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        • Safe and Effective Care Environment—Safety and Infection Control
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Category: Physiological Integrity—Reduction of Risk Potential

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

Physiological Integrity—Reduction of Risk Potential

The nurse is caring for an adult client with a total bilirubin of 2.1 mg/dL. Which signs and symptoms would the nurse expect to find?

Posted on April 20, 2022 by NCLEX.ME Nurse

itchy skin nausea pale stools colorless urine none; this is a normal lab value

Physiological Integrity—Reduction of Risk Potential

The nurse is reviewing labs of a newly admitted client. Which lab result would prompt the nurse to contact the health care provider?

Posted on April 20, 2022 by NCLEX.ME Nurse

ALT 33 units/L BNP 760 pg/mL WBC 10,450 mcL direct bilirubin 0.2 mg/dL

Physiological Integrity—Reduction of Risk Potential

The nurse is assisting the health care provider to perform a renal biopsy. Which position should the nurse place the client in?

Posted on April 20, 2022 by NCLEX.ME Nurse

in the semi-Fowler’s position on the same side of the kidney to be biopsied on the side opposite of the kidney to be biopsied prone with a pillow under the shou...

Physiological Integrity—Reduction of Risk Potential

The nurse is caring for a client receiving hemodialysis. During hemodialysis, the client becomes anxious, experiencing tachypnea and hypotension. The nurse suspects which complication of hemodialysis?

Posted on April 20, 2022 by NCLEX.ME Nurse

air embolism clotting of the graft site dialysis encephalopathy disequilibrium syndrome

Physiological Integrity—Reduction of Risk Potential

The nurse is caring for a client who has a lithium level of 2.2 mEq/L. Based on this lab value, what would the nurse anticipate to do in order to care for this client?

Posted on April 20, 2022 by NCLEX.ME Nurse

prepare to administer IV fluids notify the health care provider order a mechanical soft diet for the client administer the next dose of lithium when it is due o...

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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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