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        • Safe and Effective Care Environment—Safety and Infection Control
        • Safe and Effective Care Environment—Management of Care
        • Psychosocial Integrity
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        • Physiological Integrity—Physiological Adaptation
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        • Physiological Integrity—Basic Care and Comfort
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Category: NCLEX-RN Diagnostic Test

Physiological Adaptation

The nurse is teaching a client about peritoneal dialysis. Which complication of this treatment would the nurse instruct the client to report?

Posted on March 4, 2022 by NCLEX.ME Nurse

bone pain confusion muscle cramps cloudy outflow

Physiological Adaptation

The nurse is performing hemodialysis on a client, with the understanding that air embolus is a complication of this treatment. Which assessment findings by the nurse indicate an air embolus?

Posted on March 4, 2022 by NCLEX.ME Nurse

cold intolerance chest pain and anxiety decreased respirations hypertension and widening pulse pressure

Physiological Adaptation

The nurse is caring for a client who is HIV-positive. The nurse understands which of the following to be true regarding HIV and AIDS?

Posted on March 4, 2022 by NCLEX.ME Nurse

Viral load testing monitors disease progression and evaluates effectiveness of treatment. The Western blot test is positive if antibodies to at least three majo...

Physiological Adaptation

The nurse is assessing a client with Graves’ disease. Which assessment finding would the nurse expect in this client?

Posted on March 4, 2022 by NCLEX.ME Nurse

bradycardia constipation exophthalmos recent weight gain

Reduction of Risk Potential

The nurse is caring for a client with a history of cirrhosis of the liver. Lab values reveal rising ammonia levels. Which of the following actions should the nurse anticipate performing? Select all that apply.

Posted on March 4, 2022 by NCLEX.ME Nurse

replace electric razor with a straight razor encourage frequent periods of rest instruct on a potassium-restricted diet monitor the client’s mental status

Reduction of Risk Potential

The nurse is preparing to discharge a client with an ileal conduit done for treatment of bladder cancer. Which statement by the client indicates the need for further instruction?

Posted on March 4, 2022 by NCLEX.ME Nurse

“I look forward to returning to my local health club to swim.” “The local ostomy support group meets on Wednesday morning at 10 a.m.” “My stoma should be cleane...

Reduction of Risk Potential

A client is having a tonic-clonic seizure. Which of the following should the nurse do first ?

Posted on March 4, 2022 by NCLEX.ME Nurse

call for assistance restrain the client turn the client on her side provide a safe environment

Reduction of Risk Potential

A nurse is following the progress of a client being treated for hypothyroidism. Which findings indicate the client is experiencing side effects of the thyroid replacement therapy? Select all that apply.

Posted on March 4, 2022 by NCLEX.ME Nurse

excessive sweating constipation inability to tolerate cold leg cramps

Reduction of Risk Potential

A nurse is preparing discharge instructions for a client with a below-the-knee amputation. Which instruction would be a priority ?

Posted on March 4, 2022 by NCLEX.ME Nurse

sterile wound management elevation of residual limb performing prescribed exercises reporting occurrence of phantom limb pain immediately

Reduction of Risk Potential

While preparing a client for a colonoscopy, the nurse would be correct to implement which interventions? Select all that apply.

Posted on March 4, 2022 by NCLEX.ME Nurse

instruction on high fiber diet the day before the procedure instruction that a sedative will be administered before the procedure instruction not to eat or drin...

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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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