Exhibits

The client is seen for a 1 week follow up appointment. The nurse is evaluating the response to the treatment for cellulitis.

Select the 3 findings consistent with a therapeutic response to interventions.

Serum blood glucose 185 mg/dL (10.2 mmol/L)

Temperature 98.8° F (37.1° C)

White blood cell count 11.2 x 103/μL (11.2 x 109/L)

Capillary refill greater than 3 seconds bilateral lower extremities

Bilateral lower extremities skin warm, dry, and pink

Pain 2 on a 0 to 10 pain scale, bilateral lower legs described as neuropathic

Answer and Explanation

Correct Answer : B,E,F

A. Serum blood glucose 185 mg/dL (10.2 mmol/L) (Incorrect): Although lower than the previous reading, it is still elevated, which can impair healing and increase the risk of infection recurrence.
B. Temperature 98.8°F (37.1°C) (Therapeutic Response): A return to a normal temperature indicates resolution of systemic infection. Fever is a sign of active infection, so its absence suggests improvement.
C. White blood cell count 11.2 x 10³/μL (11.2 x 10⁹/L) (Incorrect): This is slightly elevated, which may indicate residual inflammation or infection. A further decrease would be expected for full resolution.
D. Capillary refill greater than 3 seconds bilateral lower extremities (Incorrect): Delayed capillary refill suggests impaired circulation, which is not an indicator of a fully therapeutic response.
E. Bilateral lower extremities skin warm, dry, and pink (Therapeutic Response): Improved skin condition suggests reduced inflammation, better circulation, and healing of the cellulitis-affected area.
F. Pain 2 on a 0 to 10 pain scale, bilateral lower legs described as neuropathic (Therapeutic Response): Pain related to cellulitis typically improves with treatment. If the remaining pain is neuropathic, it suggests resolution of the acute infection.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Crohn's disease. Crohn’s disease is a chronic inflammatory bowel disease that affects nutrient absorption, leading to malnutrition. It can cause diarrhea, abdominal pain, and intestinal damage, reducing the body's ability to absorb essential nutrients such as proteins, vitamins, and minerals. Clients may also have anorexia and weight loss due to inflammation and malabsorption.
B. Gastroesophageal reflux. Gastroesophageal reflux disease (GERD) can cause discomfort and lead to dietary modifications, but it does not directly cause severe malnutrition. Clients may avoid certain foods, but overall nutrient absorption remains intact.
C. Cholecystitis. Cholecystitis (inflammation of the gallbladder) primarily affects fat digestion. While clients may experience discomfort with fatty foods, it does not typically lead to widespread malnutrition.
D. Diverticulosis. Diverticulosis is usually asymptomatic and does not impair nutrient absorption. While dietary fiber intake is important to prevent complications like diverticulitis, this condition does not pose a high risk for malnutrition compared to Crohn’s disease.

A. Instruct incentive spirometry use every hour. B. Encourage consumption of protein and vitamin C. C. Apply thromboembolism deterrent stockings (TED). D. Use Petroleum based lotion on legs

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

Explanation

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.

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Exhibits The client is seen for a 1 week follow up appointment. The nurse is evaluating the response to the treatment for cellulitis. Select the 3 findings consistent with a therapeutic response to interventions.

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Naxlex Comprehensive Predictor Exams

The nurse is assessing the nutritional status of a group of clients in a long term care facility. Which pathophysiological process poses the highest risk for malnutrition in this population?

Correct Answer is A

Explanation

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.

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

Explanation

The nurse is conducting a nutritional class on foods that have been linked to help decrease the development of some forms of cancer. Which meal selection is the best choice to help reduce the risk of some cancers?

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?

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

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

Exhibits

The client is seen for a 1 week follow up appointment. The nurse is evaluating the response to the treatment for cellulitis.

Select the 3 findings consistent with a therapeutic response to interventions.