NCLEX/RN/1078 Questions And Answers/ With 100%
Complete Solutions.
Is a process of learning a different culture to adapt to a new or changing environment. - Correct Answers - Acculturation.
It is a subjective perspective of the person's heritage and a sense of belonging to a group - Correct Answers - Ethnic identity
Include meditation, relaxation techniques, imagery, music therapy, massage,
touch, laughter, humor, & spiritual measures (prayer). - Correct Answers - Low-risk therapies:
Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic Americans, & African Americans. - Correct Answers - High risk of obesity & diabetes mellitus
Surgery is not prohibited, but the administration of blood and blood products is forbidden. This religious group believes the soul cannot live after death. Administration of medication is an acceptable practice except if the medication is derived from blood products. - Correct Answers - Jehovah's Witnesses
Believers adhere to dietary kosher laws. In this religion, the dairy-meat combination is unacceptable. Only fish that have scales and fins are allowed;
meats that are allowed include animals that are vegetable eaters, cloven-
hoofed, and ritually slaughtered. - Correct Answers - Orthodox Judaism
include whole medical systems, mind-body medicine, biologically based practices, manipulative & body-based practices, & energy medicine. - Correct Answers - Five categories of complementary and alternative medicine (CAM):
Focused, maintains strong control, makes decisions, & addresses all problems. Dominates group & commands, rather than seeks suggestions or input. Manager addresses problem (quality improvement) with taff, designs a
plan without input, & wants all problems reported directly back to her - Correct Answers - Autocratic leader
Participative & would likely meet with each staff person individually to determine staff member's perception of problem. Would also speak with the staff about any issues & ask the staff for input with developing a plan. - Correct Answers - Democratic leader Passive and nondirective. Would state what the problem was & inform staff that the staff needed to come up with a plan to "fix it." - Correct Answers - Laissez-faire leader
Assessment findings include cough, dyspnea, crackles, tachypnea, tachycardia, elevated blood pressure, bounding pulse, elevated CVP, weight gain, edema, neck & hand vein distention, altered LOC, & decreased hematocrit. - Correct Answers - Overhydration or fluid overload & occurs when fluid intake or fluid retention
Avocado, bananas, cantaloupe, carrots, fish, mushrooms, oranges, potatoes, pork, beef, veal, raisins, spinach, strawberries, & tomatoes - Correct Answers
- Common food sources of potassium:
Muscle weakness, increased urinary output, & decreased specific gravity of the urine would be noted - Correct Answers - Hyponatremia
Causative factors relate to malnutrition or starvation & the use of aluminum hydroxide-based or magnesium-based antacids. Malnutrition is associated with alcoholism. - Correct Answers - Hypophosphatemia
Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome; causative factors. Should avoid foods high in phosphates; fish, eggs, milk products, vegetables, whole grains, & carbonated beverages. - Correct Answers - Hyperphosphatemia
Vomiting, diarrhea, conditions that increased respiration's or increased urinary output, insufficient intravenous fluid replacement, draining fistulas, presence of ileostomy or colostomy. Diuretics, & gastrointestinal suctioning. -
Correct Answers - Causes of a fluid volume deficit
Decreased kidney function, heart failure, hypotonic fluids to replace isotonic fluid losses, excessive irrigation of wounds & body cavities, & excessive ingestion of sodium. - Correct Answers - Causes of overhydration or fluid overload:
Trauma, burns, sepsis, or metabolic or respiratory acidosis. - Correct Answers
- Hyperkalemia causes:
Cushing's syndrome or colitis & over use of laxatives. - Correct Answers - Hypokalemia causes:
Decreased pH & decreased HCO3. Occurs in kidney disease; diabetic ketoacidosis; high fat diet; insufficient metabolism of carbohydrates; malnutrition; ingestion of toxins, such as acetylsalicylic acid (aspirin); malnutrition; severe diarrhea. Intestinal secretion high in bicarbonate & may be lost through enteric drainage tubes, an ileostomy, or diarrhea. - Correct Answers - Metabolic acidotic
Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to increase. Symptoms experienced would include hypoventilation & tachycardia. - Correct Answers - Metabolic alkalosis
Decreased pH and an increased CO2. Hypoventalation & COPD - Correct Answers - Respiratory acidotic
Increased pH & decreased CO2. Hyperventalation, Lethargy, lightheadedness, confusion, tachycardia, dysrhythmias related to hypokalemia, nausea, vomiting, epigastric pain, numbness & tingling of extremities. Hyperventilation (tachypnea) occurs. - Correct Answers - Respiratory alkalotic
Sample for PT & INR level to determine anticoagulation status & risk for bleeding - Correct Answers - Warfarin (Coumadin)
aPTT monitors the effects. Anticoagulant used most often during hemodialysis. Monitors extent of anticoagulation checking PTT, which is appropriate measure heparin effect. Protamine sulfate is antidote. - Correct Answers - Heparin
Dark green leafy vegetables good source iron, oranges are a good source of vitamin C, which enhances iron absorption. - Correct Answers - Iron deficiency anemia foods in diet:
May lack B12 in diet. - Correct Answers - Vegans
Include fruits & vegetables - Correct Answers - Low sodium foods:
Highly processed or refined foods (tomato soup, instant oatmeal), Saltwater fish & shellfish. Smoked foods, - Correct Answers - High Sodium foods:
Water, bouillon, clear broth, carbonated beverages, gelatin, hard candy, lemonade, ice pops, and regular or decaffeinated coffee or tea. - Correct Answers - Clear liquid diet:
Pulling, Vegetable juice, Pureed vegetables, plain ice cream, sherbet, breakfast drinks, milk, pudding & custard, soups that are strained, refined cooked cereals, & strained vegetable juices. - Correct Answers - Full liquid diet:
Pork products rich in this vitamin. Other good food sources include nuts, whole grain cereals, & legumes. - Correct Answers - High Thiamine foods On the left side, with the head lower than the feet. This position used to minimize effect of air traveling as a bolus to lungs by trapping it in right side of heart. - Correct Answers - Suspects air embolism. Should immediately place client in which position?
Assess for known allergies to eggs to prevent anaphylaxis. - Correct Answers - Fat emulsion (lipids)
Signs include excessive thirst, fatigue, restlessness, confusion, weakness, Kussmaul's respirations, diuresis, & coma when severe. If has these symptoms, blood glucose level should be checked immediately. - Correct Answers - Hyperglycemia:
Temperature and weight: Temperature monitored to detect infection, potential complication of therapy. Infection also could result in sepsis because catheter in blood vessel. Weight monitored for effectiveness nutritional therapy & detect hypervolemia. - Correct Answers - Parenteral nutrition; PN monitor
Burns, exacerbation Crohn's disease, persistent nausea & vomiting due to chemotherapy. Had extensive surgery, multiple fractures, are septic, have advanced cancer or AIDS. (Electronic infusion pump used to administer) - Correct Answers - Parenteral nutrition; Patients needing
10% dextrose in water until new PN solution becomes available. - Correct Answers - Parenteral nutrition; If PN bag empty hang
IV dislodged from vein & is lying in subcutaneous tissue. Pallor, coolness, & swelling are results of IV fluid being deposited in tissue. Corrective action is remove catheter & start new IV line at another site. - Correct Answers - Infiltrated IV
Discomfort at site, redness, warmth, & swelling proximal to catheter. If phlebitis occurs, discontinue IV line & insert new IV line at different site. Apply warm moist compresses to area speed resolution of inflammation. Notify (HCP). Document occurrence, actions taken, & client response. - Correct Answers - Phlebitis at IV site:
Produces a rash, redness, & itching. - Correct Answers - An allergic reaction at IV site:
Characterized by ecchymosis, swelling, & leakage at IV insertion site, as well as hard & painful lumps at site. - Correct Answers - Hematoma
Complete Solutions.
Is a process of learning a different culture to adapt to a new or changing environment. - Correct Answers - Acculturation.
It is a subjective perspective of the person's heritage and a sense of belonging to a group - Correct Answers - Ethnic identity
Include meditation, relaxation techniques, imagery, music therapy, massage,
touch, laughter, humor, & spiritual measures (prayer). - Correct Answers - Low-risk therapies:
Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic Americans, & African Americans. - Correct Answers - High risk of obesity & diabetes mellitus
Surgery is not prohibited, but the administration of blood and blood products is forbidden. This religious group believes the soul cannot live after death. Administration of medication is an acceptable practice except if the medication is derived from blood products. - Correct Answers - Jehovah's Witnesses
Believers adhere to dietary kosher laws. In this religion, the dairy-meat combination is unacceptable. Only fish that have scales and fins are allowed;
meats that are allowed include animals that are vegetable eaters, cloven-
hoofed, and ritually slaughtered. - Correct Answers - Orthodox Judaism
include whole medical systems, mind-body medicine, biologically based practices, manipulative & body-based practices, & energy medicine. - Correct Answers - Five categories of complementary and alternative medicine (CAM):
Focused, maintains strong control, makes decisions, & addresses all problems. Dominates group & commands, rather than seeks suggestions or input. Manager addresses problem (quality improvement) with taff, designs a
plan without input, & wants all problems reported directly back to her - Correct Answers - Autocratic leader
Participative & would likely meet with each staff person individually to determine staff member's perception of problem. Would also speak with the staff about any issues & ask the staff for input with developing a plan. - Correct Answers - Democratic leader Passive and nondirective. Would state what the problem was & inform staff that the staff needed to come up with a plan to "fix it." - Correct Answers - Laissez-faire leader
Assessment findings include cough, dyspnea, crackles, tachypnea, tachycardia, elevated blood pressure, bounding pulse, elevated CVP, weight gain, edema, neck & hand vein distention, altered LOC, & decreased hematocrit. - Correct Answers - Overhydration or fluid overload & occurs when fluid intake or fluid retention
Avocado, bananas, cantaloupe, carrots, fish, mushrooms, oranges, potatoes, pork, beef, veal, raisins, spinach, strawberries, & tomatoes - Correct Answers
- Common food sources of potassium:
Muscle weakness, increased urinary output, & decreased specific gravity of the urine would be noted - Correct Answers - Hyponatremia
Causative factors relate to malnutrition or starvation & the use of aluminum hydroxide-based or magnesium-based antacids. Malnutrition is associated with alcoholism. - Correct Answers - Hypophosphatemia
Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome; causative factors. Should avoid foods high in phosphates; fish, eggs, milk products, vegetables, whole grains, & carbonated beverages. - Correct Answers - Hyperphosphatemia
Vomiting, diarrhea, conditions that increased respiration's or increased urinary output, insufficient intravenous fluid replacement, draining fistulas, presence of ileostomy or colostomy. Diuretics, & gastrointestinal suctioning. -
Correct Answers - Causes of a fluid volume deficit
Decreased kidney function, heart failure, hypotonic fluids to replace isotonic fluid losses, excessive irrigation of wounds & body cavities, & excessive ingestion of sodium. - Correct Answers - Causes of overhydration or fluid overload:
Trauma, burns, sepsis, or metabolic or respiratory acidosis. - Correct Answers
- Hyperkalemia causes:
Cushing's syndrome or colitis & over use of laxatives. - Correct Answers - Hypokalemia causes:
Decreased pH & decreased HCO3. Occurs in kidney disease; diabetic ketoacidosis; high fat diet; insufficient metabolism of carbohydrates; malnutrition; ingestion of toxins, such as acetylsalicylic acid (aspirin); malnutrition; severe diarrhea. Intestinal secretion high in bicarbonate & may be lost through enteric drainage tubes, an ileostomy, or diarrhea. - Correct Answers - Metabolic acidotic
Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to increase. Symptoms experienced would include hypoventilation & tachycardia. - Correct Answers - Metabolic alkalosis
Decreased pH and an increased CO2. Hypoventalation & COPD - Correct Answers - Respiratory acidotic
Increased pH & decreased CO2. Hyperventalation, Lethargy, lightheadedness, confusion, tachycardia, dysrhythmias related to hypokalemia, nausea, vomiting, epigastric pain, numbness & tingling of extremities. Hyperventilation (tachypnea) occurs. - Correct Answers - Respiratory alkalotic
Sample for PT & INR level to determine anticoagulation status & risk for bleeding - Correct Answers - Warfarin (Coumadin)
aPTT monitors the effects. Anticoagulant used most often during hemodialysis. Monitors extent of anticoagulation checking PTT, which is appropriate measure heparin effect. Protamine sulfate is antidote. - Correct Answers - Heparin
Dark green leafy vegetables good source iron, oranges are a good source of vitamin C, which enhances iron absorption. - Correct Answers - Iron deficiency anemia foods in diet:
May lack B12 in diet. - Correct Answers - Vegans
Include fruits & vegetables - Correct Answers - Low sodium foods:
Highly processed or refined foods (tomato soup, instant oatmeal), Saltwater fish & shellfish. Smoked foods, - Correct Answers - High Sodium foods:
Water, bouillon, clear broth, carbonated beverages, gelatin, hard candy, lemonade, ice pops, and regular or decaffeinated coffee or tea. - Correct Answers - Clear liquid diet:
Pulling, Vegetable juice, Pureed vegetables, plain ice cream, sherbet, breakfast drinks, milk, pudding & custard, soups that are strained, refined cooked cereals, & strained vegetable juices. - Correct Answers - Full liquid diet:
Pork products rich in this vitamin. Other good food sources include nuts, whole grain cereals, & legumes. - Correct Answers - High Thiamine foods On the left side, with the head lower than the feet. This position used to minimize effect of air traveling as a bolus to lungs by trapping it in right side of heart. - Correct Answers - Suspects air embolism. Should immediately place client in which position?
Assess for known allergies to eggs to prevent anaphylaxis. - Correct Answers - Fat emulsion (lipids)
Signs include excessive thirst, fatigue, restlessness, confusion, weakness, Kussmaul's respirations, diuresis, & coma when severe. If has these symptoms, blood glucose level should be checked immediately. - Correct Answers - Hyperglycemia:
Temperature and weight: Temperature monitored to detect infection, potential complication of therapy. Infection also could result in sepsis because catheter in blood vessel. Weight monitored for effectiveness nutritional therapy & detect hypervolemia. - Correct Answers - Parenteral nutrition; PN monitor
Burns, exacerbation Crohn's disease, persistent nausea & vomiting due to chemotherapy. Had extensive surgery, multiple fractures, are septic, have advanced cancer or AIDS. (Electronic infusion pump used to administer) - Correct Answers - Parenteral nutrition; Patients needing
10% dextrose in water until new PN solution becomes available. - Correct Answers - Parenteral nutrition; If PN bag empty hang
IV dislodged from vein & is lying in subcutaneous tissue. Pallor, coolness, & swelling are results of IV fluid being deposited in tissue. Corrective action is remove catheter & start new IV line at another site. - Correct Answers - Infiltrated IV
Discomfort at site, redness, warmth, & swelling proximal to catheter. If phlebitis occurs, discontinue IV line & insert new IV line at different site. Apply warm moist compresses to area speed resolution of inflammation. Notify (HCP). Document occurrence, actions taken, & client response. - Correct Answers - Phlebitis at IV site:
Produces a rash, redness, & itching. - Correct Answers - An allergic reaction at IV site:
Characterized by ecchymosis, swelling, & leakage at IV insertion site, as well as hard & painful lumps at site. - Correct Answers - Hematoma
