Exhibits

For each potential nursing action, click to indicate whether the action is indicated, contraindicated, or nonessential for this client's plan of care. Each row must have only one option selected.

Instruct incentive spirometry use every hour.

Encourage consumption of protein and vitamin C.

Apply thromboembolism deterrent stockings (TED).

Use Petroleum based lotion on legs

Answer and Explanation

The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"}}

Instruct incentive spirometry use every hour (Nonessential): There is no indication of respiratory compromise, so incentive spirometry is not a priority for this client.

Encourage consumption of protein and vitamin C (Indicated): These nutrients support wound healing and immune function, which are important in managing infection and preventing further complications.

Apply thromboembolism deterrent stockings (TED) (Contraindicated): TED stockings may worsen symptoms if the client has cellulitis or a deep vein thrombosis (DVT), as compression can increase pain and impede circulation in an already swollen and inflamed limb.

Use petroleum-based lotion on legs (Contraindicated): Petroleum-based products can trap moisture and create an environment for bacterial growth, which is not suitable for a client with cellulitis or diabetes. Instead, a diabetic-safe moisturizer should be used while avoiding open wounds.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. Lordosis. Lordosis (excessive inward curvature of the lower spine) is not a normal part of aging. It is more commonly associated with pregnancy, obesity, or certain musculoskeletal conditions rather than normal aging.
B. Barrel chest. A barrel chest (increased anteroposterior chest diameter) is commonly associated with chronic obstructive pulmonary disease (COPD), not normal aging. While lung compliance decreases with age, a barrel chest is not a typical age-related change.
C. Pectus excavatum. Pectus excavatum (a sunken or concave chest) is a congenital chest wall deformity and is not related to aging.
D. Kyphosis. Kyphosis (excessive outward curvature of the upper spine, leading to a hunched posture) is a normal age-related change due to bone density loss, vertebral compression, and degenerative changes in the spine. It is more common in older adults, especially those with osteoporosis.

A. Cell division occurs with the replication of parent cell's DNA distributed to daughter cells with duplicated chromosomes. B. Cells proliferate until a finite cell density is reached, which is determined by the availability of growth factors. C. Abnormal cell growth that remains confined to its original location, without invading surrounding tissue or spreading. D. Alteration of cellular genetics proliferates a mutated cell that progresses to surrounding and distant tissues.

Correct Answer is D

Explanation

A. Cell division occurs with the replication of parent cell's DNA distributed to daughter cells with duplicated chromosomes. This describes normal cell division (mitosis), not cancerous growth. In healthy cells, division is controlled, and errors are corrected by regulatory mechanisms.
B. Cells proliferate until a finite cell density is reached, which is determined by the availability of growth factors. Normal cells exhibit contact inhibition, meaning they stop dividing when they reach a certain density. Cancer cells ignore these regulatory signals and continue to grow uncontrollably.
C. Abnormal cell growth that remains confined to its original location, without invading surrounding tissue or spreading. This describes benign tumors, which do not spread. Cancerous (malignant) tumors, however, invade nearby tissues and can metastasize to distant organs.
D. Alteration of cellular genetics proliferates a mutated cell that progresses to surrounding and distant tissues. Cancer begins with genetic mutations that cause uncontrolled cell proliferation. As cancer progresses, cells invade surrounding tissues and may spread (metastasize) to distant sites via the blood and lymphatic systems. This is the defining characteristic of malignancy.

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Exhibits For each potential nursing action, click to indicate whether the action is indicated, contraindicated, or nonessential for this client's plan of care. Each row must have only one option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment finding of an older adult client should the nurse associate with normal aging?

Correct Answer is D

Explanation

The nurse is talking with a couple at a community health fair who ask how cancerous tumors occur. Which pathophysiological process supports the nurse's reponse about cancer cells developement?

Correct Answer is D

Explanation

Exhibits The nurse reviews the client's data. After collaboration with the wound care nurse, which intervention(s) should the primary nurse perform to reduce risk of skin injury? Select all that apply.

Exhibits Click to indicate which education instructions the nurse should include to prevent future cellulitis and promote healing when preparing the client for discharge. Each column must have at least one response selected.

The nurse is teaching a health promotion class for adults about the effects of sun exposure on skin. Which statement about the function of collagen is correct?

Which is the function of the keratinocytes, a type of skin cell?

Which test for HIV is used primarily as a confirmatory test rather than a generalized screening test?

After reviewing the history of a group of clients, which client should the nurse identify as having the greatest risk for cancer?

A nurse develops a delayed hypersensitivity reaction after wearing latex gloves. Which pathophysiologic process is involved in this type of hypersensitive reaction?

Which client has the highest risk for developing skin cancer?

Exhibits

For each potential nursing action, click to indicate whether the action is indicated, contraindicated, or nonessential for this client's plan of care. Each row must have only one option selected.