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Category: NCLEX-RN

Physiological Integrity—Basic Care and Comfort

The nurse is caring for a client who adheres to a lacto-vegetarian diet. Which meal tray would the nurse deliver to the client?

Posted on April 20, 2022 by NCLEX.ME Nurse

chicken sandwich, brown rice, yogurt, and milk steamed vegetables with rice and apple slices scrambled eggs, cottage cheese, dry toast, and milk baked zucchini,...

Physiological Integrity—Basic Care and Comfort

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?

Posted on April 20, 2022 by NCLEX.ME Nurse

“I can elevate the head of my bed 6 to 12 inches to help prevent nighttime reflux.” “I can eat a large breakfast and smaller meals for lunch and dinner to help ...

Physiological Integrity—Basic Care and Comfort

The nurse is providing dietary instruction to a client with diabetes who has normal kidney function. Which statement by the client requires intervention by the nurse?

Posted on April 20, 2022 by NCLEX.ME Nurse

“I should limit cholesterol intake to 200 mg/day.” “I should eat very low or no carbohydrates when possible.” “My protein intake should be 15% to 20% of my dail...

Psychosocial Integrity

A client is telling the nurse about his perception of his thought patterns. Which of the following statements by the client would validate the diagnosis of bipolar disorder?

Posted on April 20, 2022 by NCLEX.ME Nurse

“Sometimes I’m ready to take on the world, but other times I’m too tired to get out of bed.” “I need to check and then recheck all the kitchen appliances severa...

Psychosocial Integrity

The nurse is assessing a client who is a polysubstance abuser, with fentanyl being one of the drugs most frequently used. Which physiological symptoms are suggestive of fentanyl intoxication?

Posted on April 20, 2022 by NCLEX.ME Nurse

diarrhea nausea urge to urinate anxiety

Psychosocial Integrity

A client is prescribed diazepam (Valium) as needed to control the symptom of alcohol withdrawal. Which symptom may indicate the need for the nurse to administer phenytoin (Dilantin) to supplement the effect of Valium?

Posted on April 20, 2022 by NCLEX.ME Nurse

disturbed heart rate hallucinations drowsiness seizures

Psychosocial Integrity

During the nurse’s shift in the emergency department, a nurse assesses a client who is suspected of being under the influence of opioids. Which symptom is indicative of opioid use?

Posted on April 20, 2022 by NCLEX.ME Nurse

hypotension diaphoresis shallow respirations outbursts of anger

Psychosocial Integrity

The nurse is teaching a group of women at a community center about risk factors for spousal abuse. Which would the nurse identify as risk factors?

Posted on April 20, 2022 by NCLEX.ME Nurse

alcohol or drug use low income or poverty being over the age of 40 a higher level of education having a large circle of friends pregnancy, especially if it is u...

Psychosocial Integrity

The nurse is educating a group of student nurses about perceived loss. The nurse knows that the students understand when one of them verbalizes which example?

Posted on April 20, 2022 by NCLEX.ME Nurse

a single mother loses her job a student fails his college chemistry class a husband is grieving the loss of his wife of 40 years a first-time mother is disappoi...

Psychosocial Integrity

The nurse is caring for a client who has been diagnosed with terminal pancreatic cancer. The family is asking what to expect when the end draws near. Which response by the nurse is most appropriate?

Posted on April 20, 2022 by NCLEX.ME Nurse

“I will have the doctor talk to you about that.” “The hospice nurse is the best person to answer your questions. I can put in a consult for you.” “Don’t worry a...

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POSTS

  • The ED nurse receives a client who is bleeding profusely from a gunshot wound. Which action by the nurse will best help this client avoid complications of extreme blood loss?
  • The nurse is preparing to remove a client’s abdominal stitches as ordered by the health care provider. Which is the correct action by the nurse?
  • The nurse is caring for a client with veno-occlusive disease. Which manifestations of this condition would the nurse expect to find?
  • The nurse is caring for a client with a gastric ulcer. Which menu choice by the client indicates an understanding of the nurse’s dietary teaching?
  • The nurse comes upon a client in the clinic who appears to have experienced a sudden cardiac arrest. After retrieving the automated external defibrillator (AED), the nurse knows to use the equipment in the following manner, as per the American Red Cross. List the steps in order. Use all the steps.

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