A nurse is assessing a client who has cirrhosis.
Which of the following is an expected finding for this client?

Moist skin.

Blood in the urine.

Spider angiomas.

Tarry stools.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Moist skin is not typically associated with cirrhosis. Cirrhosis often leads to dry, itchy skin due to bile salt accumulation under the skin.

Choice B rationale

Blood in the urine is not a common finding in cirrhosis. This symptom is more indicative of urinary tract issues or kidney problems.

Choice C rationale

Spider angiomas are a common finding in clients with cirrhosis. These are small, dilated blood vessels that appear close to the surface of the skin and are caused by increased estrogen levels due to liver dysfunction.

Choice D rationale

Tarry stools indicate gastrointestinal bleeding, which can occur in cirrhosis due to varices, but it is not a primary expected finding.

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Correct Answer is B

Explanation

Choice A rationale

Unilateral joint involvement is not typical of rheumatoid arthritis. This condition usually affects joints symmetrically, meaning both sides of the body are involved. Rheumatoid arthritis is an autoimmune disorder where the immune system mistakenly attacks the synovium, leading to inflammation and joint damage.

Choice B rationale

Ulnar deviation is a common finding in rheumatoid arthritis. It occurs due to chronic inflammation and damage to the joints, particularly in the hands. The fingers may deviate towards the ulnar side (the side of the little finger) due to the weakening of the ligaments and tendons.

Choice C rationale

Decreased sedimentation rate is not a typical finding in rheumatoid arthritis. In fact, the erythrocyte sedimentation rate (ESR) is usually elevated in this condition due to the ongoing inflammation. ESR is a marker of inflammation and is used to monitor disease activity.

Choice D rationale

Fractures of the spine are not a common finding in rheumatoid arthritis. While osteoporosis can be a complication of rheumatoid arthritis, leading to an increased risk of fractures, the spine is not typically the primary site of joint involvement in this condition.

A. The client develops a life-threatening situation. B. The client has to be repositioned in the bed. C. The client complains of pain. D. The client needs to have an x-ray of the femur performed.

Correct Answer is A

Explanation

Choice A rationale

The weights from the traction device should only be removed if the client develops a life- threatening situation. This is to ensure the client’s immediate safety and address the critical condition.

Choice B rationale

The client should not have the weights removed for repositioning in the bed. Proper techniques should be used to reposition the client without removing the weights to maintain the effectiveness of the traction.

Choice C rationale

Complaints of pain should be addressed by assessing the cause and providing appropriate pain management, but the weights should not be removed as it can compromise the traction.

Choice D rationale

The weights should not be removed for an x-ray. The traction can be maintained during imaging procedures to ensure continuous treatment.

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A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has rheumatoid arthritis. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a client who sustained a femur fracture in an automobile accident and is placed into skin traction. The nurse may remove the weights from the traction device if which of the following occurs?

Correct Answer is A

Explanation

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A nurse in the outpatient clinic is assessing a client who has psoriasis. The nurse should expect which of the following findings?

A nurse is assessing a client who has cirrhosis.
Which of the following is an expected finding for this client?