The physician recommends immediate hospital admission for a client with PIH. She says to the nurse, "It's not so easy for me to just go right to the hospital like that." After acknowledging her feelings, which of these approaches by the nurse would probably be best?
Answer(s): B
(A) This answer does not hold the client accountable for her own health. (B) The nurse should explore potential reasons for the client's anxiety: are there small children at home, is the husband out of town? The nurse should aid the client in seeking support or interventions to decrease the anxiety of hospitalization. (C) Repeating the physician's reason for recommending hospitalization may not aid the client in dealing with her reasons for anxiety. (D) The concern for self and welfare of baby may be secondary to a woman who is in a crisis situation. The nurse should explore the client's potential reasons for anxiety. For example, is there another child in the home who is ill, or is there a husband who is overseas and not able to return on short notice?
The nurse would need to monitor the serum glucose levels of a client receiving which of the following medications, owing to its effects on glycogenolysis and insulin release?
Answer(s): D
(A) Norepinephrine's side effects are primarily related to safe, effective care environment and include decreased peripheral perfusion and bradycardia. (B) Dobutamine's side effects include increased heart rate and blood pressure, ventricular ectopy, nausea, and headache. (C) Propranolol's side effects include elevated blood urea nitrogen, serum transaminase, alkaline phosphatase, and lactic dehydrogenase. (D) Epinephrine increases serum glucose levels by increasing glycogenolysis and inhibiting insulin release. Prolonged use can elevate serum lactate levels, leading to metabolic acidosis, increased urinary catecholamines, false elevation of blood urea nitrogen, and decreased coagulation time.
A 55-year-old man is admitted to the hospital with complaints of fatigue, jaundice, anorexia, and clay-colored stools. His admitting diagnosis is "rule out hepatitis." Laboratory studies reveal elevated liver enzymes and bilirubin. In obtaining his health history, the nurse should assess his potential for exposure to hepatitis.Which of the following represents a high-risk group for contracting this disease?
(A) Homosexual males, not heterosexual males, are at high risk for contracting hepatitis. (B) Oncology nurses are employed in high-risk areas and perform invasive procedures that expose them to potential sources of infection. (C) The literature does not support the idea that any ethnic groups are at higher risk. (D) There is no evidence that any religious groups are at higher risk.
Post your Comments and Discuss NCLEX NCLEX-RN exam dumps with other Community members:
George Commented on September 26, 2025 I cleared the NCLEX-RN with help from Free-Braindumps.com exam questions. Their free questions felt close to the real exam and gave me solid view. Reviewing rationales daily improved my understanding. Stay consistent, focus on concepts, and you’ll build the confidence to pass. The exam is really hard. So don't take it easy. Portugal
Soso Commented on March 24, 2025 very good but I suggest to let the reader to anwer and recorret the his answers UNITED KINGDOM
Abrarjahangir Commented on March 17, 2025 So awesome MCQ UNITED STATES
Naveen Ahlam Commented on January 18, 2025 Great stuff Anonymous
Om Commented on December 31, 2024 Good question Anonymous
Isadora Guimarães Commented on December 30, 2024 Very good to study UNITED STATES
Marydee Commented on April 02, 2020 Just purchased, will see if it is the real deal. Will give a further update later! Anonymous