A nurse is caring for a 78-year-old client with a history of osteoarthritis (OA). When planning the client's care, what goal should the nurse prioritize?

The client will express satisfaction with the ability to perform ADLs.

The client will adhere to the prescribed plan of care.

The client will recover from OA within 6 months.

The client will deny signs or symptoms of OA.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Expressing satisfaction with the ability to perform Activities of Daily Living (ADLs) is a realistic and client-centered goal for managing osteoarthritis. It focuses on the client's quality of life and functional ability, which is essential in chronic conditions like OA.

Choice B rationale

Adhering to the prescribed plan of care is important for managing OA, but it is more of an ongoing process than a specific goal. The focus should be on the client's functional outcomes and overall well-being.

Choice C rationale

Osteoarthritis is a chronic condition that cannot be cured within six months. Recovery in the context of OA usually refers to managing symptoms and improving quality of life rather than a complete resolution of the disease.

Choice D rationale

Denying signs or symptoms of OA is unrealistic for a chronic condition. The goal should be managing symptoms effectively and maintaining functional ability rather than complete absence of symptoms.

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Correct Answer is A

Explanation

Choice A rationale

A cerebral perfusion pressure (CPP) of 40 mm Hg is considered low, as the normal range for CPP is typically between 60 and 80 mm Hg. Low CPP can lead to inadequate blood flow to the brain.

Choice B rationale

An accurate CPP reading is crucial for assessing intracranial pressure and cerebral blood flow. A reading of 40 mm Hg is not typically considered inaccurate.

Choice C rationale

A CPP of 40 mm Hg is not within normal limits, as it is significantly below the normal range.

Choice D rationale

A CPP of 40 mm Hg is not high; it is considered low and requires medical attention.

A. Pustule. B. Macule. C. Vesicle. D. Cyst. E. Cyst.

Correct Answer is C

Explanation

Choice A rationale

A pustule is an elevated, round lesion filled with pus, not serum. Pustules are commonly seen in acne or infections.

Choice B rationale

A macule is a flat, discolored area of the skin that is not elevated. Macules do not contain fluid and are often seen in conditions like freckles or flat moles.

Choice C rationale

A vesicle is an elevated, round lesion filled with clear serum. Vesicles can result from conditions such as chickenpox, herpes simplex, or dermatitis.

Choice D rationale

A cyst is an elevated, round lesion filled with semi-solid material or fluid. Cysts are typically deeper in the skin compared to vesicles.

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A nurse is caring for a 78-year-old client with a history of osteoarthritis (OA). When planning the client's care, what goal should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with increased intracranial pressure has a cerebral perfusion pressure (CPP) of 40 mm Hg. This CPP reading is considered:

Correct Answer is A

Explanation

During the skin assessment of a client, the nurse observes a skin lesion that is elevated, round, and filled with serum. Identify the type of lesion.

Correct Answer is C

Explanation

A nurse is performing a neurologic assessment on the client and notes a positive Romberg test. This test for balance is related to which of the following cranial nerves?

A nurse's assessment of a teenage client reveals that their shoulders are not level and that they have one prominent scapula is accentuated by bending forward. The nurse should expect to read about what health problem in the client's electronic health record?

Which term describes the fibrous connective tissues that cover the brain and spinal cord?

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