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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 156

The nurse acts as an advocate for the nursing profession by performing all of the following activities except:

Correct Answer: D
Explanation/Reference:
Explanation:
The nurse acts as an advocate for the nursing profession by encouraging appropriate persons to become nurses, by being a positive role model and mentor, and by communicating the needs of nurses in the most professional manner possible, to those making the laws. Coordinated Care
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Question 157

A nurse is giving shift report off to the oncoming LPN.
Which of these is an inappropriate shift report?

Correct Answer: C
Section: Safe and Effective Care Environment
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Question 158

A client with major head trauma is receiving bolus enteral feeding. The most important nursing order for this client is:

Correct Answer: A
It is important to measure intake (I) and output (O), which should be approximately equal.
Enteral feedings are hyperosmotic agents pulling fluid from cells into the vascular bed.
Water given before feeding presents a hyperosmotic diuresis. I and O measures assess fluid balance.
Basic Care and Comfort
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Question 159

A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink. What action should the nurse perform next to prevent ischemia?

Correct Answer: B
The nurse should immediately obtain a Doppler device and recheck the pulses. The dorsalis pedis and posterior tibial can be difficult to assess and might need to be verified with a Doppler. Because the client just had a surgery in which a complication is arterial insufficiency, the client must be monitored carefully. If the pulses are not found, the nurse should recognize that this is an emergent situation, and the physician must be notified immediately. If the nurse waits 30 minutes before determining if the pulses can be felt, this could compromise the viability of the client's foot due to ischemia. Documenting the findings is important but must be performed after the nurse locates the dorsalis pedis and posterior tibial pulses or any necessary interventions are made.Health Promotion and Maintenance
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Question 160

Health promotion activities are designed to help clients:

Correct Answer: D
Explanation/Reference:
Explanation:
Health promotion activities are designed to help clients reduce the risk of illness, maintain maximum function, and promote health habits related to health care. Health Promotion and Maintenance
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