NCLEX LPN PHYSIOLOGICAL ADAPTATION 1 SPOT –ON EXAM SOLUTIONS 2024

The LPN/LVN knows that which of the following laboratory findings reflects the signs and symptoms of infection? 1. Serum creatinine level of 2.4 mg/dL. 2. AST (SGOT) 15 U/L. 3. White blood cell count of 16,000/mm3. 4. White blood cell count of 4,000/mm3. - correct answer Strategy: Think about each answer. (1)measures renal function; normal is 0.5 to 1.5 mg/dL; elevated in acute and chronic renal failure (2)measures damage to liver and heart; normal is 10 to 40 U/L (3)CORRECT—normal range is 4,500 to 11,000/mm3; elevation indicates infection (4)indicates client becoming immunosuppressed The nurse cares for a client diagnosed with spinal cord injury at the level of T1. The nurse notes profuse sweating, and the client complains of a pounding headache and nasal stuffiness. Arrange the following actions in the proper sequence from FIRST to LAST. All options must be used immediately. Instruct the client about how to prevent autonomic dysreflexia: instruct about signs/symptoms and causes (full bladder, impaction, pressure on skin, cool draft) Place the client in a sitting position: lowers blood pressure immediately Check the Foley catheter tubing for kinks or obstruction: most common cause is distended bladder or co