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Free NCLEX-RN Exam Braindumps (page: 170)

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PDF with 862 Questions

Which of the following changes in blood pressure readings should be of greatest concern to the nurse when assessing a prenatal client?

  1. 130/88 to 144/92
  2. 136/90 to 148/100
  3. 150/96 to 160/104
  4. 118/70 to 130/88

Answer(s): D

Explanation:

(A, B, C) The individual's systolic and diastolic changes are more significant than the relatively high initial blood pressure readings. (D) The systolic pressure went up 12 mm Hg and the diastolic pressure 18 mm Hg. This is a more significant rise than the increases in A­C choices, and client should receive more frequent evaluations and care.



Which of the following changes in blood pressure readings should be of greatest concern to the nurse when assessing a prenatal client?

  1. 130/88 to 144/92
  2. 136/90 to 148/100
  3. 150/96 to 160/104
  4. 118/70 to 130/88

Answer(s): D

Explanation:

(A, B, C) The individual's systolic and diastolic changes are more significant than the relatively high initial blood pressure readings. (D) The systolic pressure went up 12 mm Hg and the diastolic pressure 18 mm Hg. This is a more significant rise than the increases in A­C choices, and client should receive more frequent evaluations and care.



Which of the following would indicate the need for further teaching for the client with COPD? The client verbalizes the need to:

  1. Eat high-calorie, high-protein foods
  2. Take vitamin supplementation
  3. Eliminate intake of milk and milk products
  4. Eat small, frequent meals

Answer(s): C

Explanation:

(A) Protein is vital for the maintenance of muscle to aid in breathing. A high-calorie diet using higher fat than carbohydrate content is given because clients are unable to breathe off the excess CO2that is an end product of carbohydrate metabolism. (B) Inadequate nutritional status, in particular, deficiencies in vitamins A and C, decreases resistance to infection. (C) Milk does not make mucus thicker. It may coat the back of the throat and make it feel thicker. Rinsing the mouth with water after drinking milk will prevent this problem. (D) Small, frequent meals minimize a fullness sensation and reduce pressure on the diaphragm. The work of breathing and SOB are also reduced.



Which of the following would indicate the need for further teaching for the client with COPD? The client verbalizes the need to:

  1. Eat high-calorie, high-protein foods
  2. Take vitamin supplementation
  3. Eliminate intake of milk and milk products
  4. Eat small, frequent meals

Answer(s): C

Explanation:

(A) Protein is vital for the maintenance of muscle to aid in breathing. A high-calorie diet using higher fat than carbohydrate content is given because clients are unable to breathe off the excess CO2that is an end product of carbohydrate metabolism. (B) Inadequate nutritional status, in particular, deficiencies in vitamins A and C, decreases resistance to infection. (C) Milk does not make mucus thicker. It may coat the back of the throat and make it feel thicker. Rinsing the mouth with water after drinking milk will prevent this problem. (D) Small, frequent meals minimize a fullness sensation and reduce pressure on the diaphragm. The work of breathing and SOB are also reduced.






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