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.

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Correct Answer is B

Explanation

Choice A rationale:
A dry, raised rash on the face is a common symptom of SLE, but it’s not the highest priority.
Choice B rationale:
Pitting edema in the ankles and feet could indicate kidney involvement, a serious complication of SLE that requires immediate medical attention.
Choice C rationale:
Joint pain is a common symptom of SLE, but it’s not the highest priority.
Choice D rationale:
Feelings of depression should be addressed, but they are not the highest priority in this context.

A. Liver and bacon. B. Vegetables and Bananas. C. Fruits and bacon. D. Nuts and fish.

Correct Answer is B

Explanation

Choice A rationale:
Liver and bacon are high in purines, which can exacerbate gout. Therefore, they should be avoided.
Choice B rationale:
Vegetables and bananas are low in purines and are therefore good choices for a patient with gout.
Choice C rationale:
Fruits are generally low in purines, but bacon is high in purines and should be avoided.
Choice D rationale:
Nuts are a good choice as they are low in purines, but fish can be high in purines and should be eaten in moderation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings is the highest priority for the nurse to report to the provider?.

Correct Answer is B

Explanation

A nurse is preparing dietary instructions for a client who has a past medical history of Gout. Which dietary instructions are most important to include in the patient teaching?.

Correct Answer is B

Explanation

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?.

A nurse in a clinic is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE). Exhibits Based on the client's prescribed medications, the nurse should assess the client for developing? Select All that Apply

A nurse is teaching a client who has a new diagnosis of gout about managing the disorder. Which of the following instructions should the nurse include in the teaching? (Select All that Apply.).

The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy. Which task should the nurse delegate to the unlicensed assistive personnel?

The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis. Which of the statements made by the client would indicate the need for further 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 client with a diagnosis of hypotension has been ordered a normal saline bolus 250 ml IV to infuse over 15 minutes. How many ml/hr should you administer?

A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?.