NCLEX RN· Physiological Adaptation · Physiological Adaptation NCLEX RN
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
The nurse is caring for a client with a Braden score of 13. How does the nurse interpret this client's risk of skin breakdown?
Expert Explanatory Rationale
Correct Answer: high risk
The nurse is assessing a client with Graves' disease. Which assessment finding would the nurse expect in this client?
Expert Explanatory Rationale
Correct Answer: exophthalmos
A client with third- and fourth-degree burns is in the burn unit. The nurse understands that which of the following is true regarding fluid shift in burn clients?
Expert Explanatory Rationale
Correct Answer: Severe edema can occur in areas that were not burned, due to the leakage of electrolytes and fluids from the vascular space.
The nurse is caring for a client who just returned from a right mastectomy. Which position does the nurse anticipate for the client?
Expert Explanatory Rationale
Correct Answer: semi-Fowler's with the affected arm supported on a pillow
The nurse is caring for a client who has shortness of breath, +2 pitting edema bilaterally of the lower extremities, crackles in the bases of the lungs, and a weight gain of 7 pounds in 1 week. The nurse administers furosemide 40 mg IV as ordered. Which would the nurse anticipate to indicate that the furosemide was effective? Select all that apply.
Expert Explanatory Rationale
Correct Answer:
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