Pass the NCLEX Certification NCLEX-PN Questions and answers with ExamsMirror

Observation of the student’s hair is the next step.

A-C are associated side effects of Tegretol.

Newly diagnosed diabetics need to learn about their disease, medications, glucose testing, possibly insulin injections, foot care, sick-day plans, and so forth. Choices 1 and 4 are diagnoses to prevent, but no evidence suggests that they exist at this point. Diabetics might have more or less nutrition than body requirements—type II is likely to be more, but type I is likely to be less.Physiological Adaptation

Brown-Séquard syndrome is a result of damage to one-half of the spinal cord. The other choices are also incomplete lesions of the spinal cord, but they have different defining characteristics.Reduction of Risk Potential

Stimulation in the form of pictures may decrease signs of confusion.

When a client is neutropenic (one type of white blood cell), they lack the ability to fight off infection. The mask is to prevent exposure to any upper-respiratory infections. Fresh fruits, vegetables, and flowers can contain pathogens that might infect the neutropenic client. All foods must be thoroughly cooked and plants/flowers are not allowed. A neutropenic client needs a private room and carefully screened visitors—no one is to enter the room withanysymptoms of an illness (runny nose, sneezing, nausea, and so on). Meticulous, frequent hand washing is called for.Physiological Adaptation

The path by which a microorganism enters the body is the portal of entry. A vector is a carrier of disease, a source (like bad water or food) can be a reservoir of disease.Safety and Infection Control

Acetaminophen is extensively metabolized in the liver. Choices 1, 3, and 4 are incorrect because prolonged

use of acetaminophen might result in an increased risk of renal dysfunction, but a single overdose does not

precipitate life-threatening problems in the respiratory system, renal system, or adrenal glands.Pharmacological

Therapies

Pernicious anemia results from vitamin B12 deficiency due to lack of intrinsic factor. This can result from

inadequate dietary intake, faulty absorption from the GI tract due to a lack of secretion of intrinsic factor

normally produced by gastric mucosal cells and certain disorders of the small intestine that impair absorption.

The nurse should instruct the client in the need for lifelong replacement of vitamin B12, as well as the need for

folic acid, rest, diet, and support.Physiological Adaptation

Colace is a stool softener that acts by pulling more water into the bowel lumen, making the stool soft and

easier to evacuate.Basic Care and Comfort

To gain insight, the client needs to recognize causal events. The other activities focus on recognition of

anxiety.Psychosocial Integrity

Light therapy can be effective in treating problems associated with sleep patterns, stress, moods, jaundice in

newborns, and seasonal affective disorders.Nonpharmacological Therapies

Children who are shaken are frequently grasped by both upper arms. Symptoms of brain injury associated

with shaking include decreased level of consciousness.Psychosocial Integrity

A strain is excessive stretching of a ligament. A sprain involves a twisting motion involving muscles.Basic

Care and Comfort

Threading the bag and tubing through the gown sleeve keeps the system intact. Opening an intravenous line

causes a break in a sterile system and introduces the potential for infection. Cutting a gown off is not an alternative

except in an emergency. IV gowns, which open along sleeves, are widely available.Basic Care and Comfort