Please read the scenario below.

Nursing Documentation:. A 42-year-old female is evaluated in the emergency room.

She reports nausea, dyspepsia, and upper abdominal discomfort for the past 2 weeks.

The patient is scheduled for a Hepatobiliary iminodiacetic acid (HIDA) Scan.

The nurse initiates patient care while awaiting this procedure.

The nurse is aware of the nursing action indicated for this patient is:. Select from:

Clear Liquids diet

Regular diet

Maintain patient NPO

Answer and Explanation

The Correct Answer is A

Choice A rationale:

A clear liquids diet is often recommended for patients with gastrointestinal issues as it allows the digestive system to rest. However, this diet lacks adequate nutrition for long-term use.

Choice B rationale:

A regular diet may exacerbate the patient’s abdominal discomfort, especially since her pain worsens after meals.

Choice C rationale:

Maintaining the patient NPO (nothing by mouth) is typically done before procedures that require anesthesia, such as a HIDA scan, to reduce the risk of aspiration.

So, the correct answer is Choice C: Maintain patient NPO. This is because the patient is scheduled for a HIDA scan, and it’s standard practice to keep patients NPO prior to such procedures.

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Correct Answer is D

Explanation

Choice A rationale:
Elevating the legs can help reduce swelling, but placing pillows under the knees can potentially increase knee stiffness, which is not beneficial for osteoarthritis.
Choice B rationale:
While ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can help reduce pain and inflammation in osteoarthritis, it is not necessarily the first step in medication therapy. This can vary based on the individual’s condition and doctor’s recommendation.
Choice C rationale:
Physical activity is actually beneficial for osteoarthritis as it strengthens the muscles around the joints and improves joint flexibility. Limiting physical activity may lead to joint stiffness.
Choice D rationale:
Using heat or ice can help relieve discomfort caused by osteoarthritis. Heat can relax muscles and help lubricate the joint, and ice can help reduce joint swelling.

A. Dry, raised rash on the face. B. Pitting edema in the ankles and feet. C. Joint pain in hands and knees. D. Client report of feelings of depression.

Correct Answer is B

Explanation

Choice A rationale:
A dry, raised rash on the face is a common symptom of SLE, but it’s not the highest priority.
Choice B rationale:
Pitting edema in the ankles and feet could indicate kidney involvement, a serious complication of SLE that requires immediate medical attention.
Choice C rationale:
Joint pain is a common symptom of SLE, but it’s not the highest priority.
Choice D rationale:
Feelings of depression should be addressed, but they are not the highest priority in this context.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?.

Correct Answer is D

Explanation

A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings is the highest priority for the nurse to report to the provider?.

Correct Answer is B

Explanation

A client with a diagnosis of hypotension has been ordered a normal saline bolus 250 ml IV to infuse over 15 minutes. How many ml/hr should you administer?

A nurse is providing teaching to a client diagnosed with fibromyalgia. Which of the following client statements indicates an understanding of the teaching?.

After a cholecystectomy, the client might experience discomfort due to CO2 used during surgery. Which intervention will help the client ease the discomfort?.

A client with Systemic lupus erythematosus (SLE) has been admitted into the Med-surgical unit. The nurse should recognize which of the following manifestations associated with lupus? (Select All that Apply.).

A nurse is caring for a client who has been recently diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect to assess?.

A nurse is caring for a female client with rheumatoid arthritis, the client asks the nurse if it is safe to take aspirin. The nurse should recognize which of the following contraindications is of most concern?.

The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis. Which of the statements made by the client would indicate the need for further teaching?.

The nurse is assessing a client with osteoarthritis (OA) of the elbows and fingers. Which of the following clinical manifestations should the nurse expect to find?.