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NCLEX RN· Reduction of Risk Potential · RN Physiological Integrity Reduction of Risk Potential

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client receiving warfarin therapy for atrial fibrillation. Laboratory results show an INR of 3.9. The nurse would expect which order from the health care provider?

A. an order to increase the warfarin dose
B. an order to decrease the warfarin dose
C. an order for protamine sulfate
D. no new order; the INR is therapeutic

Expert Explanatory Rationale

Correct Answer: an order to decrease the warfarin dose

Question 2 of 5

The nurse is reviewing labs of a newly admitted client. Which lab result would prompt the nurse to contact the health care provider?

A. ALT 33 units/L
B. BNP 760 pg/mL
C. WBC 10,450 mcL
D. direct bilirubin 0.2 mg/dL

Expert Explanatory Rationale

Correct Answer: BNP 760 pg/mL

Question 3 of 5

A college student presents at the emergency department after being thrown off a horse. Head injury with increased intracranial pressure (ICP) is suspected. The nurse understands that late signs of increased ICP include which manifestations? Select all that apply.

A. seizures
B. irritability
C. restlessness
D. disorientation
E. severe headache
F. nausea and vomiting

Expert Explanatory Rationale

Correct Answer:

Question 4 of 5

A nurse in intensive coronary care is caring for a client with an endotracheal tube who underwent coronary bypass surgery. The client awakens and attempts to communicate. Which nursing interventions should the nurse perform? Select all that apply.

A. offer a communication board
B. ask simple yes/no questions
C. ask open-ended questions
D. offer an electrolarynx

Expert Explanatory Rationale

Correct Answer:

Question 5 of 5

A nurse is following the progress of a client being treated for hypothyroidism. Which findings indicate the client is experiencing side effects of the thyroid replacement therapy? Select all that apply.

A. excessive sweating
B. constipation
C. inability to tolerate cold
D. leg cramps

Expert Explanatory Rationale

Correct Answer:

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