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1. Answer C. Hemodilution can produce a drop in hematocrit. However, if the cause of the decrease in hematocrit were fluid retention, one would expect to find corresponding decreases in serum sodium. If the dialysis has corrected the electrolyte balance, it is unlikely that the client would retain sufficient fluid to cause this drop [...]
Physiological Adaptation NCLEX RN Practice Test Answers and Rationale
August 26, 2010 By 1 Comment
Physiological Adaptation NCLEX RN Practice Test
August 23, 2010 By 1 Comment
1. An adult with chronic renal failure is receiving peritoneal dialysis. His acid-base balance and electrolyte levels are now within normal limits. His hemoglobin is 9.2 and his hematocrit is 30. The most likely cause of his anemia is:
a. hemodilution secondary to fluid retention.
b. eating insufficient protein due to taste changes that occur with dialysis.
c. [...]
Reduction of Risk Potential NCLEX Practice Test Answers and Rationale
August 12, 2010 By 2 Comments
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1. Answer B. The priority is postoperative respiratory toilet. This client will quickly develop profound atelectasis and eventually pneumonia without adequate gas exchange. This will only be achieved with the appropriate pain management. 2. Answer D. Blood that comes in contact with the pleural space becomes defibrinogenated and usually will not clot. [...]
Reduction of Risk Potential NCLEX Practice Test
August 12, 2010 By 1 Comment
1. When caring for a client with a post right thoracotomy who has undergone an upper lobectomy, the nurse focuses on pain management to promote:
a. Relaxation and sleep
b. Deep breathing and coughing
c. Incisional healing
d. Range of motion exercises
2. A client has a chest tube in place following a left lower lobectomy inserted after a stab [...]
NCLEX Practice Questions Pharmacological and Parenteral Therapies Answers and Rationale
August 5, 2010 By 1 Comment
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1. Answer C. Monitor serum glucose levels. Hyperglycemia may occur during the first day or 2 as the child adapts to the high-glucose load of the TPN solution. Thus, a chief nursing responsibility is blood glucose testing. 2. Answer D. Total parenteral nutrition formulas contain dextrose in concentrations of 10% or greater [...]
NCLEX Practice Questions Pharmacological and Parenteral Therapies
August 5, 2010 By 2 Comments
1. A 2 year-old child is receiving temporary total parental nutrition (TPN) through a central venous line. This is the first day of TPN therapy. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time?
a. Use aseptic technique [...]
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