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 ["A","B","C","D"]

Explanation

Choice A rationale:
Swollen joints. Swelling is a common symptom of RA due to inflammation in the joints.
Choice B rationale:
Fatigue and loss of appetite. These are systemic symptoms that can occur with RA123.
Choice C rationale:
Low-grade fever. This can occur in RA due to the body’s immune response.
Choice D rationale:
Knuckle deformity. Over time, RA can cause deformities in the joints, including the knuckles.

A. Active lifestyle. B. Female. C. Obesity. D. Low fat diet. E. Estrogen therapy.

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

Explanation

Choice A rationale:
An active lifestyle is generally not associated with an increased risk of cholelithiasis.
Choice B rationale:
Being female is a risk factor for cholelithiasis.
Choice C rationale:
Obesity is a well-known risk factor for cholelithiasis.
Choice D rationale:
A low-fat diet is generally not associated with an increased risk of cholelithiasis.
Choice E rationale:
Estrogen therapy can increase the risk of cholelithiasis.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is assessing a client who has been diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect as a manifestation of this condition?.

Correct Answer is ["A","B","C","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.).

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

Explanation

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?.

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?

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

The charge nurse is planning the client assignments for the day. Which of the following is an appropriate assignment for the newly graduated registered nurse?.

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.).

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?.

A nurse is caring for a female client with rheumatoid arthritis, the client asks the nurse if it is safe to take aspirin. The nurse should recognize which of the following contraindications is of most concern?.

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?.