nclex rn qbank princeton review exam study guide verified 100% study guide material fall 2023

nclex rn qbank princeton review exam study guide verified 100% study guide material fall 2023 The nurse is assessing a client who has recently been diagnosed with diabetes type II. Which of the following questions by the nurse is appropriate to determine how the client is adapting to their new diagnosis? "Do you feel like your blood glucose is high today?" "Do carbohydrate restrictions change how you feel about food?" "Did someone come in to test your blood glucose earlier?" "When do you plan to make your follow-up appointment?" - "Do carbohydrate restrictions change how you feel about food?" Rationale: In order to assess the client's adaptation, the nurse should ask questions about feelings, behavioral changes, or the effect that the illness will have on the client's life. In this case, asking if the client feels differently about food due to the dietary restrictions allows the client to discuss their feelings related to this lifestyle change. All other responses do not assess adaptation. The nurse is caring for a client who is 16 weeks pregnant. During the assessment, the client reports blurred vision and epigastric pain. The nurse should identify these as clinical manifestations of which gestational complication? Placenta previa Hypoglycemia Hypertension Placental abruption - Hypertension Rationale: Blurred vision and epigastric pain are indicative of gestational hypertension. The nurse should further assess the client's vital signs and accompanying symptoms. Placenta previa is a condition in which the placenta blocks the cervix during labor. Placental abruption is a serious complication that occurs due to premature separation of the placenta. Placenta previa and placental abruption are characterized by vaginal bleeding. Hypoglycemia is not characterized by the given symptoms. Hypoglycemia results in weakness, lightheadedness, and irritability. A nurse is developing a teaching plan for a 60-year-old client with chronic obstructive pulmonary disease (COPD). The teaching will include ways to reduce the frequency of exacerbations. Which of the following will the nurse include in the instructions? Obtain the pneumococcal polysaccharide 23 vaccine Use the prescribed long-acting beta-agonist whenever there is shortness of breath Decrease the amount of fluids consumed Engage in outdoor activities in the spring and fall when it is not as hot outside - Obtain the pneumococcal polysaccharide 23 vaccine Rationale: An exacerbation of COPD is defined as an event in the course of the disease characterized by worsening in the patient's respiratory symptoms beyond the normal day-to-day variations. An exacerbation also leads to a change in medication. Primary causes of an acute exacerbation include tracheobronchial infection and air pollution, including pollen. Clients with COPD experience thickened mucus and therefore should maintain fluid intake. Studies have demonstrated that vaccination against influenza and pneumonia decreases the risk for exacerbation in patients with COPD. The Centers for Disease Control (CDC) recommends pneumococcal polysaccharide 23 (PPSV23) for all adults 65 years or older, people 2 through 64 years old with certain medical conditions, and adults 19 through 64 years old who smoke cigarettes. Long-acting bronchodilator treatment is the cornerstone for the treatment of stable COPD, and it significantly decreases the risk for exacerbations but is not used for rescue therapy. The nurse is caring for a client experiencing diarrhea after radiation therapy. Which of the following would the nurse include in a teaching plan to help the client manage this side effect? "Try to avoid food and drinks that are high in sodium and potassium." "Eat three large meals each day." "Increase the amount of clear liquids consumed each day." "Look for foods that are high in fiber." - "Increase the amount of clear liquids consumed each day." Rationale: Severe diarrhea can cause fluid and electrolyte imbalances, so clients should increase fluid intake and look for sources of sodium and potassium as these electrolytes are lost from the gastrointestinal tract. Often clients will have nausea or decreased appetite when experiencing diarrhea; therefore, it is best to encourage frequent small meals. Foods that are high in fiber can make diarrhea worse. The nurse should recommend low-fiber foods, such as bananas, white rice, or white toast when the client is experiencing diarrhea. The nurse is reviewing prescripti