A nurse is caring for a patient who reports pain in their lower extremities following surgery. Which of the following should the nurse address first?

Consumed 35% of meals for 12 hr.

Been on bedrest for 3 days.

Last bowel movement 2 days ago.

Reports pain as 5 on a scale of 0 to 10.

Answer and Explanation

The Correct Answer is D

Choice A rationale
While nutrition is important for recovery, consuming 35% of meals for 12 hours is not an immediate concern. The patient’s nutritional status can be addressed after more urgent issues are resolved.

Choice B rationale
Bedrest for 3 days post-surgery is not uncommon. While prolonged bedrest can lead to complications such as deep vein thrombosis, it is not the most immediate concern in this scenario.
Choice C rationale
A last bowel movement 2 days ago is not necessarily a concern unless the patient is experiencing discomfort or other symptoms of constipation. This can be addressed after more urgent issues are resolved.
Choice D rationale
This is the correct answer. Pain in the lower extremities following surgery could indicate a serious condition such as a blood clot. It is important to address this first to rule out any serious complications.

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Correct Answer is D

Explanation

Choice A rationale
This statement is not entirely accurate. Crohn’s disease does not resemble a second-degree burn. It is an inflammatory bowel disease that can affect any part of the gastrointestinal tract.
Choice B rationale
While this statement is technically correct, it uses medical jargon that may be difficult for a patient to understand. Crohn’s disease is indeed characterized by transmural granulomatous inflammation, meaning it affects the entire wall of the gastrointestinal tract. However, this description may not be easily understood by a patient without a medical background.
Choice C rationale
This statement is partially correct but not entirely accurate. Crohn’s disease can cause inflammation in the mucosa and sub-mucosa of the colon and rectal linings, but it is not limited to these areas. It can affect any part of the gastrointestinal tract from the mouth to the anus.
Choice D rationale
This is the most simplistic and non-medical description of the disorder. Crohn’s disease can indeed give the appearance of a “patchwork quilt” in the gastrointestinal tract, with some areas

clear and others inflamed or ulcerated. This description provides a visual analogy that may be easier for a patient to understand.

A. Do you perform self-examinations for breast cancer? B. Have you ever had a suspicious mammogram? C. Are you aware of your BRCA (breast cancer gene) status? D. Have you ever noticed dimpling during a breast self-exam?

Correct Answer is C

Explanation

Choice A rationale
While performing self-examinations for breast cancer can help in early detection of the disease, it does not provide information about a person’s genetic risk for developing breast cancer.
Choice B rationale
Having a suspicious mammogram could indicate the presence of breast cancer or other abnormalities, but it does not provide information about a person’s genetic risk for developing the disease.
Choice C rationale
Being aware of one’s BRCA (breast cancer gene) status is directly related to understanding their genetic risk for breast cancer. Mutations in the BRCA1 and BRCA2 genes significantly increase the risk of developing breast cancer.

Choice D rationale
Noticing dimpling during a breast self-exam could be a sign of breast cancer, but it does not provide information about a person’s genetic risk for developing the disease.

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A nurse is caring for a patient who reports pain in their lower extremities following surgery. Which of the following should the nurse address first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a patient who has a new diagnosis of Crohn’s disease. Which of the following statements by the nurse provides the most simplistic and non-medical description of the disorder?

Correct Answer is D

Explanation

Which of the following assessments would be most useful in determining a patient’s genetic risk for breast cancer?

Correct Answer is C

Explanation

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A nurse is caring for a patient who reports pain in their lower extremities following surgery. Which of the following should the nurse address first?

A nurse is educating a client who has hepatitis A on how to prevent the spread of the virus. Which of the following strategies should the nurse include in the teaching?

A nurse is assessing a postoperative client who has anemia due to excessive blood loss during surgery. What findings should the nurse expect?