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The healthcare provider places orders to determine the extent of the client condition. Drag from Word Choices to complete the sentence.

Based on the client's laboratory findings, the nurse recognizes that the client is having an acute gout attack and is most at risk for
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and
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in his affected joint.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"A"}

Inflammation and discoloration are key symptoms of an acute gout attack.

Inflammation: This occurs when urate crystals in the joints trigger an immune response, causing swelling, redness, warmth, and significant pain.
Discoloration: Typically presents as redness over the affected joint, due to increased blood flow and inflammation, highlighting the body's response to the crystal deposits.

These symptoms help healthcare providers identify and treat gout, focusing on reducing inflammation and managing uric acid levels.

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Correct Answer is B

Explanation

B Morphine is commonly administered to individuals experiencing chest pain associated with a suspected heart attack. It helps relieve pain and reduces anxiety, thereby improving the comfort
of the patient. Additionally, morphine has vasodilatory effects, which can help reduce the workload on the heart and improve blood flow to the myocardium.
Hydromorphone is a potent opioid analgesic similar to morphine. While it may provide pain relief, it is not typically the first-line choice for managing chest pain associated with a myocardial infarction.
C Oxycodone is another opioid analgesic used for pain relief, but it is not commonly used in the acute management of myocardial infarction. It may be considered for other types of pain management but is not the preferred choice in this scenario.
D Fentanyl is a potent opioid analgesic often used for pain management, including in emergency situations. While it may provide pain relief, morphine is preferred in the acute setting of a myocardial infarction due to its vasodilatory effects and established efficacy in managing cardiac-related chest pain.

A. Withhold next scheduled dose of treatment. B. Maintain the prescribed fluid restriction. C. Assess for increasing fluid volume overload. D. Increase neurologic checks to every 2 hours.

Correct Answer is B

Explanation

B. SIADH is characterized by excessive release of antidiuretic hormone (ADH), leading to water retention and dilutional hyponatremia. Fluid restriction is a key component of treatment for SIADH to restore serum sodium levels to normal. Maintaining the prescribed fluid restriction is important for preventing further dilution of serum sodium and promoting continued improvement in the client's condition.
A. Withholding the next scheduled dose of treatment may not be appropriate solely based on a mild increase in serum sodium level. While syndrome of inappropriate antidiuretic hormone (SIADH) can lead to hyponatremia (low sodium levels) due to excessive water retention, an increase in serum sodium within a narrow range may not necessarily warrant withholding treatment.
C. Assessing for increasing fluid volume overload may be relevant in the context of managing SIADH and monitoring the client's response to treatment. However, an increase in serum sodium level from 120 mEq/L to 125 mEq/L suggests a trend towards correction of hyponatremia rather than worsening fluid volume overload.
D. Increasing the frequency of neurologic checks to every 2 hours may not be necessary solely based on a mild increase in serum sodium level from 120 mEq/L to 125 mEq/L.

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Naxlex Comprehensive Predictor Exams

A client presents to the emergency department reporting chest pain that is radiating to the left arm, shortness of breath, and diaphoresis. Which medication should the nurse anticipate being prescribed by the healthcare provider?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

A client with a fracture of the right femur has had skeletal traction applied. Which intervention should the nurse include in the client's nursing care plan?

While caring for a client with amyotrophic lateral sclerosis (ALS), the nurse performs a neurological assessment every four hours. Which assessment finding warrants immediate intervention by the nurse?

The healthcare provider prescribes penicillin 200,000 units IM for a client with pneumonia. The available vial is labeled, "Penicillin 500,000 units/mL". How many mL should the nurse administer to this client? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

A client is admitted to the hospital for treatment of a simple goiter, and levothyroxine sodium is prescribed. Which symptoms indicate to the nurse that the prescribed dosage is too high for this client?

The nurse assesses a client with petechiae and ecchymosis scattered across the arms and legs. Which laboratory result should the nurse review?

The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain?