A nurse is caring for a client who has chronic arthritis. Which of the following could impact the client's economic stability?

Clients with disabilities often cannot be insured.

The client might have a cognitive impairment, and thus be unable to balance their checkbook.

The client is working part-time as a seasonal employee.

The client's arthritis medications are very expensive.

Answer and Explanation

The Correct Answer is D

A. Clients with disabilities often cannot be insured.: Current healthcare regulations generally prohibit insurance companies from denying coverage based on pre-existing disabilities or chronic conditions. While insurance premiums may be high, the total lack of insurance is not the standard clinical expectation in modern healthcare systems. Economic instability is more directly linked to out-of-pocket costs rather than an absolute inability to obtain a policy.

B. The client might have a cognitive impairment, and thus be unable to balance their checkbook.: Arthritis is a musculoskeletal disorder characterized by joint inflammation and does not inherently involve neurocognitive decline or impaired financial literacy. While comorbid conditions can exist, the primary pathology of arthritis does not explain an inability to manage personal finances. Economic stability in this context is threatened by external costs rather than cognitive failure.

C. The client is working part-time as a seasonal employee.: Seasonal employment provides inconsistent income, but for a client with a chronic illness, the primary economic threat is the continuous cost of medical management. While job status affects income, it does not specifically address the financial burden created by the disease itself. The high cost of medical maintenance often outweighs the impact of employment type alone.

D. The client's arthritis medications are very expensive.: Chronic arthritis management often requires biological response modifiers or long-term pharmaceutical interventions that carry significant financial costs. These recurring expenses can deplete savings and divert funds from essential needs like housing or nutrition. The high cost of specialized medications is a direct social determinant that destabilizes the client's economic security.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "This disease is a genetic disorder and could not have been prevented.": Polycystic kidney disease is an autosomal dominant or recessive inherited condition characterized by the growth of numerous fluid-filled cysts in the kidneys. It is not caused by lifestyle choices, infections, or other chronic diseases. Educating the client that it is a genetic trait helps alleviate feelings of self-blame or guilt regarding the diagnosis.

B. "This disease might have occurred if you had some type of streptococcal infection such as strep throat in the past 7 to 10 days.": This statement describes the etiology of acute post-streptococcal glomerulonephritis, which is an immune-mediated inflammatory response. Polycystic kidney disease is a structural, hereditary condition and is not triggered by bacterial pathogens. Conflating the two conditions provides inaccurate information about the pathogenesis of the client's disease.

C. "If your diet includes foods high in calcium, it could have led to this disease.": Dietary calcium intake is related to the formation of renal calculi but has no role in the development of polycystic kidney disease. PKD is caused by mutations in the PKD1 or PKD2 genes, not by nutritional imbalances. Suggesting a dietary cause misrepresents the biological nature of this chronic genetic condition.

D. "This disease might have occurred because of your hypertension and diabetes.": While hypertension and diabetes can cause chronic kidney disease and nephrosclerosis, they do not cause the formation of cysts seen in PKD. In fact, PKD often causes secondary hypertension due to the activation of the renin-angiotensin system. Causal direction is the opposite of what is stated in this incorrect explanation.

A. The type of anesthesia that will be used B. The visiting hours in the surgical areas C. The number of surgical staff that will be in the operating room D. The nurses that will be on staff in the recovery room

Correct Answer is A

Explanation

A. The type of anesthesia that will be used: The nurse must confirm the client understands the fundamental components of the procedure, including the anesthetic method, to ensure informed consent is valid. Anesthesia involves significant physiological risks that the client must acknowledge before surgery. Witnessing the signature implies the client has been briefed on these critical procedural details.

B. The visiting hours in the surgical areas: Information regarding visitation policies is administrative and does not impact the legal or clinical validity of informed consent. While helpful for family coordination, it is not priority information for a client preparing for an invasive procedure. This detail is unrelated to the client's understanding of surgical risks and benefits.

C. The number of surgical staff that will be in the operating room: The specific quantity of personnel present during the operation is a logistical detail that does not alter the patient's informed status. Knowing the exact head count in the sterile field is not required for the client to provide legal permission for surgery. Priority must remain on the procedure and potential complications.

D. The nurses that will be on staff in the recovery room: Staffing assignments for the post-anesthesia care unit are variable and do not constitute essential information for surgical consent. The identity of the recovery nurse is irrelevant to the client’s decision-making process regarding the operation itself. Consent focuses on the surgeon's plan and the associated clinical outcomes.

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A nurse is caring for a client who has chronic arthritis. Which of the following could impact the client's economic stability?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has newly diagnosed polycystic kidney disease (PKD). The client asks, "Did I do something to my body to get this disease?" Which of the following statements from the nurse is the most accurate response?

Correct Answer is A

Explanation

A nurse is preparing to witness informed consent for a client having surgery. Which of the following priority information should the nurse share with the client while witnessing consent?

Correct Answer is A

Explanation

A nurse has administered preoperative medications to a client. Which of the following actions should the nurse implement?

The nurse is reinforcing discharge teaching with a client about a new prescription for furosemide. Which of the following client statements indicates an understanding of the teaching?

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A nurse is collecting data for a client who has early manifestations of renal impairment. Which of the following findings should the nurse expect?

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