A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse bases this action on the following understanding:
Answer(s): C
(A) The client may be anxious and hyperresponsive to stimuli but not necessarily restless. (B) This is not a physiological response to an elevated blood pressure in PIH. (C) The nurse must know the nursing measures that decrease the potential for convulsions. A quiet, darkened room decreases stimuli and promotes rest. (D) External stimuli might induce a convulsion but are not annoying to the client with PIH.
A 30-year-old client has just been treated in the ER for bruises and abrasions to her face and a broken arm from domestic violence, which has been increasing in frequency and intensity over the last few months. The nurse assesses her as being very anxious, fearful, bewildered, and feeling helpless as she states, "I don't know what to do, I'm afraid to go home." The best response by the nurse to the client would be:
(A) A person in crisis needs support, assistance, and direction from a caregiver rather than just an instruction. (B) A battered person may feel guilt and think that they cause the abuser's behavior; however, the abuser has the problem and goes through phases of violence. (C) The nurse should provide support and guidance to the client in crisis by offering alternatives and assist in referrals. (D) Focusing on help from law enforcement may be a very temporary solution, because the victim may be fearful of pressing charges. This answer does not address the crisis of going home.
A 74-year-old obese man who has undergone open reduction and internal fixation of the right hip is 8 days postoperative. He has a history of arthritis and atrial fibrillation. He admits to right lower leg pain, described as "a cramp in my leg." An appropriate nursing action is to:
Answer(s): B
(A) Calf pain with dorsiflexion of the foot (Homans' sign) can be a sign of a deep venous thrombosis; however, it is not diagnostic of the condition. (B) Swelling and warmth along the affected vein are commonly observed clinical manifestations of a deep venous thrombosis as a result of inflammation of the vessel wall. (C) Rubbing or massaging of the affected leg is contraindicated because of the risk of the clot breaking loose and becoming an embolus. (D) A pillow behind the knee can be constricting and further impair blood flow.
Share your comments for NCLEX NCLEX-RN exam with other users:
i want hcia exam dumps
good training
very useful
yes need this exam dumps
these questions are a great eye opener
thank you for providing these questions and answers. they helped me pass my exam. you guys are great.
good knowledge
answer 10 should be a because only a new project will be created & the organization is the same.
can you please upload the dump again
is it legit questions from sap certifications ?
question 16 should be b (changing the connector settings on the monitor) pc and monitor were powered on. the lights on the pc are on indicating power. the monitor is showing an error text indicating that it is receiving power too. this is a clear sign of having the wrong input selected on the monitor. thus, the "connector setting" needs to be switched from hdmi to display port on the monitor so it receives the signal from the pc, or the other way around (display port to hdmi).
q 10. ans is d (in the target org: open deployment settings, click edit next to the source org. select allow inbound changes and save
i purchased this exam dumps from another website with way more questions but they were all invalid and outdate. this exam dumps was right to the point and all from recent exam. it was a hard pass.
it was a good experience and i got 90% in the 200-901 exam.
hi please upload this
please upload it
really need this dump. can you please help.
really good and covers many areas explaining the answer.
yes, can you please upload the exam?
how many questions are there in these dumps?
hi team, please upload this , i need it.
question 14 - run terraform import: this is the recommended best practice for bringing manually created or destroyed resources under terraform management. you use terraform import to associate an existing resource with a terraform resource configuration. this ensures that terraform is aware of the resource, and you can subsequently manage it with terraform.
please upload dump. thanks in advance.
great great
answer 16 should be b your organizational policies require you to use virtual machines directly
the question are kind of tricky of you didnt get the hnag on it.
can anyone tell me if this is for rhel8 or rhel9?
good content
pdb and cdb are critical to the database
till 104 questions are free, lets see how it helps me in my exam today.
question # 56, answer is true not false.
i would be requiring dumps to prepare for certification exam
very helpful