A client drove himself to the urgent care center for Legs that look like balloons and difficulty walking. The nurse assesses 4+ edema of both legs based upon which finding?

Very deep pitting indentation of legs lasts several minutes.

Deep pitting indentation of legs lasts a few minutes.

Mild pitting no perceptible swelling of the legs.

Moderate pitting: indentation of legs subsides rapidly.

Answer and Explanation

The Correct Answer is A

Choice A rationale: 4+ edema is characterized by very deep pitting indentation of the legs that lasts several minutes. This indicates severe fluid retention and significant swelling.

Choice B rationale: Deep pitting indentation lasting a few minutes is more indicative of 2+ or 3+ edema, not 4+.

Choice C rationale: Mild pitting with no perceptible swelling is more indicative of 1+ edema, not 4+.

Choice D rationale: Moderate pitting with rapid subsidence is indicative of 3+ edema, not 4+.

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Correct Answer is B

Explanation

Choice A rationale: While performing a testicular self-examination before taking a shower may be convenient, it is not the most critical instruction regarding the detection of abnormalities.

Choice B rationale: The appropriate statement is to instruct the client that if they notice an enlarged testicle or a painless lump, they should contact their health care provider for further evaluation.

Choice C rationale: Performing a testicular examination once a week may be excessive, and the frequency is not universally recommended. Monthly self-examinations are often suggested.

Choice D rationale: Describing the testicle as egg-shaped, movable, firm, and having a lumpy consistency provides general information about the normal characteristics of the testicle.

A. It is loss of bone density. B. It is new bone growth that is weaker. C. It is due to inadequate calcium in the diet. D. It happens when menopausal women don’t take hormone replacement therapy.

Correct Answer is A

Explanation

Choice A rationale: Osteoporosis is characterized by the loss of bone density, making bones fragile and more prone to fractures.

Choice B rationale: Osteoporosis does not involve new bone growth. Instead, it results from a decrease in bone density.

Choice C rationale: While calcium intake is important for bone health, osteoporosis is a complex condition influenced by various factors beyond just calcium intake.

Choice D rationale: Osteoporosis can affect both men and women, and hormone replacement therapy is just one factor that may influence bone health in postmenopausal women.

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A client drove himself to the urgent care center for Legs that look like balloons and difficulty walking. The nurse assesses 4+ edema of both legs based upon which finding?

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Naxlex Comprehensive Predictor Exams

The nurse is describing how to perform a testicular self-examination to a client. Which of the following should be the appropriate statement by the nurse?

Correct Answer is B

Explanation

A client diagnosed with osteoporosis asks the nurse “What is osteoporosis?” The nurse should provide which of the following explanations about osteoporosis?

Correct Answer is A

Explanation

A client states “I can hear a crunching or grating sound when I kneel and have difficulty getting out the bed in the morning because of pain and stiffness”. Which of the following should the nurse expect as an assessment finding?

The nurse tests the function of Cranial Nerve XI while performing a physical examination on a client. Which statement best describes the response the nurse should expect if Cranial Nerve XI is intact?

A client reports pain in the left wrist after falling while playing basketball. After assessing the wrist, which of the following assessment finding would make the nurse suspect a fracture?

During a community screening event for bone density, an elderly client asked the nurse why she is an inch shorter in height. Which of the following responses by the nurse is correct?

During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes that this finding could indicate a problem with which organ?

The nurse is performing a rectal examination on a client and finds a firm, irregularly shaped mass. Which of the following is the next action the nurse should take?