The nurse is assessing a client who is one day postoperative parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?

Central line insertion.

Nasogastric tube (NGT) insertion.

Tracheostomy placement.

Pacemaker placement.

Answer and Explanation

The Correct Answer is C

Choice A reason: Central line insertion is not the appropriate intervention for managing stridor in a postoperative parathyroidectomy patient. Stridor indicates airway obstruction, which requires immediate airway management, not central venous access.

Choice B reason: Nasogastric tube (NGT) insertion is not the correct intervention for stridor. NGT insertion is typically used for gastrointestinal decompression or feeding, not for managing airway obstruction.

Choice C reason: Tracheostomy placement is the correct intervention for managing stridor in a postoperative parathyroidectomy patient. Stridor indicates a potential airway obstruction, which can be life-threatening. A tracheostomy provides a secure airway and ensures adequate ventilation.

Choice D reason: Pacemaker placement is not relevant to managing stridor. Pacemakers are used for cardiac rhythm management and do not address airway obstruction.

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Correct Answer is A

Explanation

Choice A reason: An elevated serum rheumatoid factor is most commonly associated with rheumatoid arthritis, an autoimmune disease. This finding supports the diagnosis and indicates the presence of autoantibodies that attack the body's own tissues. The rheumatoid factor is used as one of the diagnostic criteria for rheumatoid arthritis and confirms the autoimmune nature of the disease. It does not indicate disease severity or progression but rather the presence of the disease.

Choice B reason: An elevated serum rheumatoid factor is not necessarily representative of a decline in the client's condition. While high levels of rheumatoid factor can be present in individuals with active disease, they do not directly correlate with disease activity or progression. The presence of rheumatoid factor alone does not provide information about the current state or severity of the client's condition.

Choice C reason: An elevated serum rheumatoid factor does not indicate the onset of joint degeneration. Rheumatoid factor is an antibody that indicates the presence of an autoimmune response but does not directly cause joint damage. Joint degeneration in rheumatoid arthritis results from the chronic inflammation and immune response within the joints, leading to tissue damage over time. Rheumatoid factor is a marker of the disease but not a direct indicator of joint damage.

Choice D reason: An elevated serum rheumatoid factor is not evidence of the spread of the disease to the kidneys. Rheumatoid arthritis primarily affects the joints and can also have systemic manifestations, but the presence of rheumatoid factor is not indicative of kidney involvement. Kidney involvement in rheumatoid arthritis is relatively rare and would typically require additional diagnostic tests and clinical evaluation to determine.

A. Wrap the feet with warmed blankets. B. Elevate extremities on pillows. C. Assess pulses with a vascular doppler. D. Evaluate edema for pitting.

Correct Answer is C

Explanation

Choice A reason: Wrapping the feet with warmed blankets may provide comfort and warmth, but it does not address the immediate concern of assessing the circulation status in the lower extremities. It is not the first action to take in this situation.

Choice B reason: Elevating the extremities on pillows can help reduce edema and improve circulation, but it should not be the first action taken. Assessing the pulses is crucial to determine the severity of the circulation issue and guide further interventions.

Choice C reason: Assessing pulses with a vascular doppler is the correct first action. Since the pedal pulses are not palpable, using a vascular doppler can help determine if there is any blood flow in the lower extremities. This assessment is essential to identify potential complications such as arterial occlusion or compromised circulation, which require immediate intervention.

Choice D reason: Evaluating edema for pitting can provide information about the extent of the swelling, but it does not address the immediate concern of assessing blood flow. Assessing pulses with a vascular doppler is a more critical first step to ensure the client's circulation status is evaluated accurately.

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The nurse is assessing a client who is one day postoperative parathyroidectomy and finds that the client is experiencing stridor. After notifying the healthcare provider (HCP), the nurse should prepare for which procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with rheumatoid arthritis has an elevated serum rheumatoid factor. Which interpretation of this finding should the nurse make?

Correct Answer is A

Explanation

Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of both lower extremities, and pedal pulses are not palpable. Which action should the nurse implement first?

Correct Answer is C

Explanation

A client who is experiencing a first gouty arthritis attack reports excruciating pain in the right great toe. The nurse inspects the inflamed joint and administers ibuprofen 800mg PO as prescribed. Which instruction should the nurse include in the discharge teaching?

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