Physiologic Adaptation NCLEX Review Answers and Rationale
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1. Answer: C. The uterus is being over-stimulated with oxytocin. Remember, most sources recommend discontinuing Pitocin if contraction last longer than 75-90 seconds, are less than 2 minutes apart, have minimal or no resting tone, or if there is an ominous or non-reassuring FHR pattern.
2. Answer: A. Administering anesthesia depresses the central nervous system... Continue Reading
Physiologic Adaptation NCLEX Review
1. Andrea is admitted to the labor suite is to be induced with oxytocin (Pitocin). One hour after starting to receive the medication, the nurse makes the following observations: Contractions are 80 seconds in duration and occur every 2 minutes. The nurse should:
a. Slow the maintenance intravenous solution infusion rate to 10 drops per minute
b. Increase the flow rate of the... Continue Reading
Physiological Adaptation NCLEX Questions [ANSWERS & RATIONALE]
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1. A. The parathyroid glands regulate calcium in the body. Excessive activity results in calcium leaving the bones and teeth to enter the bloodstream. This makes the bones more brittle and susceptible to fracture.
2. C. Peritonitis is a grave complication with peritoneal dialysis. Hemodialysis may be necessary... Continue Reading
Physiological Adaptation NCLEX Questions
1. The client with hyperparathyroidism should have extremities handled gently because
a. Decreased calcium bone deposits can lead to pathologic fractures.
b. Edema causes stretched tissue to tear easily.
c. Polyuria leads to dry skin and mucous membranes that can break down.
d. Hypertension can lead to a stroke with residual paralysis.
2. The nurse will evaluate for the most... Continue Reading
NCLEX RN Review Questions for Physiological Adaptation Answers and Rationale
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1. C. Nitrates act primarily to relax coronary smooth muscle and produce vasodilation. They can cause hypotension, which makes the client dizzy and weak. Nitrates are taken at the first sign of chest pain and before activities that might induce chest pain. Sublingual nitroglycerin is taken every 5 minutes for three doses. If the pain persists, the client should... Continue Reading
NCLEX RN Review Questions for Physiological Adaptation
1. Nurse Fiona is teaching a client who receives nitrates for the relief of chest pain. Which of the following instructions should the nurse emphasize?
a. Repeat the dose of sublingual nitroglycerin every 15 minutes for three doses
b. Store the drug in a cool, well-lit place
c. Lie down or sit in a chair for 5 to 10 minutes after taking the... Continue Reading
Physiological Adaptation NCLEX RN Practice Test Answers and Rationale
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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 in hematocrit.... Continue Reading
Physiological Adaptation NCLEX RN Practice Test
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... Continue Reading