A client drove himself to the urgent care center for Legs that look like balloons and difficulty walking. The nurse assesses 4+ edema of both legs based upon which finding?

Very deep pitting indentation of legs lasts several minutes.

Deep pitting indentation of legs lasts a few minutes.

Mild pitting no perceptible swelling of the legs.

Moderate pitting: indentation of legs subsides rapidly.

Answer and Explanation

The Correct Answer is A

Choice A rationale: 4+ edema is characterized by very deep pitting indentation of the legs that lasts several minutes. This indicates severe fluid retention and significant swelling.

Choice B rationale: Deep pitting indentation lasting a few minutes is more indicative of 2+ or 3+ edema, not 4+.

Choice C rationale: Mild pitting with no perceptible swelling is more indicative of 1+ edema, not 4+.

Choice D rationale: Moderate pitting with rapid subsidence is indicative of 3+ edema, not 4+.

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Correct Answer is D

Explanation

Choice A rationale: Salpingitis is inflammation of the fallopian tubes.

Choice B rationale: Adnexa refers to the accessory structures of the uterus, including the ovaries and fallopian tubes.

Choice C rationale: Menarche is the onset of menstruation, not the cessation. Choice D rationale: Cessation of menses is referred to as menopause.

A. Dull throbbing pain that increases with rest. B. Dull ache. C. Sharp pain that increases with movement. D. Deep pain in the wrist.

Correct Answer is C

Explanation

Choice A rationale: Dull throbbing pain that increases with rest is less suggestive of a fracture.

Choice B rationale: A dull ache may be present with various conditions and is not specific to a fracture.

Choice C rationale: Sharp pain that increases with movement is indicative of a possible fracture, as movement can cause the fractured ends of the bone to rub against each other.

Choice D rationale: Deep pain in the wrist is nonspecific and may not be strongly indicative of a fracture.

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A client drove himself to the urgent care center for Legs that look like balloons and difficulty walking. The nurse assesses 4+ edema of both legs based upon which finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client who reports cessation of menses. The nurse should document the cessation of menses in the client's record as:

Correct Answer is D

Explanation

A client reports pain in the left wrist after falling while playing basketball. After assessing the wrist, which of the following assessment finding would make the nurse suspect a fracture?

Correct Answer is C

Explanation

During a community screening event for bone density, an elderly client asked the nurse why she is an inch shorter in height. Which of the following responses by the nurse is correct?

A client diagnosed with osteoporosis asks the nurse “What is osteoporosis?” The nurse should provide which of the following explanations about osteoporosis?

The nurse teaches a client that there are shock absorbers in the back to cushion the spine and to help it move. The client understands that which of the following is another name for shock absorbers:

A male client with possible fertility problems asks the nurse where sperm is produced. Which answer should the nurse give the client?

An adolescent male is brought to the emergency department with complaints of excruciating pain in his left testicle. Which of the following should be the priority action by the nurse?

The nurse is preparing to screen a client for deep vein thrombosis (DVT). Which of the following techniques should the nurse recognize as the appropriate technique to screen for DVT?

During an abdominal assessment, the nurse is unable to hear bowel sounds in a client's abdomen. How long should the nurse listen before reporting absent bowel sounds?