Patient Data

Exhibits

A nurse in a provider's office is collecting data from a client who was discharged from the facility 7 days ago following treatment for a deep- vein thrombosis. Which of the following findings is the nurse's priority? (Click on the "Exhibit" button for additional Information about the client There are three tabs that contain separate categories of data.)

The client takes ibuprofen daily to treat musculoskeletal pain.

The client depends on friends for transportation to the clinic.

The client has difficulty applying their compression stockings

The client consumes 15 g of fiber daily

None

Answer and Explanation

The Correct Answer is A

A: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding, especially when taken regularly. Given that the client is on warfarin, a blood thinner used to prevent new clots from forming and existing clots from growing larger, the use of ibuprofen could interfere with its effectiveness and increase the risk of a bleeding event. This is a priority concern for a patient with a history of deep-vein thrombosis. B: While transportation is important for the client to receive care, it does not pose an immediate risk to the client's health compared to the potential interaction between ibuprofen and warfarin.
C: Difficulty with applying compression stockings can contribute to discomfort and noncompliance with treatment, which can impede recovery. However, this does not present an immediate risk as significant as the potential drug interaction.
D: Consuming 15 g of fiber daily is generally a positive health behavior and does not present a direct risk to the client's health in the context of deep-vein thrombosis and the current medications.

Nursing Test Bank

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Correct Answer is C

Explanation

A. While reassurance is important, simply telling the client that she will adjust to changes to her body may minimize her concerns and not adequately address her emotional needs. It's important to offer support and provide resources to help the client cope with potential changes.
B. While an occupational therapist may be able to provide valuable support, their role may not specifically address the client's concerns about body image changes related to breast cancer treatment.
C. Reach to Recovery is a program offered by the American Cancer Society that connects newly diagnosed breast cancer patients with trained volunteers who have experienced breast cancer themselves. These volunteers can offer support, guidance, and practical tips for coping with the physical and emotional challenges of breast cancer diagnosis and treatment. Initiating a referral to this program can provide the client with valuable support from someone who has been through a similar experience.
D. While surgery may be an option for restoring the appearance of the breast, it may not fully address the client's concerns about potential changes to her body image. Additionally, not all breast cancer patients undergo surgery or choose reconstructive procedures, so it's important to provide support and resources regardless of the treatment chosen.

A. "One dose of medication is all that will be necessary." B. "Everyone who lives in the home will need medication." C. "Allow the child to take tub baths instead of showers." D. "Wash all clothes and bed linens in cold water."

Correct Answer is B

Explanation

A. Enterobiasis, commonly known as pinworm infection, often requires treatment with

medication followed by a second dose to ensure eradication of the parasites. One dose may not be sufficient to eliminate the infection completely.
B. Enterobiasis is highly contagious, and all household members, especially those who have

close contact with the infected child, should receive treatment to prevent reinfection and spread of the parasite within the household.
C. Bathing habits, such as taking tub baths instead of showers, are not directly related to the

treatment or prevention of enterobiasis. However, maintaining good personal hygiene, including regular handwashing, is essential to prevent the spread of pinworm eggs.

D. Washing clothes and bed linens in cold water alone may not effectively kill pinworm eggs.

Hot water and detergent are recommended for laundering clothes and linens to ensure proper sanitation and elimination of the parasite's eggs.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a female client who has a new diagnosis of breast cancer. The client is concerned about potential changes to her body image depending on her choice of treatment. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with the guardian of a preschooler who has a new diagnosis of enterobiasis. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is reinforcing teaching about home care with the parents of a child who has a seizure disorder. Which of the following instructions should the nurse include?

A nurse is caring for a client who is breastfeeding their 5-day-old newborn. Which of the following should the nurse identify as an indication that the newborn is breastfeeding effectively?

A nurse is assisting with the admission of an older adult client who has impaired mobility and is at risk for falls. Which of the following actions should the nurse plan to perform first?

A nurse is reviewing the medical record for a client who is at 38 weeks of gestation, tested positive for group B streptococcus B-hemolytic, and allergic to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?

A nurse is preparing to insert a nasogastric tube for a client who has a prescription for gastric decompression. Which of the following supplies should the nurse obtain prior to the procedure?

A nurse is caring for an older adult client who states, "I can't pay for my care because my kid took all my money." Which of the following actions should the nurse take?

A nurse is preparing a client who has a small bowel obstruction for insertion of a nasogastric tube. Which of the following equipment should the nurse gather prior to the procedure?

A nurse is reinforcing teaching about a safety plan for a client who reports partner violence. Which of the following instructions should the nurse include?