A nurse is caring for a client diagnosed with emphysema and bronchitis. Which of the following should the nurse recognize as an expected finding for a client diagnosed with emphysema and bronchitis?

Scleroderma

Anasarca

Bounding pedal pulses

Clubbing of the nails

Answer and Explanation

The Correct Answer is D

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Correct Answer is C

Explanation

A. Continue to examine the ulceration and then wash hands.This action does not prioritize infection control. It is important to wash hands and put on gloves before touching the ulcer to prevent contamination and the spread of infection.

B. Wash hands and then contact the physician.While washing hands is important, contacting the physician before fully assessing the ulceration is not the most appropriate immediate action. The nurse should first complete the assessment while following proper infection control protocols.

C. Wash hands, put on gloves, and then continue with the examination of the ulceration.This is the appropriate action. Washing hands and putting on gloves before examining the ulcer ensures proper infection control and allows the nurse to assess the ulcer safely and thoroughly.

D. Wash hands, proceed with the rest of the physical examination, and perform the examination of the leg ulceration last. This approach delays the assessment of the ulceration, which is not ideal. The ulcer should be examined as soon as the nurse is aware of it, following appropriate infection control practices.

A. "How does pain limit your activities?" B. "How much pain do you have now?" C. "What does your pain feel like?" D. "What makes your pain better or worse?"

Correct Answer is B

No explanation

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A nurse is caring for a client diagnosed with emphysema and bronchitis. Which of the following should the nurse recognize as an expected finding for a client diagnosed with emphysema and bronchitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is examining a client's lower leg and notices a draining ulcer. Which of the following should be the appropriate action by the nurse?

Correct Answer is C

Explanation

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Correct Answer is B

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