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Questions 227

NCLEX-PN

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Extract:

The physician orders high protein, high calorie and high salt diet on Valerie.


Question 1 of 5

When ask by the patient, the nurse would explain that

Correct Answer: D

Rationale: Lack of mineralcorticoids (aldosterone) leads to a loss of sodium ions in the urine and subsequent hyponatremia, necessitating a high salt diet.

Extract:

Which of the following is considered a sequela of a staphylococcal infection that may result to glomerulonephritis?


Question 2 of 5

Infected burn wound

Correct Answer: B

Rationale: Impetigo is a bacterial infection of the skin caused by streptococci or staphylococci. Group A hemolytic streptococci can cause rheumatic fever and glomerulonephritis.

Extract:

Loss of peripheral vascular resistance:


Question 3 of 5

Loss of peripheral vascular resistance:

Correct Answer: A

Rationale: Loss of peripheral vascular resistance leads to hypotension due to vasodilation.

Extract:

Patients with myasthenia gravis, Guillain-Barre syndrome, or amyotrophic lateral sclerosis experience:


Question 4 of 5

Patients with myasthenia gravis, Guillain-Barre syndrome, or amyotrophic lateral sclerosis experience:

Correct Answer: B

Rationale: These conditions impair respiratory muscles, increasing the risk of complications.

Extract:


Question 5 of 5

A nurse is caring for a client who had a closed reduction of a fractured right wrist followed by the application of a fiberglass cast 12 hours ago. Which finding requires the nurse's immediate attention?

Correct Answer: C

Rationale: Client reports prickling sensation in the right hand. A prickling sensation is an indication of compartment syndrome and requires immediate action by the nurse. The other findings are normal for a client in this situation.

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