A client had a right knee replaced 4 days ago. The client returns with an elevated temperature for the past 24 hours. Which assessment would the nurse prioritize?

Urine characteristics

Homan's sign

Lung sounds

Frequency of diarrhea episodes

Answer and Explanation

The Correct Answer is C

A.   While monitoring urine characteristics is important for overall assessment, it may not be the priority in this situation.
B.   Homan's sign is used to assess for deep vein thrombosis and may not be directly related to the client's current symptoms.
C.   Elevated temperature after knee replacement surgery could indicate a potential infection, including pneumonia, so assessing lung sounds for signs of infection is a priority.

D.   Diarrhea may be indicative of gastrointestinal issues but is less likely to be directly related to the client's current symptoms after knee replacement surgery.

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Correct Answer is C

Explanation

A. Whole wheat pasta is not typically high in purines.

B. Broccoli is a vegetable and generally not high in purines.

C. Shellfish, such as shrimp, crab, and lobster, are high in purines and should be avoided by individuals with gout.
D. Cranberries are fruits and are generally low in purines.

A. Provide a feedback mechanism for pain identification B. Increase fatty deposits in the affected tissue C. Localize, destroy, and remove injurious agents D. Release antigens into the general circulation

Correct Answer is C

Explanation

A. While pain is a common symptom associated with inflammation, providing a feedback mechanism for pain identification is not the ultimate purpose of the inflammatory process.
B. The inflammatory process is not primarily aimed at increasing fatty deposits in affected tissue.
C. The ultimate purpose of the inflammatory process is to localize, destroy, and remove injurious agents such as pathogens and damaged cells, thereby preparing the wound for healing.
D. Releasing antigens into the general circulation is not the primary purpose of the inflammatory process.

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A client had a right knee replaced 4 days ago. The client returns with an elevated temperature for the past 24 hours. Which assessment would the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

The nurse is caring for a client with a new incision and is experiencing some inflammation. What is the ultimate purpose of the inflammatory process in preparation for healing?

Correct Answer is C

Explanation

A nurse is caring for a client who has a wound infection. Wound cultures identify the infecting organism as vancomycin-resistant enterococci (VRE). Which type of precautions should the health care team initiate?

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

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