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A nurse in an outpatient clinic.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Answer and Explanation

The Correct Answer is []

Potential Condition: Gout

Actions to take:

Instruct the client to avoid foods high in purines

Instruct the client to apply heat and cold

Parameters to monitor

Uric Acid levels

ESR

Rationale:

Gout: Elevated uric acid level (7.2 mg/dL) suggests hyperuricemia, a key indicator of gout. Localized joint pain and crepitus in the right knee and left wrist are common gout symptoms. Family history of gout increases the client's risk. Negative ANA test and normal ESR make autoimmune conditions (RA, SLE) less likely.

Actions to Take:

Instruct the client to avoid foods high in purines: High-purine foods (e.g., red meat, seafood, alcohol) increase uric acid production, worsening gout attacks.

Instruct the client to apply heat and cold: Cold helps reduce inflammation and pain during acute flare-ups, while heat can ease stiffness between episodes.

Parameters to Monitor:

Uric acid levels: Monitoring serum uric acid helps assess treatment effectiveness and risk for future attacks.

ESR (Erythrocyte Sedimentation Rate): Elevated ESR can indicate ongoing inflammation. Tracking it helps evaluate disease activity and response to interventions.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Acupuncture involves inserting needles into the skin, which can introduce infections. Herpes zoster (shingles) causes skin lesions and nerve pain, making acupuncture unsafe due to the risk of exacerbating the condition or spreading the virus.
B. Hypothyroidism does not affect the safety of acupuncture.
C. Obesity is not a contraindication but may require adjustments in acupuncture techniques.
D. Hypertension is not a contraindication unless the client has severe, uncontrolled hypertension.

A. Offer small amounts of clear liquids 6 hr following surgery. B. Give cromolyn nebulized solution every 8 hr. C. Administer analgesics on a scheduled basis for the first 24 hr. D. Apply a warm compress to the operative site once daily.

Correct Answer is C

Explanation

A. Incorrect – Clear liquids are usually offered as soon as bowel function returns, not delayed for 6 hours.
B. Incorrect – Cromolyn nebulized solution is used for asthma, not postoperative appendicitis care.
C. Correct – Scheduled analgesics prevent pain from becoming severe, improving mobility and recovery.
D. Incorrect – Warm compresses are not recommended immediately post-op due to the risk of increasing inflammation.

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A nurse in an outpatient clinic. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is caring for a client who asks about using acupuncture to manage his osteoarthritis pain. The nurse should identify which of the following conditions as a contraindication for receiving this treatment?

Correct Answer is A

Explanation

A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis. Which of the following actions should the nurse include in the plan of care?

Correct Answer is C

Explanation

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A nurse in an outpatient clinic.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.