NCLEX-PN

Question 1

Abdominal obesity with increased waist measurements (males greater than 40 inches, females greater than 35 inches) is part of the syndrome,
as is elevated blood pressure with systolic elevation greater than 130 mm Hg and diastolic greater than 85 mm Hg.
Blood glucose levels are greater than 100 mg/dL, not 200 mg/dL.
Triglyceride levels are part of the metabolic syndrome, and levels greater than 150 mg/dL are part of the syndrome.
High density lipoprotein (HDL) cholesterol is less than 40 mg/dL in males and 50 mg/dL in females in the syndrome. HDL is the good cholesterol and should be greater than 35 mg/dL.

Answer 1

Metabolic syndrome is a condition in which the client has metabolic factors that put the client at risk for developing diabetes type 2 and cardiovascular disease.

Question 2

Each device has a means of setting an inspiratory goal. Correct use requires a spontaneous, slow, voluntary, deep breath.
When full inhalation is reached, the breath is held for at least 3 seconds.
This sequence is repeated 10 to 20 times an hour.
Incentive spirometer exercises are most effective when used every hour while the client is awake.

Answer 2

Incentive spirometer devices use a concept of sustained maximal inspiration.

Question 3

The clinical signs of impending or approaching death

Answer 3

The clinical signs of impending or approaching death include inability to swallow; pitting edema; decreased gastrointestinal and urinary tract activity; bowel and bladder incontinence; loss of motion, sensation, and reflexes; cold or clammy skin; cyanosis; lowered blood pressure; noisy or irregular respiration; and Cheyne-Stokes respirations.

Question 4

airway obstruction

Answer 4

Clinical manifestations that are suggestive of airway obstruction include
tripod positioning (leaning forward supported by the hands and arms with the chin thrust out and the mouth open),
nasal flaring,
tachycardia,
retractions,
and dyspnea.