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Exhibits

Click to highlight the findings that would indicate the client's condition has improved.

The client presents for his 30 day follow up appointment. The client reports not feeling dizzy when he gets up to ambulate. He reports his heart races at times when he goes to the bathroom. The client reports 1 episode of incontinence in the last 30 days. Gets up 1 to 2 times a night to void. Has noticed increased swelling of his testicles. Even with the penile implant, the client is unable to have penetrative intercourse with his partner. The client is experiencing body aches daily.

client reports not feeling dizzy when he gets up to ambulate

client reports 1 episode of incontinence in the last 30 days

Gets up 1 to 2 times a night to void

reports his heart races at times when he goes to the bathroom

noticed increased swelling of his testicles

Even with the penile implant, the client is unable to have penetrative intercourse with his partner

client is experiencing body aches daily

Answer and Explanation

The Correct Answer is ["A","B","C"]

Reduction in Incontinence: 1 episode in the last 30 days compared to previous reports.

No Dizziness: Improved from previous dizziness issues.

Stable Nocturia: No significant worsening in nighttime voiding frequency.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. Fluid replacement is crucial to prevent dehydration and maintain electrolyte balance, which is vital in clients with severe ulcerative colitis and after surgery.

B. Turning the client is important to prevent pressure ulcers but is not as immediately critical as fluid balance.

C. Recording wound drainage is necessary but secondary to ensuring the client’s fluid and electrolyte status.

D. Assessing skin condition is important but fluid balance takes priority in this scenario.

A. Destruction of joint cartilage. B. Loss of bone mineral density. C. Infectious process in the synovial fluid. D. Systemic inflammatory response.

Correct Answer is A

Explanation

A. Osteoarthritis is primarily caused by the destruction of joint cartilage, which leads to pain, stiffness, and decreased mobility in the affected joints. This degenerative process is the hallmark of the condition.

B. Loss of bone mineral density is associated with osteoporosis, not osteoarthritis. While both conditions can cause joint pain, they have different underlying pathologies.

C. An infectious process in the synovial fluid would indicate septic arthritis, which is an acute and severe condition requiring different management.

D. A systemic inflammatory response is more characteristic of rheumatoid arthritis, an autoimmune condition, rather than osteoarthritis, which is a degenerative joint disease.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of inflammatory bowel disease develops severe ulcerative colitis and is admitted to the intensive care unit after surgery for a fistula repair. Which intervention is most important for the nurse to include in the plan of care?

Correct Answer is A

Explanation

An older client with osteoarthritis reports increasing pain and stiffness in the right knee and asks how to reduce these symptoms. In responding to the client, the nurse recognizes what pathology as the cause of the symptoms?

Correct Answer is A

Explanation

An unresponsive victim of a diving accident is brought to the emergency department where it is determined that immediate surgery is required to save the client's life. The client is accompanied by a close friend, but no family members are available. Which action should the nurse take first?

A mother calls the nurse to report that at 0900 she administered an oral dose of digoxin to her 4-month-old infant, but at 0920 the baby vomited the medicine. Which instruction should the nurse provide to this mother?

The nurse caring for a child with mononucleosis can expect the child to exhibit which symptoms?

The nurse is assessing a 3-month-old client who had a pyloromyotomy yesterday. This child should be medicated for pain based on which finding(s)? Select all that apply.

After inflating a blood pressure cuff and releasing the valve, the nurse hears silence followed by a Korotkoff sound. Which action should the nurse take next?