A nurse is caring for a client who has pleural effusion and has undergone thoracentesis.
The nurse should identify which of the following findings as indicative of an infection?

Milky fluid.

Bloody fluid.

Viscous fluid.

Purulent fluid.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Milky fluid often indicates chylothorax, a condition where lymphatic fluid leaks into the pleural space, and is not necessarily indicative of infection.

Choice B rationale

Bloody fluid may indicate trauma or malignancy but not necessarily infection.

Choice C rationale

Viscous fluid can be related to various conditions, including malignant effusion, but does not specifically indicate infection.

Choice D rationale

Purulent fluid is indicative of an infection as it contains pus, which is a collection of dead white blood cells, bacteria, and tissue debris.

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Correct Answer is A

Explanation

Choice A rationale

Withholding oral fluids and food is the priority because it reduces pancreatic stimulation and decreases the secretion of pancreatic enzymes, preventing further autodigestion and inflammation of the pancreas.

Choice B rationale

Auscultating the client's lungs is important to check for complications such as pleural effusion or atelectasis, but it is not the immediate priority after pain management.

Choice C rationale

Assisting the client to a side-lying position can help with comfort and may ease breathing, but it does not directly address the underlying issue of pancreatic inflammation.

Choice D rationale

Providing oral hygiene is essential for overall care but does not impact the acute management of pancreatitis.

A. Breast cancer survivor for 8 years. B. 65 years of age. C. Alcohol use disorder. D. Pacemaker.

Correct Answer is C

Explanation

Choice A rationale

A breast cancer survivor for 8 years without recurrence is generally considered for transplantation if otherwise healthy.

Choice B rationale

Age 65 is not an absolute contraindication for kidney transplantation. Many factors such as overall health status are considered.

Choice C rationale

Alcohol use disorder is a contraindication due to the potential for poor adherence to post-transplant care and medication, as well as the increased risk of liver damage.

Choice D rationale

Having a pacemaker is not an absolute contraindication for a kidney transplant; individuals with pacemakers can still be eligible for transplantation if otherwise healthy.

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A nurse is caring for a client who has pleural effusion and has undergone thoracentesis.The nurse should identify which of the following findings as indicative of an infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has acute pancreatitis.After treating the client's pain, which of the following should the nurse address as the priority intervention?

Correct Answer is A

Explanation

A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?

Correct Answer is C

Explanation

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A nurse is caring for a client who has pleural effusion and has undergone thoracentesis.
The nurse should identify which of the following findings as indicative of an infection?