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Category: NCLEX-RN

Physiological Integrity—Reduction of Risk Potential

The nurse is caring for a client with diabetes whose HgbA1C level is 6.9. The client asks the nurse what this means. Which response by the nurse is appropriate?

Posted on April 20, 2022 by NCLEX.ME Nurse

“Your level is within target range and indicates good glycemic control.” “Your level is too high, and you will need to increase your medications.” “Your level i...

Physiological Integrity—Reduction of Risk Potential

The nurse is educating a client who has been ordered to wear a Holter monitor. Which statement by the client indicates a need for further education by the nurse?

Posted on April 20, 2022 by NCLEX.ME Nurse

“I can wear the monitor while I shower.” “I should keep the monitor on when I sleep.” “I should avoid metal detectors and electric razors while wearing the moni...

Physiological Integrity—Reduction of Risk Potential

The nurse is caring for a client receiving warfarin therapy for atrial fibrillation. Laboratory results show an INR of 3.9. The nurse would expect which order from the health care provider?

Posted on April 20, 2022 by NCLEX.ME Nurse

an order to increase the warfarin dose an order to decrease the warfarin dose an order for protamine sulfate no new order; the INR is therapeutic

Physiological Integrity—Reduction of Risk Potential

The nurse is preparing the client for a liver biopsy. Which statement by the client indicates a need for further instruction regarding the procedure?

Posted on April 20, 2022 by NCLEX.ME Nurse

“I can resume strenuous activity in 2 to 3 days.” “I will have to lay on my right side after the procedure.” “I will have a small bandage instead of stitches af...

Physiological Integrity—Reduction of Risk Potential

The nurse is reviewing arterial blood gases (ABGs) on a client. Which finding would prompt the nurse to notify the health care provider?

Posted on April 20, 2022 by NCLEX.ME Nurse

pH 7.42 pH 7.67 hCO3 24 mEq/L paCO2 41 mmHg paCO2 44 mmHg

Physiological Integrity—Reduction of Risk Potential

The nurse is caring for a client scheduled to receive electroconvulsive therapy (ECT). Following the procedure, the nurse should be watching for which serious complications?

Posted on April 20, 2022 by NCLEX.ME Nurse

skin burns airway compromise cardiac dysrhythmias loss of bladder control neurological complications

Physiological Integrity—Reduction of Risk Potential

A client is scheduled for a CT of the brain with and without IV contrast dye to evaluate a possible hemorrhage. Which finding in the client’s history should the nurse report immediately to the health care provider?

Posted on April 20, 2022 by NCLEX.ME Nurse

allergy to shellfish history of schizophrenia allergy to cephalosporins presence of a pacemaker

Physiological Integrity—Reduction of Risk Potential

The nurse is educating a client newly diagnosed with gout regarding dietary choices. The nurse understands that further teaching is needed if the client orders which foods for lunch?

Posted on April 20, 2022 by NCLEX.ME Nurse

fruit cup with corn bread and tea tuna fish sandwich with green peas a peanut butter sandwich with 1 percent milk low-fat cheese and crackers with blueberries

Physiological Integrity—Reduction of Risk Potential

The nurse is performing an admission assessment on a client with thrombocytopenia. Which signs and symptoms and lab findings would the nurse expect to see in this client?

Posted on April 20, 2022 by NCLEX.ME Nurse

epistaxis petechiae vomiting blood elevated hematocrit increased platelet count

Physiological Integrity—Reduction of Risk Potential

The nurse is caring for a client with hypoparathyroidism. The nurse understands that this client is at risk for which problem?

Posted on April 20, 2022 by NCLEX.ME Nurse

hypercalcemia hypermagnesemia decreased phosphorus levels low parathyroid hormone levels

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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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