Please read the scenario below.

Nursing Documentation:. A 42-year-old female is evaluated in the emergency room.

She reports nausea, dyspepsia, and upper abdominal discomfort for the past 2 weeks.

The patient is scheduled for a Hepatobiliary iminodiacetic acid (HIDA) Scan.

The nurse initiates patient care while awaiting this procedure.

The nurse is aware of the nursing action indicated for this patient is:. Select from:

Clear Liquids diet

Regular diet

Maintain patient NPO

Answer and Explanation

The Correct Answer is A

Choice A rationale:

A clear liquids diet is often recommended for patients with gastrointestinal issues as it allows the digestive system to rest. However, this diet lacks adequate nutrition for long-term use.

Choice B rationale:

A regular diet may exacerbate the patient’s abdominal discomfort, especially since her pain worsens after meals.

Choice C rationale:

Maintaining the patient NPO (nothing by mouth) is typically done before procedures that require anesthesia, such as a HIDA scan, to reduce the risk of aspiration.

So, the correct answer is Choice C: Maintain patient NPO. This is because the patient is scheduled for a HIDA scan, and it’s standard practice to keep patients NPO prior to such procedures.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is ["C","D","E"]

Explanation

Choice A rationale:
Tophi presentation on the joints is associated with gout, not SLE1.
Choice B rationale:
Heberden’s nodes are associated with osteoarthritis, not SLE1.
Choice C rationale:
A butterfly rash on the face is a common manifestation of SLE1.
Choice D rationale:
Raynaud’s phenomenon can occur in SLE1.
Choice E rationale:
Photosensitive skin is a common symptom of SLE1.

A. "You are fatigued because you sleep too many hours.”. B. "Have you thought about getting a new mattress.”. C. "Do you use electronics at bedtime.”. D. "Your fatigue is most likely due to a sleep disturbance such as insomnia.”. E. "Have you been worried about anything in particular?".

Correct Answer is D

Explanation

Choice A rationale:
Sleeping too many hours can indeed cause fatigue. However, this is not the most likely cause in this case as the patient has fibromyalgia, which is often associated with sleep disturbances.
Choice B rationale:
While a new mattress might improve sleep quality, there’s no information suggesting that the patient’s mattress is a problem.
Choice C rationale:
Using electronics at bedtime can interfere with sleep, but again, there’s no information suggesting that this is the case here.
Choice D rationale:
Fibromyalgia is often associated with sleep disturbances such as insomnia. This is the most likely cause of the patient’s fatigue.
Choice E rationale:
Worrying can indeed cause fatigue, but there’s no information suggesting that the patient has been worried about anything in particular.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with Systemic lupus erythematosus (SLE) has been admitted into the Med-surgical unit. The nurse should recognize which of the following manifestations associated with lupus? (Select All that Apply.).

Correct Answer is ["C","D","E"]

Explanation

Correct Answer is D

Explanation

A nurse working in the Med-surgical unit is caring for a client with choliathiasis. Which of the following risk factors are most associated with choliathiasis? (Select All that Apply.).

The nurse is assessing a client with osteoarthritis (OA) of the elbows and fingers. Which of the following clinical manifestations should the nurse expect to find?.

A client with systemic lupus has been ordered hydroxychloroquine. Which of the following adverse effects is of most concern?.

A nurse is providing teaching to a client diagnosed with fibromyalgia. Which of the following client statements indicates an understanding of the teaching?.

A nurse is preparing dietary instructions for a client who has cholecystitis from chronic cholelithiasis. Which diet is most important to include in the patient teaching?.

A nurse is teaching a client who has a new prescription of allopurinol for the treatment of Gout. Which of the following is most important to include in the client teaching?.

A nurse is caring for a client who has been recently diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect to assess?.

After a cholecystectomy, the client might experience discomfort due to CO2 used during surgery. Which intervention will help the client ease the discomfort?.