be expected in a client with pneumonia (option d).  
It is Your Turn! 

PLEASE email your responses to:

In the subject line please include:
QOW #1, full name, expected year of graduation  

QOW #7

The nurse is preparing to care for a client who will be weaned from a cuffed tracheostomy tube. The nurse is planning to use a tracheostomy plug and plans to insert it into the opening in the outer cannula. Which nursing action is required before plugging the tube?

A. Deflate the cuff on the tube 
B. Place the inner cannula into the tube. 
C. Ensure that the client is able to speak   
D. Ensure that the client is able to swallow 


Question provided by:
Saunders Comprehensive Review for the NCLEX-RN Examination. 
Author - Linda Anne Silvestri. 6th edition.