NCLEX-PN Exam Dumps - NCLEX Certification Questions and Answers

ADH level is increased in the client with nephrogenic diabetes insipidus.Reduction of Risk Potential

When performing a parancentesis, the client must be sitting up to allow the fluid to settle to the lower abdomen. To prevent trauma to the bladder while inserting a needle to aspirate the fluid, the bladder must be empty.Basic Care and Comfort

Apples are a source of high fiber, which decreases constipation. A constipated client needs to increase fluids and activity level. Milk is not a high-fiber food.Reduction of Risk Potential

The MRI will require supine positioning.

Levothyroxine is safe and effective with virtually no side effects when dosed properly. A single, daily dose is possible because of the long half-life (7 days). Levothyroxine tablets are available in a wide range of concentrations to meet individual client requirements. Levothyroxine (T4) is a prodrug of T3.Pharmacological Therapies

Pain medications might alter alertness, thought processes, and reactions. It is recommended that a client be approached for consent at least 4 hours after the last dose of pain medicine to allow minimal impact. Choices 1, 2, and 4 are incorrect. IQ and educational levels might have a bearing on how information is presented through the discussion process, but they do not have a bearing on informed-consent decision-making.Coordinated Care

Health promotion is motivated by the desire to increase people’s well-being and health potential. The nurse promotes health by maximizing the client’s own strengths. Identification and analysis of the client’s strengths are a component of preventing illness, restoring health, and facilitating coping with disability or death. The nurse facilitates decisions about lifestyle that enhance one’s quality of life and encourage acceptance of responsibility for one’s own health.Health Promotion and Maintenance

HIV mutates very rapidly, and any interruption of therapy can allow viral resistance to emerge—even taking

a dose late. Choice 2 is incorrect because, when the virus is kept in check with anti-retrovirals, the client’s own

immune system is able to keep opportunistic infections at bay. Choices 3 and 4 are incorrect because therapy

should not be interrupted for any reason. If the client develops toxicity, another anti-retroviral drug might be

prescribed.Physiological Adaptation

Active exercise increases insulin sensitivity, thus lowering blood glucose levels. Additional carbohydrates might be needed to balance the usual insulin dose. All of the other choices increase blood glucose levels.BasicCare and Comfort

Negative culture results would indicate absence of infection.