Please select 3 correct answers
Side effects of corticosteroids include weight gain, fluid retention with hypertension, Cushingoid features, a low serum albumin, and suppressed inflammatory response. Patients are encouraged to eat a diet high in protein, vitamins, and minerals and low in sodium. Option C: Corticosteroids cause hypernatremia and not hyponatremia.
The parathyroid glands are responsible for calcium production and can be damaged during a thyroidectomy. The tingling is due to low calcium levels. Option A: The crash cart would be needed in respiratory distress but would not be the next action to take. Options C and D: Hypertension occurs in thyroid storm and the drainage would occur in hemorrhage.
Blood pressure is the best indicator of cardiovascular collapse in the client who has had an adrenal gland removed. The remaining gland might have been suppressed due to the tumor activity. Temperature would be an indicator of infection, Options B, C, and D: Temperature would be an indicator of infection, decreased output would be a clinical manifestation but would take longer to occur than blood pressure changes, and specific gravity changes occur with other disorders.
Egg yolks, wheat bread, carrots, raisins, and green, leafy vegetables are all high in iron, which is an important mineral for this client. Options A, B, and D: Roast beef, cabbage, and pork chops are also high in iron, but the side dishes accompanying these choices are not.
Placing the client in semi-Fowler’s position provides the best oxygenation for this client. Options A, B, and C: Flexion of the hips and knees, which includes the knee-chest position, impedes circulation and is not correct positioning for this client.
Cardiogenic shock severely impairs the pumping function of the heart muscle, causing diminished blood flow to the organs of the body. This results in diminished brain function and confusion, as well as hypotension, tachycardia, and weak pulse. Cardiogenic shock is a serious complication of myocardial infarction with a high mortality rate.
Slow, deep breathing is the most effective method of reducing anxiety and stress. It reduces the level of carbon dioxide in the brain to increase calm and relaxation. Option A: Warning the patient to remain still will likely increase her anxiety. Option B: Encouraging family members to stay with the patient may make her worry about their anxiety as well as her own. Option D: Delaying the procedure is unlikely to allay her fears.
Epoetin is a form of erythropoietin, which stimulates the production of red blood cells, causing an increase in hematocrit. Epoetin is given to patients who are anemic, often as a result of chemotherapy treatment. Options A, C, and D: Epoetin has no effect on neutrophils, platelets, or serum iron.
A large amount of fluid loss can cause fluid and electrolyte imbalance that should be corrected. The loss of electrolytes would be reflected in the vital signs. Option A: Measuring the urinary output is important, but the stem already says that the client has polyuria. Option C: Encouraging fluid intake will not correct the problem. Option D: Weighing the client is not necessary at this time.
Sr. Callista Roy developed the Adaptation Model which involves the physiologic mode, self-concept mode, role function mode and dependence mode
The most serious disadvantage of this method is accuracy and validity of information gathered
The article is for pediatric patients and may not be relevant for adult patients.
Salary of staff nurses is not an indicator of patient satisfaction, hence need not be included as a variable in the study.
Likert scale is a 5-point summated scale used to determine the degree of agreement or disagreement of the respondents to a statement in a study.
Reliability is repeatability of the instrument; it can elicit the same responses even with varied administration of the instrument
Sensitivity is an attribute of the instrument that allow the respondents to distinguish differences of the options where to choose from
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NCLEX-RN Test #19
