A prenatal client is experiencing calf pain when she walks. Which action is appropriate for the nurse to implement?

Instruct the client to limit walking episodes.

Tell the client that this is normal during pregnancy.

Gather further assessment data

Instruct the client to elevate the legs consistently throughout the day.

Answer and Explanation

The Correct Answer is C

A. Limiting walking episodes may reduce discomfort but does not address the underlying issue or potential complications.

B. While leg cramps can be common during pregnancy, calf pain could also indicate a more serious condition, such as deep vein thrombosis (DVT), and should not be dismissed as normal without further investigation.

C. Gathering further assessment data is crucial to determine the cause of the calf pain, as it may indicate DVT, a potentially life-threatening condition. The nurse should assess for other symptoms like swelling, redness, or warmth in the leg.

D. Instructing the client to elevate the legs may be appropriate for general discomfort, but without proper assessment, it may not be the correct intervention if DVT is present.

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Correct Answer is B

Explanation

A. Popping sounds, also known as crackles, are typically associated with fluid in the alveoli, often seen in conditions like pneumonia or heart failure, not pleurisy.

B. Loud, grating sounds, known as pleural friction rub, are characteristic of pleurisy. This sound is produced by the inflamed pleural surfaces rubbing together during respiration.

C. Snoring sounds, or rhonchi, are usually heard in conditions involving airway obstruction by mucus, such as bronchitis, rather than pleurisy.

D. Squeaky, musical sounds, or wheezing, are associated with airway narrowing, such as in asthma or chronic obstructive pulmonary disease (COPD), and are not typically heard in pleurisy.

A. Temperature 36.1°C (97.0° F) B. Weight loss C. Insomnia D. Oliguria

Correct Answer is D

Explanation

A. A low temperature is not indicative of organ rejection; fever would be more concerning.

B. Weight loss is not a typical sign of acute organ rejection; weight gain due to fluid retention might be observed.

C. Insomnia is not specifically associated with organ rejection.

D. Oliguria (decreased urine output) is a significant sign of possible kidney transplant rejection, as it may indicate impaired kidney function.

A nurse is caring for a client who is being admitted to the medical-surgical unit from the emergency department. The nurse is reviewing the client's medical records.

Exhibits


Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

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A prenatal client is experiencing calf pain when she walks. Which action is appropriate for the nurse to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is auscultating the lungs of a client who has pleurisy. Which of the following adventitious breath sounds should the nurse expect to hear?

Correct Answer is B

Explanation

A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?

Correct Answer is D

Explanation

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A prenatal client is experiencing calf pain when she walks. Which action is appropriate for the nurse to implement?

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