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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Management of Care | 15-21% | - Management of Care
|
| Topic 2: Pharmacological and Parenteral Therapies | 13-19% | - Pharmacological and Parenteral Therapies
|
| Topic 3: Basic Care and Comfort | 6-12% | - Basic Care and Comfort
|
| Topic 4: Psychosocial Integrity | 6-12% | - Psychosocial Integrity
|
| Topic 5: Health Promotion and Maintenance | 6-12% | - Health Promotion and Maintenance
|
| Topic 6: Reduction of Risk Potential | 9-15% | - Reduction of Risk Potential
|
| Topic 7: Safety and Infection Control | 10-16% | - Safety and Infection Control
|
| Topic 8: Physiological Adaptation | 11-17% | - Physiological Adaptation
|
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NEW QUESTION # 281
The serial sevens test is often used to determine delirium and dementia. This test aids in assessing which of the following?
Answer: C
Explanation:
Explanation
(A) This answer is incorrect. The test measures the abilities to concentrate and calculate. The use of proverbs is the most common way to test abstraction. (B) This answer is correct. The serial sevens test is a common test of calculation ability. It is difficult for the demented or delirious client to perform. (C) This answer is incorrect. The test for judgment should predict whether the individual will behave in a socially accepted manner. (D) This answer is incorrect. In testingmemory, the nurse would attempt to get the client either to recall recent events or to think about past events.
NEW QUESTION # 282
Which of the following nursing care goals has the highest priority for a child with epiglottitis?
Answer: B
Explanation:
Section: Questions Set G
Explanation:
(A) Of these four goals, maintenance of a calm, quiet atmosphere to reduce anxiety and to allow for rest is the most important. (B) Although nutrition is important, the child needs fluids to maintain fluid and electrolyte balance more than solid foods. In addition, the child may not be able to swallow solid foods owing to epiglottic swelling. (C) This goal is unrealistic because fever is a common symptom of the infection associated with epiglottitis. (D) If overexerted, the child will need more O2 and energy than available, and these requirements may exacerbate the condition.
NEW QUESTION # 283
A 40-year-old client has been admitted to the hospital with severe substernal chest pain radiating down his left arm. The nurse caring for the client establishes the following priority nursing diagnosis-Alteration in comfort, pain related to:
Answer: C
Explanation:
Explanation
(A) Anaerobic metabolism results because the decreased blood supply to the myocardium causes a release of lactic acid. Lactic acid is an irritant to the myocardial neural receptors, producing chest pain. (B) Chest pain is caused by a decrease in the O2 supply to the myocardial cells. Treatment modalities for chest pain are aimed toward increasing the blood flow through coronary arteries. (C) Chest pain causes an increase in the stimulation of the sympathetic nervous system. This stimulation increases the heart rate and blood pressure, causing an increase in myocardial workload aggravating the chest pain. (D) Chest pain and anxiety cause increased secretion of catecholamines by stimulating the sympathetic nervous system. This stimulation increases chest pain by increasing the workload of the heart.
NEW QUESTION # 284
A 17-year-old client has a T-4 spinal cord injury. At present, he is learning to catheterize himself. When he says, "This is too much trouble. I would rather just have a Foley.'' An appropriate response for the RN teaching him would be:
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) This response acknowledges the client's feelings, gives him factual information, and acknowledges that the final decision is his. (B) This response is judgmental and discourages the client from expressing his feelings about the procedure. (C) Catheterization is a procedure thattakes time to learn, but which, for the spinal cord-injured client, can significantly reduce the incidence of urinary tract infections. A young client with a T-4 injury has the hand function to learn this procedure fairly easily. (D) The final decision about bladder elimination management ultimately rests with the client and not the physician.
NEW QUESTION # 285
One afternoon 3 weeks into his alcohol treatment program, a client says to the nurse, "It's really not all my fault that I have a drinking problem. Alcoholism runs in my family. Both my grandfather and father were heavy drinkers." The nurse's best response would be:
Answer: D
Explanation:
Explanation
(A) Focusing is an effective therapeutic strategy. This response, however, allows the client to "defocus" off the topic of learning how to accept responsibility for his behavior and future growth. (B) The nurse can educate the client about both the "genetic risk" for the development of alcoholism and ways to make long-term healthy lifestyle changes. (C) This response is inappropriately confrontational and condescending to the client. (D) Reflection of content can be an effective verbal therapeutic technique. It is used inappropriately here.
NEW QUESTION # 286
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2026 Latest Prep4away NCLEX-RN PDF Dumps and NCLEX-RN Exam Engine Free Share: https://drive.google.com/open?id=1o3gpfPOxvzxz3C_QyCYwipgJ3UVrdM8N