A client had a bowel resection 5 days ago. The nurse assesses the client and finds that the client's temperature is 103 degrees F, pulse is 88, respirations are 20, and the blood pressure is 146/72. Urine output has been 160cc for the last 4 hours. The incision is erythemic and warm to touch. The nurse determines that the client's fever is most likely due to what condition?

Wound infection

Urinary tract infection

Respiratory infection

Dehydration

Answer and Explanation

The Correct Answer is A

A.   The combination of fever, tachycardia, decreased urine output, and erythema and warmth at the incision site suggests the possibility of a wound infection.
B.   While a urinary tract infection could cause fever and decreased urine output, the presence of erythema and warmth at the incision site suggests a localized wound infection.
C.   Respiratory infection may cause fever and tachycardia but would not typically present with erythema and warmth at the incision site.
D.   Dehydration may cause decreased urine output but would not typically present with fever and erythema at the incision site.

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Correct Answer is D

Explanation

A. Monocytes are a type of white blood cell involved in immune response and are not typically the most elevated in allergic reactions.
B. Lymphocytes may increase in response to infection or immune stimulation but are not specifically associated with allergic reactions.

C. Neutrophils are the most abundant type of white blood cell and are primarily involved in bacterial infections, not allergic responses.
D. Eosinophils are a type of white blood cell that increases significantly during allergic reactions, making them the most likely to be elevated in response to a severe allergic response like anaphylaxis.

A. arterial blood gases B. uric acid levels C. culture and sensitivity D. potassium levels

Correct Answer is B

Explanation

A. Arterial blood gases are used to assess oxygenation and acid-base balance and are not specific to diagnosing gouty arthritis.

B. Gouty arthritis is characterized by elevated uric acid levels in the blood, leading to the deposition of urate crystals in the joints.
C. Culture and sensitivity tests are used to identify infectious organisms and determine their susceptibility to antibiotics, not for diagnosing gouty arthritis.
D. Potassium levels are not specific to diagnosing gouty arthritis and are typically measured as part of routine laboratory tests to assess electrolyte balance.

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Naxlex Comprehensive Predictor Exams

A client is admitted with a severe allergic response to a bee sting. Which lab would the nurse expect to be the most elevated on the white blood count (WBC) differential?

Correct Answer is D

Explanation

The nurse is caring for a client who was diagnosed with "gouty arthritis." Which laboratory test is most important to perform to confirm this diagnosis?

Correct Answer is B

Explanation

A nurse is completing a head-to-toe assessment on a client who is 3 days post-operative from a right mastectomy. Which of the following should the nurse recognize as a sign of possible infection? Select all that apply.

The culture from the wound infection shows the organism: Bacterial Staphylococcal Aureus. Which of the following healthcare provider orders would the nurse anticipate?

A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection?

A client diagnosed with gout has been instructed on limiting the intake of purine-rich foods. Which of the following foods should the nurse instruct the client to avoid?

The nurse is caring for a 67-year old client, who is on bedrest. Which of the following nursing actions should the nurse include in the plan of care to help maintain the body's first line of defense? Select all that apply.

The nurse is assessing the hands of a client and notes bony enlargements of the client's joints, as pictured here. The joints are hard, painless, and some of the fingers are deviated from the midline. The nurse suspects these findings are a result of which of the following?

The nurse is assessing a client who has been diagnosed with osteoarthritis. What findings would the nurse anticipate during their assessment?