Patient Data

Exhibits

A nurse in a provider's office is collecting data from a client who was discharged from the facility 7 days ago following treatment for a deep- vein thrombosis. Which of the following findings is the nurse's priority? (Click on the "Exhibit" button for additional Information about the client There are three tabs that contain separate categories of data.)

The client takes ibuprofen daily to treat musculoskeletal pain.

The client depends on friends for transportation to the clinic.

The client has difficulty applying their compression stockings

The client consumes 15 g of fiber daily

None

Answer and Explanation

The Correct Answer is A

A: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding, especially when taken regularly. Given that the client is on warfarin, a blood thinner used to prevent new clots from forming and existing clots from growing larger, the use of ibuprofen could interfere with its effectiveness and increase the risk of a bleeding event. This is a priority concern for a patient with a history of deep-vein thrombosis. B: While transportation is important for the client to receive care, it does not pose an immediate risk to the client's health compared to the potential interaction between ibuprofen and warfarin.
C: Difficulty with applying compression stockings can contribute to discomfort and noncompliance with treatment, which can impede recovery. However, this does not present an immediate risk as significant as the potential drug interaction.
D: Consuming 15 g of fiber daily is generally a positive health behavior and does not present a direct risk to the client's health in the context of deep-vein thrombosis and the current medications.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. A suction device is necessary for the nasogastric tube insertion procedure to remove gastric contents and ensure the tube is correctly placed in the stomach.
B. An infusion pump is not typically required for nasogastric tube insertion.
C. A disposable feeding bag is used for enteral feeding and is not directly related to the insertion of a nasogastric tube.
D. Sterile gloves are not typically used during nasogastric tube insertion, as it is a clean procedure rather than a sterile one.

A. Massage areas around the edge of the client's cast with lotion. B. Avoid elevating the extremity when the client is resting in bed. C. Give the client a dull object to scratch the skin under the cast. D. Tell the client to report any numbness in their toes.

Correct Answer is D

Explanation

A. Massaging areas around the edge of the cast with lotion can introduce moisture and compromise the integrity of the cast, increasing the risk of skin breakdown and infection.
B. Elevating the extremity when the client is resting in bed helps reduce swelling and improve circulation, promoting healing. It is an appropriate action for a client with a cast.
C. Inserting objects under the cast can damage the skin, increase the risk of infection, or disrupt the integrity of the cast.

D. Numbness can indicate impaired circulation or nerve compression and warrants immediate assessment, making this the correct action.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client who has a small bowel obstruction for insertion of a nasogastric tube. Which of the following equipment should the nurse gather prior to the procedure?

Correct Answer is A

Explanation

A nurse is caring for a client who has a cast on their left lower leg. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who is scheduled for open heart surgery. The client states, "I am confident I will be able to go home a few hours after the surgery." The nurse should identify that the client is experiencing which of the following stages of grief?

A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabetic education when the client does which of the following?

A nurse is collecting data from a client who has a long-leg cast on his left leg and reports severe pain. Which of the following findings should the nurse identify as an indication that the client might have compartment syndrome? (Select all that apply.)

A nurse is collecting data from a client who is 24 hr postoperative following a total knee arthroplasty. Which of the following findings on the operative leg should the nurse identify as a manifestation of a deep-vein thrombosis?

A nurse is reinforcing teaching with a client about smoking cessation. Which of the following client statements indicates an understanding of the teaching?

A nurse is providing preoperative teaching for an adolescent who is scheduled for a cardiac catheterization. Which of the following Instructions should the nurse include?

A nurse is collecting data from a client who has substance use disorder and reports recently taking opioids. Which of the following findings should the nurse identify as a manifestation of opioid intoxication?

A nurse is caring for a client who is breastfeeding their 5-day-old newborn. Which of the following should the nurse identify as an indication that the newborn is breastfeeding effectively?