Exhibits

Complete the following sentence by using the list of options.

Mrs. Thompson is at high risk for developing
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evidenced by the client's
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Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}

Mrs. Thompson is at high risk for developing pressure sores evidenced by the client's end-of-life stage and deteriorating condition.

Emotional distress. While emotional distress is common in end-of-life patients, Mrs. Thompson has already expressed her wishes for a peaceful, pain-free death and has family support for decision-making. Emotional distress is not the primary risk factor for physical complications such as pressure sores.

Dehydration. Decreased oral intake is expected in the end-of-life stage, but dehydration does not directly cause pressure sores. While maintaining comfort is important, forced hydration is often avoided as it may not improve the patient’s quality of life.

Pressure sores. Mrs. Thompson’s declining condition and decreased mobility put her at high risk for developing pressure sores. Limited movement reduces circulation to pressure points such as the heels and sacrum, leading to tissue breakdown. Preventive measures such as repositioning and skin care should be prioritized.

Frequent movement and activity. This is incorrect because frequent movement reduces the risk of pressure sores by promoting circulation and relieving pressure on bony areas. Mrs. Thompson's deteriorating condition likely limits her mobility, making this choice inappropriate.

Ability to communicate their needs. This is incorrect because even if a patient can verbalize discomfort, they may still be unable to move independently. Pressure sores develop primarily due to immobility rather than communication barriers.

End-of-life stage and deteriorating condition. This is correct because patients nearing the end of life experience profound weakness, reduced circulation, and prolonged immobility, all of which increase the risk of pressure sores. These factors make skin breakdown prevention a key nursing priority.

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Correct Answer is D

Explanation

A. "I should treat all patients the same way to avoid favoritism and ensure fairness." While fairness in care is important, treating all clients the same may not account for their unique needs, backgrounds, and circumstances. Providing equitable care involves recognizing individual differences and addressing specific vulnerabilities.
B. "I will review my actions at the end of the day in the team huddle." Discussing patient care with the healthcare team can provide valuable insights, but self-reflection is a more direct and personal approach to minimizing bias. Team huddles may not always focus on personal biases and attitudes.
C. "I believe that my professional training is sufficient, so personal biases will not affect my care." Assuming that training alone eliminates bias is unrealistic. Biases can be unconscious and require continuous self-awareness and reflection to recognize and address them effectively in patient care.
D. "I will reflect on my responses and thoughts when meeting new clients." Actively engaging in self-reflection helps the nurse identify personal biases, challenge assumptions, and provide more compassionate and individualized care. This approach promotes cultural competence and minimizes judgment when caring for vulnerable populations.

A. Aggravating and alleviating factors. B. Exacerbation, with associated signs and symptoms. C. Intensity, temporal characteristics, and functional impact. D. Location, quality, and duration.

Correct Answer is D

Explanation

A. Aggravating and alleviating factors. The patient has not provided information about what makes the pain worse or better. Aggravating factors could include movement or temperature changes, while alleviating factors might involve rest or medication use.
B. Exacerbation, with associated signs and symptoms. The patient describes pain but does not mention any worsening trends or additional symptoms such as swelling, numbness, or redness. Exacerbation refers to how the pain has progressed or worsened over time, which is not addressed in this report.
C. Intensity, temporal characteristics, and functional impact. The patient has not provided a pain rating (e.g., on a 0-10 scale) to describe intensity. Temporal characteristics refer to patterns such as intermittent or continuous pain, which were not specified. Functional impact, such as difficulty walking or standing, was also not mentioned.
D. Location, quality, and duration. The patient describes location ("left foot" and "moves up along the calf"), quality ("feels like it is on fire"), and duration ("started yesterday"). These are key components of a pain assessment that help guide further evaluation and treatment.

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Exhibits Complete the following sentence by using the list of options. Mrs. Thompson is at high risk for developing dropdownevidenced by the client'sdropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reflecting on their own personal attitudes about vulnerable populations. Which of the following statements demonstrates an attempt by the nurse to minimize judgment and bias when caring for clients?

Correct Answer is D

Explanation

A 49-year-old patient who reports pain in the foot that moves up along the calf says, "My left foot feels like it is on fire." The patient reports that the pain started yesterday, and they have no prior history of injury or falls. Which components of pain assessment has the patient reported?

Correct Answer is D

Explanation

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A community health nurse is planning an educational program for a local community on the prevention of chronic diseases. Which of the following actions best reflects the nurse's role in promoting community health?

The nurse is reviewing strategies to address health disparities in a community setting in alignment with Healthy People 2030 objectives. Which of the following actions by the nurse best demonstrates the application of Healthy People 2030 goals to reduce health disparities?

A community health nurse is conducting a home visit to assess an adult client with a chronic illness. Which of the following actions should the nurse prioritize to effectively evaluate the client's management of their chronic condition?

A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings?

A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects?

Exhibits

Complete the following sentence by using the list of options.

Mrs. Thompson is at high risk for developing
dropdown
evidenced by the client's
dropdown