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 A

Explanation

A. Rheumatoid factor (RF) is often elevated in individuals with rheumatoid arthritis.

B. CA 125 is a tumor marker used primarily for detecting ovarian cancer and is not specific to rheumatoid arthritis.
C. While increased white blood cell count (WBC) may occur in inflammatory conditions like rheumatoid arthritis, it is not specific to the disease.

D. In rheumatoid arthritis, the erythrocyte sedimentation rate (ESR) is typically elevated rather than decreased.

A. "We will know the results within 30 minutes." B. "We will have results in 24 hours." C. "It usually takes 7-10 days before the results are available." D. "It usually takes 48-72 hours to obtain the growth and sensitivity results."

Correct Answer is D

Explanation

A. Urine culture and sensitivity tests typically take longer than 30 minutes to yield results.
B. While some preliminary results may be available within 24 hours, the full culture and sensitivity testing usually take longer.
C. Waiting 7-10 days for results would be excessive for a urine culture and sensitivity test.
D. Typically, it takes 48-72 hours to obtain the growth and sensitivity results for a urine culture, allowing time for bacterial growth and sensitivity testing.

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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 is suspected to have rheumatoid arthritis and is awaiting lab reports. Which of the following lab would the nurse anticipate to be found?

Correct Answer is A

Explanation

The health care provider ordered a urine specimen for culture and sensitivity. After the nurse collects the specimen, the client asks, "When will I know the results of the test?" Which of the following is the best response?

Correct Answer is D

Explanation

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