Pass the NCLEX NCLEX-PN Questions and answers with ValidTests

This is the only culturally sensitive statement. Many Asian cultures have a high respect for elders, and members of these cultures might not consider placement in a long-term care facility. This is because they feel it is more respectful for them to care for the family member at home. The nurse might be able to assist the family by determining what community resources are available to assist them.Reduction of Risk Potential

Jaundice turns the skin yellow. The other skin colors are not symptoms of jaundice.Physiological Adaptation

Toradol is an NSAID found to be very effective for brief periods of time for acute pain. It can be given IM,

IV, or PO.Basic Care and Comfort

A nasopharyngeal airway is measured from the tip of the nose to the earlobe.Reduction of Risk Potential

Safety demands that a client be transferred to a facility that can deliver care equal to the hospital.Basic Care

and Comfort

An enema could dislodge the placenta and increase bleeding.Physiological Adaptation

Acute Pain is most appropriate for the client experiencing acute pancreatitis.Physiological Adaptation

Eclampsia is a disorder of pregnancy characterized by hypertension, proteinuria, and edema. This condition can cause seizure and/or coma. Choices 1 and 3 are abnormal conditions that can cause bleeding, particularly in the third trimester. Choice 4 is a major obstetrical emergency that can cause bleeding internally and externally.Safety and Infection Control

If there are indications of a body image disturbance, the nursing care plan should include body disturbances, related to a functional or physical problem. The disturbance might be an anticipated one—that is, weight gain and pregnancy. Stressors can include a change in physical appearance, sexuality concerns, or an unrealistic ideal self.

Psychosocial Integrity

Caucasians have the highest incidence of inflammatory bowel disease (IBD).Reduction of Risk Potential

The client with an old injury does not need an emergency assessment because this is not a life-threatening or new situation or condition.Safety and Infection Control

The mother’s most prominent concern is likely to be what becomes of her son after she dies. Choice 1 is important but is not likely to be her most prominent concern. Choice 2 is also not likely to be her primary concern because the welfare of her son with schizophrenia is more important. Choice 4 is incorrect because Mrs. Owens has likely confronted and handled concerns about getting the physician to talk to her after 38 years of managing her son’s care.Psychosocial Integrity

Leptin (recessive obesity gene—protein hormone) is expressed in fat cell coding for the protein that reacts to the percentage of fat cells in the body. Leptin is associated with increased energy expenditure and decreased food intake via hypothalamic control. Obese clients might have insensitivity or resistance to the effects of leptin. Leptin can affect other body hormones such as insulin. Genetic factors include leptin, uncoupling proteins, and the amount of brown/white fat in the body.Physiological Adaptation

Active exercise increases insulin sensitivity, thus lowering blood glucose levels. Additional carbohydrates might be needed to balance the usual insulin dose. All of the other choices increase blood glucose levels.BasicCare and Comfort

Disturbed Body Image is the most appropriate nursing diagnosis for a client with a new colostomy, due to the adjustments that need to be made with the physical alteration of a colostomy. The other diagnoses are not applicable.Reduction of Risk Potential