HURST NCLEX Test Taking Strategy -with 100% verified solutions-2023-2024

HURST NCLEX Test Taking Strategy -with 100% verified solutions-2023-2024

What clinical manifestation does the nurse expect to see in a client suspected of having hypercalcemia? 1. Tachycardia 2. Positive Chvostek 3. Lethargy 4. Tachypnea 5. Decreased deep tendon reflexes correct answer: ANS: 3., 5. 3., & 5. Correct: Hypercalcemia is a condition in which the calcium level in blood is above normal. Too much calcium in blood can weaken bones, create kidney stones, and interfere with heart and brain function. Hypercalcemia is usually a result of overactive para...

In the first 24 hours of a Burn the nurse should be worried about...? correct answer: SHOCK! Plasma seeps out into the tissues due to increased capillary permeability (leaking) -> This decreases Vascular Volume ->> Hypovolemic Shock Why does the cardiac output decrease in Burn patients? correct answer: Decrease in Vascular volume = Less Volume to Pump out Why does the pulse increase (Tachycardia) in Burn patients? correct answer: Anytime someone is in a FVD, the p...

NCLEX hospital . . . correct answer: is perfect and you only care for client on screen Priority questions correct answer: which one is the Killer answer? *NOTE: Pain isn't a priority and expected problems related to conditions-like kidney stones positive for hematuria and 8/10 pain-not priority over other conditions Call physician when correct answer: only if not a nursing intervention available Never pick an answer correct answer: *that isn't the least invasive * that isn't clie...

what are the 2 separate functions of the pancreas? correct answer: endocrine-insulin exocrine-digestive enzymes what are the #1 and #2 causes of acute pancreatitis? correct answer: #1=alcohol #2=gallbladder disease what is the #1 cause of chronic pancreatitis? correct answer: alcohol what is happening with pancreatitis? correct answer: auto-digestion of the pancreas; basically it is eating itself in pancreatitis, does pain increase or decrease with eating? why? correct answer: ...

A male client diagnosed with primary hyperaldosteronism is receiving spironolactone. Which potential side effect should the nurse educate the client regarding? Select all that apply 1. Erectile dysfunction 2. Gastrointestinal upset 3. Gynecomastia 4. Hypernatremia 5. Hypokalemia correct answer: 1. Erectile dysfunction 2. Gastrointestinal upset 3. Gynecomastia The nurse is preparing discharge teaching for a client diagnosed with peripheral vascular disease (PVD). Which teaching poin...

What three things contain a lot of Na? correct answer: 1. Effervescent soluble medications 2. Canned processed foods 3. IVF with Na What is aldosterone? Where is it found? correct answer: Steroid or mineralocorticoids; adrenal glands When blood volume is low what happens to aldosterone secretion? correct answer: It increases and Na/H2O are retained in order to increase volume What are two examples of too much aldosterone? Too little? correct answer: Cushings & Herpaldosteronism (C...

How can HF lead to Hypervolemia? correct answer: If the heart is weak - Cardiac output goes down - Kidney perfusion decreases - Urinary output decreases - so the volume stays in the vascular space Aldosterone correct answer: Think Sodium & Water "salt-retaining hormone" Aldosterone promotes the retention of sodium by the kidneys. Sodium retention promotes water retention Watter retention promotes a higher blood volume and pressure What diseases are caused by TOO MUCH Aldoster...

The primary healthcare provider has prescribed phenytoin 100 mg intravenous push (IVP) stat for an adult client. What is the least amount of time that the nurse can safely administer this medication? 1. 1 minute 2. 2 minutes 3. 5 minutes 4. 10 minutes correct answer: 2. Correct: The rate of IV administration should not exceed 50 mg/min. for adults and 1-3 mg/kg/min (or 50 mg/min, whichever is slower) in pediatric clients because of the risk of severe hypotension and cardiac arrhythmias. So ...