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NCLEX BOOT CAMP
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NCLEX EXAM PREVIEW
110 terms kandykat1012Preview 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview bootca 77 terms hea A nurse is caring for a client in renal failure. The nurse should plan interventions to manage which problems? (Select all that apply).
- Hyperphosphatemia
- Hypophosphatemia
- Hyperkalemia
- Hypercalcemia
- Hypocalcemia
- Cat scratch to that arm that occurred 3 days ago.
- Bee sting to that arm that occurred earlier that day.
- A change in laundry detergent and the laundered cloth touched the arm.
- A surgical incision to that arm that occurred 8 weeks ago.
The correct answers are a, c and f. The question is asking what usual problems occur in a client with chronic renal failure. Hyperphosphatemia and hypocalcemia are present due to the decreased ability of the kidneys to excrete phosphate with a decrease in ionized serum calcium.Potassium excretion is also impaired resulting in hyperkalemia. Anemia may also be present because the kidney cannot produce erythropoietin, a hormone that stimulates red blood cell production, and red blood cell production is suppressed.What predisposing factor contributed to cellulitis of the right forearm?
The correct answer is a. The question is asking what would have contributed to cellulites in this client. Cellulitis involves the inflammation of subcutaneous tissue and is often secondary to a break in the skin. Trauma is a common predisposing factor to skin infection and the causative agents are usually staphylococcus aureus and streptococci. A cat scratch that occurred 3 days ago would be a predisposing factor to cellulitis development. A bee sting could cause cellulitis but it would not occur as quickly as 24 hours. At 24 hours, it could be related to an allergic reaction. A change in laundry detergent might lead to contact dermatitis. Any type of trauma, such as a surgical incision, could cause cellulitis, but would occur much soon than 8 weeks after the surgery.
A client requests information on how to decrease the risk of breast cancer. Which dietary adjustment should be discussed with the client?
- Increased vitamin C
- Decreased fiber
- Increased protein
- Decreased fat
- I will continue to drink two colas per day.
- I will check with the physician prior to taking over the counter cold medication.
- I will avoid going outside when it is really hot.
- I can quit my relaxation class, since Raynaud's disease is not related to stress.
- drinking a glass of milk with each meal
- drinking any carbonated beverages
- eating fish that has been frozen first
- putting smooth peanut butter on his breakfast toast
- Cola
- Pork
- Certain seafood
- Animal shortenings
The correct answer is d. The question is asking how to decrease the chance of developing breast cancer through diet. Breast cancer is associated with a high-fat diet. Increasing vitamin C may reduce the risk of developing certain cancers such as pancreatic, liver, prostrate, and ovarian cancer. Decreasing fiber would not reduce breast cancer. High-protein diets have not found to increase the incidence of breast cancer.The nurse is teaching a client newly diagnosed with Raynaud's disease. Which client statement indicates understanding?
The correct answer is b. Raynaud's disease is a vasospatic disorders involving the small arteries primarily in the hands and fingers. Clients with Raynaud's disease should avoid cold medications that contain pseudoephedrine. The client should check with the physician prior to taking over the counter cold medication.The nurse evaluates that a client on a low residue diet understands his therapy when he states that the should avoid:
The correct answer is a. A low residue diet results in decreased fecal matter passed through the bowel. Milk is high-residue and should be limited to 2 glasses per day.A nurse is caring for a client who follows the religious practices of the Church of Jesus Christ of Latter-Day Saints. Which food or beverage would the client avoid?
The correct answer is a. Mormons are prohibited from drinking caffeinated beverages, such as cola. Terms (6) Hide definitions
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