Exhibits

The nurse reviews the history and physical, the nurses' notes, and the flow sheet to help determine what is causing the client's symptoms.

For each listed finding, click to indicate whether the finding is associated with arthritis or carpal tunnel syndrome. Each column must have at least one response option selected.

Can be caused by aging

Inflammatory disease process

Finger numbness

Experience difficulty with fine motors movements

May have a genetic component

Answer and Explanation

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

Rationale:

Can be caused by aging: Both arthritis and carpal tunnel syndrome are linked to aging. In arthritis, wear and tear on joints over time causes conditions like osteoarthritis. Carpal tunnel syndrome increases with age due to changes in wrist anatomy and nerve compression.
Inflammatory disease process: Arthritis, especially rheumatoid arthritis, is inflammatory, causing joint pain and damage. Carpal tunnel syndrome, however, is caused by mechanical compression of the median nerve, not by inflammation.
Finger numbness: Numbness in the fingers is common with carpal tunnel syndrome due to median nerve compression. While arthritis can cause pain and stiffness in joints, it does not typically cause finger numbness unless there's significant nerve involvement.
Experience difficulty with fine motor movements: Both conditions can impair fine motor skills. Arthritis causes pain and stiffness in joints, while carpal tunnel syndrome affects nerve function, leading to weakness and difficulty performing precise tasks like writing or holding small objects.
May have a genetic component: Arthritis has a genetic predisposition. Carpal tunnel syndrome does not have a strong genetic link but can be influenced by individual anatomical factors, such as a narrower carpal tunnel.

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Free Nursing Study Resources

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.

A. Instruct the client to take an antiemetic before every meal to prevent excessive vomiting. B. Encourage family members to cook meals outdoors and bring the cooked food inside. C. Assess the client's mucous membranes and report the findings to the healthcare provider. D. Advise the client to replace cooked foods with a variety of different nutritional supplements.

Correct Answer is B

Explanation

A. Instruct the client to take an antiemetic before every meal to prevent excessive vomiting:While antiemetics can be helpful, this action may not address the underlying issue of food smells causing nausea. It is important to address the client’s sensory triggers.

B. Encourage family members to cook meals outdoors and bring the cooked food inside:
This can help reduce the trigger for nausea caused by the smell of cooking food. Cooking outdoors minimizes exposure to food smells, which could alleviate the client’s discomfort.

C. Assess the client's mucous membranes and report the findings to the healthcare provider: Assessing the mucous membranes is important in general care, especially for clients with cancer, but it is not directly related to the reported issue of nausea triggered by food smells.

D. Advise the client to replace cooked foods with a variety of different nutritional supplements: While nutritional supplements can be useful if the client is unable to tolerate solid foods, this advice doesn't address the root cause of the nausea related to food smells.

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Naxlex Comprehensive Predictor Exams

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 home care nurse visits a client who has cancer. The client reports having a good appetite but experiencing nausea when smelling food cooking. Which action should the nurse implement?

Correct Answer is B

Explanation

The nurse is teaching an older client about the prevention of osteoporosis. Which foods should the nurse recommend to the client to increase in the diet?

The nurse is caring for a client with chronic kidney disease (CKD). Which meal selection should the nurse recommend to the client?

Which oral medication can the nurse safely cut in half?

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The nurse is setting up the equipment to assist with a sigmoidoscopy while the practical nurse (PN) positions the client in a flat prone position. Which action should the nurse implement?