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  1. Home
  2. NCLEX Certification
  3. NCLEX-PN Exam
  4. NCLEX.NCLEX-PN.v2023-10-03.q213 Dumps
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Question 126

The nurse should perform which intervention when a client is restrained?

Correct Answer: C
Explanation/Reference:
Explanation:
The minimum standard is to visually assess the restraint every 30 minutes. Documentation is typically performed per a checklist or flow sheet. The ends of the restraint are tied to a part of the bed that allows for position changes without unfastening them. Safety and Infection Control
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Question 127

Which of the following organs of the digestive system has a primary function of absorption?

Correct Answer: C
The small intestine has a primary function of absorption. The remaining digestive organs have other primary functions.Physiological Adaptation
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Question 128

A nurse is caring for a client with an elevated cortisol level.
The nurse can expect the client to exhibit symptoms of __________.

Correct Answer: C
Section: Physiological Integrity
Explanation:
High levels of cortisol can produce sodium and fluid retention and potassium deficit, thus creating urinary deficit.
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Question 129

A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:

Correct Answer: D
Explanation/Reference:
Explanation:
Morton's neuroma is a small mass or tumor in a digital nerve of the foot. Hallux valgus is referred to in lay terms as abunion. Hammertoe is where one toe is cocked up over another toe. Plantar fasciitis is an inflammation of, or pain in, the arch of the foot. Basic Care and Comfort
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Question 130

The LPN is receiving report on a newly admitted 14-year-old boy. He is described as being very bright and a good communicator, but his social interactions seem a bit "off." He spends much of his time playing with his baseball card collection, which he has organized in a meticulous fashion.
Given this information, which diagnosis does the nurse suspect the patient may have?

Correct Answer: A
Section: Psychosocial Integrity
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