• A client with sudden onset of big toe joint pain and swelling is diagnosed with gout. Which pathophysiologic process is producing the symptoms of
... [Show More] gout?
a. An immune complex and autoantibody deposition in connective tissue results in inflammation.
b. Chondrocyte injury destroys joint cartilage, producing osteophytes and joint inflammation.
c. An autoimmune inflammation involving IgG response to an antigen causes joint destruction.
d. Deposition of crystals in the synovial space of the joint produce inflammation and irritation.
• An older female client has normal saline infusing at 45ml/hour. She complains of pain the insertion site of the IV catheter. There is no redness or edema around the IV site. Which action should the nurse take?
a. Determine what IV medications have recently been administered.
b. Explain that without redness or edema, there is no need to re-start the IV.
c. Consult with the healthcare provider about the best localization to start a new IV.
d. Convert the IV to a saline lock and continue to monitor the site.
• While assessing a female client who is chronically fatigued and was recently diagnosed with adrenal insufficiency, the client tells the nurse that she is very nervous that her hospitalization will cause her to lose her job. Which intervention should the nurse implement first?
a. Teach client about risk for infection.
b. Offer support and care measure to reduce anxiety and stress.
c. Encourage the client to rest quietly to reduce fatigue.
d. Place a referral to social service to discuss financial options.
• The nurse is collecting information from a client with chronic pancreatitis who report persistent gnawing abdominal pain. To help the client manage the pain. Which assessment data is most important for the nurse to obtain?
a. Color and consistency of feces.
b. Eating patterns and dietary intake.
c. Presence and activity of bowel sounds.
d. Level and amount of physical activity.
• A young adult client, admitted to the Emergency Department following a motor vehicle collision, is transfused with 4 unit of PRBCs (packed red blood cells). The client’s pretransfusion hematocrit is 17%. Which hematocrit value should the nurse expect the client to have after all the PRBCs have been transfused?
a. 19%
b. 9%
c. 39%
d. 29%
• The nurse empties the nasogastric suction collection canister of a client who had a bowel resection the previous day and note that 1000 ml of gastric secretions were collected in the last 4 hours.
a. Metabolic alkalosis
b. Hyperkalemia
c. Metabolic acidosis
d. Hypoglycemia [Show Less]