A patient with osteoarthritis who had a right total knee replacement tells the nurse that the other knee is becoming painful. Which of the following is the most appropriate instruction to help the patient preserve function of the left knee?

Reduce dietary purines.

Begin a jogging program.

Maintain ideal body weight.

Maintain normal uric acid levels

Answer and Explanation

The Correct Answer is C

A. Reduce dietary purines.: This is more relevant for patients with gout, not osteoarthritis. Purine reduction helps control uric acid levels.
B. Begin a jogging program.: High-impact exercises like jogging can exacerbate knee pain and accelerate joint degeneration in osteoarthritis.
C. Maintain ideal body weight.: Maintaining an ideal body weight reduces stress on the knees and helps preserve joint function and delay the progression of osteoarthritis.
D. Maintain normal uric acid levels.: Uric acid levels are related to gout, not osteoarthritis. Maintaining normal levels does not directly affect osteoarthritis.

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Correct Answer is A

Explanation

A. Walk to the other side of the bed and try again: The patient may have right-sided neglect due to the stroke, meaning they are not aware of stimuli on the left side. Approaching from the other side where the patient has better perception might help them respond better.
B. Wave a hand in front of the patient's face: This might not be effective and can startle the patient. It does not address the underlying issue of spatial neglect.
C. Speak more loudly and clearly: There is no indication that the patient has hearing loss or language comprehension issues. Speaking louder may not be effective if the patient is experiencing spatial neglect.
D. Use a picture board to explain to the patient what the nurse is going to do: This is a good strategy for communication but does not address the immediate need to reposition to a more effective approach to gain the patient’s attention first.

A. "It is caused by a tumor of the adrenal gland." B. The cause can be identified with magnetic resonance imaging." C. "The cause is unknown." D. "There are no tests to identify the cause." E. "An arteriogram will show why hypertension is occurring."

Correct Answer is ["A","B","E"]

Explanation

A. "It is caused by a tumor of the adrenal gland.": This statement is incorrect as a tumor of the adrenal gland (like a pheochromocytoma) would cause secondary hypertension, not primary hypertension, which has no identifiable cause.
B. "The cause can be identified with magnetic resonance imaging.": Primary hypertension does not have a specific identifiable cause, and imaging like MRI cannot pinpoint a cause for it. This statement indicates a misunderstanding.
C. "The cause is unknown.": This statement is correct for primary hypertension, as it is characterized by having no identifiable underlying cause.
D. "There are no tests to identify the cause.": This is correct for primary hypertension since it has no specific identifiable cause. The diagnosis is based on excluding other potential causes of secondary hypertension.
E. "An arteriogram will show why hypertension is occurring.": An arteriogram might identify blockages or other issues in the arteries, but it will not show the cause of primary hypertension. This indicates a need for further teaching.

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A patient with osteoarthritis who had a right total knee replacement tells the nurse that the other knee is becoming painful. Which of the following is the most appropriate instruction to help the patient preserve function of the left knee?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is hospitalized poststroke. The nurse approaches the patient from the patient's left side to provide morning care. The patient is staring straight ahead and does not respond to the nurse's presence or voice. Which action should the nurse take first?

Correct Answer is A

Explanation

The nurse provides teaching for a newly diagnosed patient with primary hypertension. Which of the following patient statements about the cause of primary hypertension would indicate the need for further teaching? Select all that apply

Correct Answer is ["A","B","E"]

Explanation

The nurse is teaching a patient about a thiazide-like diuretic. Which statement made by the patient indicates an understanding of the teaching?

On which lifestyle modifications would the nurse reinforce teaching with the patient to reduce the risk of hypertension? Select all that apply.

Which tests can be used to assist in diagnosing a patient with peripheral arterial disease? Select all that apply. (Select All that Apply.)

The nurse is caring for a patient with a tumor of the bone who experiences a fracture. Which type of break is anticipated?

The nurse is providing care for a patient after an above-the-knee amputation because of diabetes complications. Which nursing care is essential for promoting ambulation?

A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize which of the following statements by the client indicates a need for further teaching?