Exam (elaborations)
REX-PN; PHYSIOLOGICAL ADAPTATION EXAM
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REX-PN; PHYSIOLOGICAL ADAPTATION EXAM ...
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REX-PN; PHYSIOLOGICAL ADAPTATION EXAM 2024-2025The nurse is caring for a client who has undergone a total hip replacement. Which
intervention is essential for preventing postoperative complications?
Assisting the client with early ambulation
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The nurse is caring for a client with chronic obstructive pulmonary disease
(COPD). Which intervention is essential for promoting effective breathing in this
client?
Administering bronchodilator medications as prescribed
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The nurse is caring for a client with diabetes who is experiencing hypoglycemia.
Which intervention is essential for managing hypoglycemia?
Providing a high-carbohydrate snack or drink
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The nurse is caring for a client with heart failure. Which assessment finding should
the nurse prioritize in this client?
Crackles in the lungs
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The nurse is caring for a client with a head injury. Which intervention is essential
for preventing increased intracranial pressure (ICP)?
Elevating the head of the bed to 30 degrees
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,The nurse is caring for a client with chronic renal failure. Which intervention is
essential for managing fluid and electrolyte imbalances in this client?
Restricting dietary sodium intake
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The nurse is caring for a client with pneumonia. Which intervention should the
nurse prioritize to promote respiratory function in this client?
Administering oxygen therapy as prescribed
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The nurse is caring for a client with heart failure. Which assessment finding should
the nurse prioritize to monitor for potential complications?
Irregular heart rhythm
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The nurse is caring for a client with diabetes who is experiencing hyperglycemia.
Which intervention should the nurse prioritize to manage the client's blood glucose
levels?
Give insulin as prescribed
2 multiple-choice options
Which activity statement best represents the nursing role in promoting mobility
and physical activity in clients?
Assessing clients' functional abilities and mobility limitations
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A client is recovering from a lower extremity fracture and is experiencing limited
mobility. Which intervention demonstrates the nurse's role in facilitating client
mobility?
, Assisting the client with range of motion exercises and ambulation
The nurse is caring for a client with a respiratory condition who requires
supplemental oxygen therapy. Which activity statement aligns with the nurse's role
in managing the client's oxygen therapy?
Administering oxygen therapy and monitoring oxygen saturation levels
Which activity statement represents the nurse's role in preventing complications
related to immobility?
Assessing clients' skin integrity and implementing preventive measures
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The nurse is assisting a healthcare provider with a thoracentesis procedure for a
client with pleural effusion. What is the primary purpose of a thoracentesis?
To remove fluid or air from the pleural space
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Prior to performing a thoracentesis, the nurse should ensure that the client:
Has an empty stomach for risk of aspiration
2 multiple choice options
During a thoracentesis procedure, the nurse should instruct the client to:
Take deep and slow breaths
2 multiple choice options
Following a thoracentesis procedure, the nurse should monitor the client for signs
and symptoms of:
Pneumothorax
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