Exhibits

The healthcare provider places prescriptions to determine the extent of the client's condition.

Select from Word Choices to complete the sentence.

Based on the client's laboratory findings, the nurse recognizes that the client is having an acute gout attack and is most at risk for _and _ in his affected joint.

Discoloration

inflammation

pain

sepsis

gangrene

Answer and Explanation

Correct Answer : B,C

Inflammation occurs when uric acid crystals are deposited in the joints, causing the body to react with an inflammatory response.

Pain is a hallmark symptom of an acute gout attack due to the inflammation and the sharp uric acid crystals irritating the joint tissues.

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Correct Answer is D

Explanation

A. Hemoglobin levels can indicate anemia but are not directly related to the presence of petechiae and ecchymosis, which suggest bleeding issues.

B. The red blood cell count is also important for understanding anemia but does not specifically address the bleeding disorders indicated by the client’s symptoms.

C. The white blood cell count provides information on the immune status but does not relate to bleeding manifestations.

D. The platelet count is critical to assess because petechiae and ecchymosis can be indicative of thrombocytopenia (low platelet count), which can lead to increased bleeding tendencies. Monitoring platelet levels will help determine the cause of these symptoms.

A. Obtain a keyboard designed to limit wrist flexion. B. Take a multivitamin that contains vitamin D daily. C. Keep both hands elevated during work breaks. D. Use a space heater to keep the workspace warm.

Correct Answer is D

Explanation

A. While obtaining a keyboard designed to limit wrist flexion may be beneficial for ergonomics, it does not specifically address the symptoms or management of Raynaud's syndrome.

B. Taking a multivitamin with vitamin D may not have a direct impact on Raynaud's syndrome and is generally unrelated to the specific concerns of this condition.

C. Keeping hands elevated during breaks does not effectively address the primary concern of temperature regulation that affects Raynaud's syndrome.

D. Using a space heater is a practical measure that can help keep the workspace warm, thereby reducing the likelihood of Raynaud's attacks, which are triggered by cold temperatures and stress.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses a client with petechiae and ecchymosis scattered across the arms and legs. Which laboratory result should the nurse review?

Correct Answer is D

Explanation

A client who works as a data entry clerk is concerned as to how a recent diagnosis of Raynaud's syndrome is going to affect the client's job performance. Which instruction should the nurse provide this client?

Correct Answer is D

Explanation

The nurse is providing teaching to a client about self-management of type 2 diabetes mellitus. Which information provided by the client indicates understanding?

The nurse is performing a physical assessment of a client. Which finding should the nurse recognize is a result of compromised peripheral arterial circulation of the lower extremity?

Which dietary instruction is most important for the nurse to explain to a client who has had gastric bypass surgery?

The nurse is developing a plan of care for a client with type 2 diabetes mellitus (DM). When providing teaching on lowering blood glucose levels and increasing serum high-density lipoprotein (HDL) levels, which instruction should the nurse include?

A client with bilateral carpal tunnel syndrome reports to the nurse that the pain and tingling experienced worsens at night. Which client teaching should the nurse provide?

When conducting discharge teaching for a client diagnosed with diverticulosis, which diet instruction should the nurse include?