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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 171

At what point in the nurse-client relationship should termination first be addressed?

Correct Answer: C
Explanation/Reference:
Explanation:
The client has a right to know the parameters of the nurse-client relationship. If the relationship is to be time limited, the client should be informed of the number of sessions. If it is open-ended, the termination date is not known at the outset, and the client should know that this is an issue that is negotiated at a later date. Coordinated Care
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Question 172

During the health screening of an adolescent, which finding by the nurse requires further teaching?

Correct Answer: B
Explanation/Reference:
Explanation:
Because the client is on the pill, she requires further teaching regarding protection against STDs. The other findings are not abnormal for an adolescent. Health Promotion and Maintenance
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Question 173

Medical records indicate a patient has developed a condition of respiratory alkalosis. Which of the following clinical signs would not apply to a condition of respiratory alkalosis?

Correct Answer: D
Anxiety is a clinical sign associated with respiratory acidosis.
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Question 174

A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, "I do not know how to make my diet work with the kind of foods that my family eats." What should the nurse do first to help the client determine a suitable diet for disease prevention?

Correct Answer: B
Section: Health Promotion and Maintenance
Explanation:
Assessment is the first step. Assessing what the client eats helps the nurse determine a plan for dietary recommendations based on the ADA and AHA guidelines.
Providing the client with a copy of the guidelines is important but is not the first priority.
Based on the client's wish to reduce her chances of heart disease and diabetes, a high-protein diet plan might not be appropriate.
Providing information to the client related to risk factors for heart disease and diabetes is important but is not the first step.
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Question 175

An LPN is caring for a new admission recovering from a knee replacement.
In assisting the patient to the bathroom, what step would best prevent a patient fall?

Correct Answer: D
Section: Physiological Integrity
Explanation
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