NCLEX-PN Exam Dumps - National Council Licensure Examination(NCLEX-PN)

<200 T4 cells/deciliter

Batterers cannot be predicted by demographic features related to age, ethnicity, race, religious denomination,

education, socioeconomic status, or class. Ninety-five percent of domestic abuse cases involve male perpetrators

and female victims.Psychosocial Integrity

Pernicious anemia results from vitamin B12 deficiency due to lack of intrinsic factor. This can result from

inadequate dietary intake, faulty absorption from the GI tract due to a lack of secretion of intrinsic factor

normally produced by gastric mucosal cells and certain disorders of the small intestine that impair absorption.

The nurse should instruct the client in the need for lifelong replacement of vitamin B12, as well as the need for

folic acid, rest, diet, and support.Physiological Adaptation

Clients with renal disease are predisposed to hyperkalemia and should avoid foods high in potassium.

Choices 1, 2, and 3 are incorrect because clients receiving diuretics with ileostomy or with metabolic alkalosis

are at risk for hypokalemia and should be encouraged to eat foods high in potassium.Physiological Adaptation

Clients with dumping syndrome should lie down after eating to decrease dumping syndrome. GERD clients

should sit up to prevent backflow of acid into the esophagus.Basic Care and Comfort

The kidneys of a client in renal failure produce no erythropoietin, a hormone necessary for RBC production.

Erythropoietin can be given as replacement, but the client needs adequate iron, folate, and B12 to increase the

effectiveness of EPO. Choice 2 is not necessary for RBC production and can increase uremia. Choices 3 and 4

are not necessary for RBC production.Physiological Adaptation

HIV mutates very rapidly, and any interruption of therapy can allow viral resistance to emerge—even taking

a dose late. Choice 2 is incorrect because, when the virus is kept in check with anti-retrovirals, the client’s own

immune system is able to keep opportunistic infections at bay. Choices 3 and 4 are incorrect because therapy

should not be interrupted for any reason. If the client develops toxicity, another anti-retroviral drug might be

prescribed.Physiological Adaptation

Topical agents produce a localized, rather than systemic, effect. When treating atopic dermatitis with a steroidal preparation, the site is vulnerable to invasion by organisms. Viruses, such as herpes simplex or varicella zoster, present a risk of disseminated infection. Educate the client using topical corticosteroids to avoid crowds or people known to have infections and to report even minor signs of an infection. Topical corticosteroid use results in little danger of concurrent infection with the agents in choices 1, 3, and 4.Pharmacological Therapies