NCLEX RN Pearson Exam 1 Questions with Answers 2023 Update Gastrointestinal: gastroenteritis 1 week ago Neurological: Guillain-Barré, reports increasing muscle weakness and paresthesias over the past... 3 days; weakness initially of the legs, now extending to the trunk and arms Alert and oriented to person, place and time. Reporting cramping bilateral lower extremities. Scheduled for plasmapheresis. 69. The nurse is planning care for a client with impaired mobility. Which of the following interventions should the nurse include in the client's plan of care? Click the exhibit button for additional client information. a. Assess for the presence of petechiae. b. Monitor the client for signs of increased intracranial pressure (ICP). c. Monitor the client for signs of respiratory distress. d. Initiate seizure precautions. 70. The following client care activities need to be completed. It would be most appropriate for the nurse to assign unlicensed assistive personnel (UAP) to a. apply a continuous passive motion (CPM) device to the affected extremity of a client who had a total knee replacement b. change the bed linens for a client who was admitted 1 hour ago following a closed-head injury and is comatose c. reposition a client with hydrocephalus who has a headache and is vomiting d. place in the prone position a client who had an above-the-knee amputation (AKA) 1 day ago [Show More]
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