A nurse is caring for a client at an outpatient clinic.

Complete the following sentence by using the lists of options. The nurse should first address the client's
_____

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C"}

Rationale for correct choice

• Fall risk: The client experiences sudden episodes of leg weakness, intermittent muscle spasms, and gait changes, all of which significantly increase the risk of falls. Falls in clients with multiple sclerosis can lead to serious injury and further functional decline. Addressing safety and fall prevention is the most immediate priority to prevent harm while other concerns, such as memory or employment, are addressed.

Rationale for incorrect choices

• Memory: Although the client reports struggling to remember things, cognitive issues are not immediately life-threatening. Memory deficits should be addressed through ongoing assessment and cognitive support interventions, but they are not the first priority compared with safety risks.

• Blood pressure: Vital signs are within normal limits, and there is no evidence of hypertensive crisis or acute cardiovascular instability. Blood pressure monitoring remains part of routine care but does not require immediate intervention.

• BMI: The client’s BMI indicates overweight status but does not pose an immediate safety threat. Weight management is important for long-term health but is not the first priority in the context of neurological deficits and fall risk.

• Employment: Reduced work hours due to exacerbation episodes reflect functional limitations and psychosocial impact. Employment concerns are important for quality of life but are secondary to preventing physical injury from falls.

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Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"C"},"C":{"answers":"A,C"},"D":{"answers":"A,B,C"},"E":{"answers":"A,B,C"}}

Explanation

Rationale

• Diarrhea: Diarrhea is common in both ulcerative colitis and Crohn's disease because chronic inflammation disrupts absorption and increases motility. UC typically presents with bloody diarrhea, while Crohn’s can present with non-bloody, intermittent diarrhea. Diverticulitis more often presents with left-lower-quadrant pain and constipation rather than chronic diarrhea.

• Steatorrhea: Steatorrhea is strongly associated with Crohn’s disease due to small-bowel involvement leading to fat-malabsorption. UC affects only the colon and does not impair fat absorption, so steatorrhea is not expected. Diverticulitis is a localized colonic infection and does not interfere with digestion or absorption.

• Weight loss: Weight loss occurs in both UC and Crohn’s because chronic inflammation increases metabolic demand and reduces nutritional intake. Malabsorption in Crohn’s disease further contributes to weight loss severity. Weight loss is not typical in diverticulitis unless the condition is prolonged or severe, so it is not strongly associated.

• Anemia: Anemia appears in both UC and Crohn’s disease due to chronic blood loss, reduced intake, and inflammation-driven suppression of erythropoiesis. UC often causes iron-deficiency anemia from recurrent rectal bleeding. Crohn’s may also cause anemia due to B12 or iron malabsorption. Diverticulitis does not typically cause chronic anemia.

• Fever: Fever is a sign of active inflammation and can occur in UC, Crohn’s flares, and acute diverticulitis. UC and Crohn’s involve systemic inflammatory activity during exacerbations. Diverticulitis produces fever due to infection of the diverticulum, making fever consistent across all three in varying degrees.

A. Health department data and statistics reports B. Expert opinion from local health care providers C. Browsing an internet search engine D. Clinical guidelines from a professional organization

Correct Answer is A

Explanation

A. Health department data and statistics reports: Local or state health departments routinely collect and publish epidemiological data, including incidence and prevalence rates of communicable diseases like tuberculosis. These reports provide reliable, up-to-date statistics that are essential for planning and evaluating public health programs.

B. Expert opinion from local health care providers: Expert opinion can provide insights into trends or clinical observations, but it is anecdotal and not sufficient for calculating incidence rates. Public health planning requires data that is systematically collected and analyzed.

C. Browsing an internet search engine: While internet searches may yield general information, the results may not be accurate, up-to-date, or specific to the local population. Official health department sources are more reliable for incidence data.

D. Clinical guidelines from a professional organization: Clinical guidelines provide recommendations for diagnosis, treatment, and management, but they do not usually include local incidence statistics. They are not a primary source for epidemiological data.

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A nurse is caring for a client at an outpatient clinic. Complete the following sentence by using the lists of options. The nurse should first address the client's _____

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client. For each assessment finding, click to specify if the finding is consistent with ulcerative colitis, diverticulitis, or Crohn's disease. Each finding may support more than 1 disease process.

Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"C"},"C":{"answers":"A,C"},"D":{"answers":"A,B,C"},"E":{"answers":"A,B,C"}}

Explanation

A public health nurse plans to investigate the incidence rate of tuberculosis to inform the development of local public health programs aimed at prevention. Which of the following sources should the nurse use to retrieve this information?

Correct Answer is A

Explanation

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A nurse is caring for a client at an outpatient clinic.

Complete the following sentence by using the lists of options. The nurse should first address the client's
_____