A nurse is caring for a 78-year-old client with a history of osteoarthritis (OA). When planning the client's care, what goal should the nurse prioritize?

The client will express satisfaction with the ability to perform ADLs.

The client will adhere to the prescribed plan of care.

The client will recover from OA within 6 months.

The client will deny signs or symptoms of OA.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Expressing satisfaction with the ability to perform Activities of Daily Living (ADLs) is a realistic and client-centered goal for managing osteoarthritis. It focuses on the client's quality of life and functional ability, which is essential in chronic conditions like OA.

Choice B rationale

Adhering to the prescribed plan of care is important for managing OA, but it is more of an ongoing process than a specific goal. The focus should be on the client's functional outcomes and overall well-being.

Choice C rationale

Osteoarthritis is a chronic condition that cannot be cured within six months. Recovery in the context of OA usually refers to managing symptoms and improving quality of life rather than a complete resolution of the disease.

Choice D rationale

Denying signs or symptoms of OA is unrealistic for a chronic condition. The goal should be managing symptoms effectively and maintaining functional ability rather than complete absence of symptoms.

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Correct Answer is ["D","E"]

Explanation

Choice A rationale

Exercise is important but should be done in a well-lit, comfortable environment. Exercising in a dark room is not specifically beneficial for migraine management and may not address trigger factors effectively.

Choice B rationale

Adequate sleep is crucial for migraine management. Advising to sleep no more than 5 hours at a time is incorrect; sufficient rest is necessary to prevent migraines.

Choice C rationale

St. John's Wort is commonly used for depression and anxiety but has no proven efficacy for migraine management. It may also interact with other medications.

Choice D rationale

Keeping a food diary helps identify dietary triggers that can lead to migraines. Tracking food intake can reveal patterns and specific triggers to avoid.

Choice E rationale

Maintaining a headache diary is important for tracking migraine frequency, duration, and potential triggers. It helps in managing and understanding the condition better.

A. Bradycardia. B. Bradypnea. C. Hypertension. D. Tachycardia.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Bradycardia (slow heart rate) is one of the key components of Cushing's triad, which indicates increased intracranial pressure and impending herniation.

Choice B rationale

Bradypnea (slow respiratory rate) is another manifestation of Cushing's triad and reflects brainstem compression.

Choice C rationale

Hypertension (high blood pressure) is the third component of Cushing's triad, resulting from the body's attempt to maintain cerebral perfusion.

Choice D rationale

Tachycardia (rapid heart rate) is not a sign of Cushing's triad and is not associated with increased intracranial pressure.

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A nurse is caring for a 78-year-old client with a history of osteoarthritis (OA). When planning the client's care, what goal should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a group of people newly diagnosed with migraine headaches. What information should the nurse include in the educational session?

Correct Answer is ["D","E"]

Explanation

Which signs are manifestations of the Cushing triad? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

What should the nurse suspect when hourly assessment of urine output on a client post-craniotomy exhibits a urine output from a catheter of 1,500 mL for two consecutive hours?

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A client is being tested for a gag reflex. When the nurse places the tongue blade to the back of the throat, there is no response elicited. What dysfunction does the nurse determine the client has?

The nurse is caring for a client whose recent health history includes an altered LOC. What should be the nurse's first action when assessing this client?

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A critical care nurse is caring for a client diagnosed with acute pancreatitis. The nurse knows this client should be started on parenteral nutrition (PN) after what indications?

A client who has sustained a head injury cannot identify a familiar object. The nurse knows that this deficit is called which of the following?

Which term describes the fibrous connective tissues that cover the brain and spinal cord?