Exhibits

The healthcare provider (HCP) is reviewing the client's laboratory results and imaging and has diagnosed the client with rheumatoid arthritis.

Drag from Word Choices to complete the sentence.

Due to the new diagnosis of rheumatoid arthritis, the nurse should recognize that the client is at risk for
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Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B","dropdown-group-3":"C"}

Rationale for Correct Choices:

Impaired physical mobility: Rheumatoid arthritis leads to joint inflammation, stiffness, and potential deformities. These symptoms may result in decreased range of motion and difficulty with physical movements, contributing to impaired mobility.
Acute pain: RA causes acute inflammation in the joints, resulting in pain, especially during flare-ups. The client experiences pain and stiffness in the hands and wrists, which aligns with the acute pain risk associated with RA.
Knowledge deficit: Newly diagnosed RA patients often lack understanding about the disease process, treatment options, and lifestyle modifications. The nurse needs to recognize that the client requires education to manage their condition effectively and understand the long-term implications.

Rationale for Incorrect Choices:

Electrolyte imbalance: Electrolyte imbalances are not a typical complication of rheumatoid arthritis. While certain medications used to treat RA (like corticosteroids) can impact electrolyte levels, this is not an immediate concern or a direct risk associated with RA itself.

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Correct Answer is ["A","E","F"]

Explanation

A. Check the temperature of the humidified oxygen attached to the ventilator: The client is intubated and receiving humidified oxygen. If the oxygen is cold, it can contribute to hypothermia. Ensuring that the humidified oxygen is at an appropriate temperature will help prevent further heat loss.

B. Instill warm fluids in the nasogastric tube: Instilling warm fluids via a nasogastric tube is not a standard or efficient method for core rewarming in a hypothermic trauma client. It introduces a risk of aspiration and is less effective than other core rewarming techniques.

C. Microwave a pack of gauze and distribute across the body: Microwaving a pack of gauze is not a safe or controlled method to warm the body. It could result in burns or uneven heat distribution, which could be harmful.

D. Place ice packs around the client's head: Ice packs are typically used to lower body temperature, not raise it. Applying ice packs would worsen the hypothermia and is inappropriate in this case.

E. Apply warm blankets: Warm blankets are a common and effective method to increase body temperature in hypothermic patients. This will help promote heat retention and stabilize the patient's body temperature.

F. Use a fluid warmer for intravenous fluids: Cold intravenous fluids can lower body temperature further. A fluid warmer ensures that fluids are administered at body temperature, helping to prevent hypothermia.

G. Administer intravenous fluids with a rapid infuser: While rapid fluid administration is important for hemodynamic stabilization in trauma patients, it does not directly address body temperature. Without a warmer, rapid infusers can contribute to further cooling.

H. Administer an antipyretic: Antipyretics are used to reduce fever, but there is no indication that the client has a fever. The concern here is hypothermia, not an elevated temperature, so antipyretics would not be appropriate in this situation.

A. Electrolytes B. Coagulation studies C. Blood culture D. Lipid panel E. Complete blood count F. Urine osmolality G. Arterial blood gas H. Type and screen

Correct Answer is ["A","B","E","G","H"]

Explanation

A. Electrolytes: Electrolytes are important to monitor in this client due to potential blood loss and altered kidney function. Electrolyte imbalances (especially sodium and potassium) can affect heart function, muscle strength, and overall fluid balance, which is crucial after trauma and surgery.

B. Coagulation studies: Given the trauma (liver and spleen lacerations), the client is at risk for bleeding. Coagulation studies (including PT, INR, and aPTT) are necessary to assess the clotting ability and manage bleeding risk, particularly before surgery or when planning for interventions.

C. Blood culture: While blood cultures are important for identifying infections, there is no immediate indication of infection in this patient at this point in time. The priority is stabilizing the patient and managing trauma and bleeding.

D. Lipid panel: A lipid panel is not a priority at this moment. It is generally used to assess cardiovascular risk and would not provide immediate information relevant to managing acute trauma and bleeding.

E. Complete blood count (CBC): A CBC is essential to assess for anemia, infection, or other hematologic abnormalities, especially in trauma patients with possible internal bleeding. Hemoglobin and hematocrit levels provide information about blood loss and oxygen-carrying capacity.

F. Urine osmolality: Urine osmolality is useful for assessing kidney function and hydration but is not immediately necessary in this trauma case. The priority is stabilizing the patient's circulatory and respiratory status, with more focus on urine output and renal function.

G. Arterial blood gas (ABG): An ABG is crucial to assess the client’s oxygenation, ventilation, and acid-base status, especially since the client is intubated and on a ventilator. This will help in monitoring respiratory function and ensuring proper oxygen delivery.

H. Type and screen: The client has a history of trauma and potential internal bleeding. It is essential to know her blood type and ensure compatibility for any potential blood transfusions, particularly before the exploratory laparotomy and any possible further blood loss.

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Naxlex Comprehensive Predictor Exams

Exhibits The nurse is concerned about the client's temperature. Which interventions can the nurse use to address the client's temperature? Select all that apply.

Correct Answer is ["A","E","F"]

Explanation

Exhibits Which laboratory tests would be helpful in determining the plan of care for this client? Select all that apply.

Correct Answer is ["A","B","E","G","H"]

Explanation

The nurse is providing teaching to a client newly diagnosed with type 2 diabetes mellitus about disease management. Which response by the client indicates understanding?

Exhibits The nurse reviews the prescriptions and plans initial steps for caring for the client. Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response indicated.

Exhibits The client has received a medical diagnosis of rheumatoid arthritis (RA). The client should receive education about living and managing her condition and how to minimize disease complications. Which education should be given to the client by the nurse? Select all that apply.

A client's most recent vital signs include heart rate 80 beats/minute and blood pressure 119/70 mm Hg. When the client reports dizziness after rising quickly, which finding should the nurse expect on reassessment?

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