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:
Extreme nausea is a common side effect of hydroxychloroquine, but it’s not the most concerning.
Choice B rationale:
Pruritus is a possible side effect of hydroxychloroquine, but it’s not the most concerning.
Choice C rationale:
Diarrhea is a common side effect of hydroxychloroquine, but it’s not the most concerning.
Choice D rationale:
Blurry vision is a serious side effect of hydroxychloroquine and can indicate retinal damage.

A. Avoid a high veal diet. B. Avoid a high bacon diet. C. Increase alcohol intake. D. Avoid a high fish diet. E. Recommend a starvation diet.

Correct Answer is ["A","B","D"]

Explanation

Choice A rationale:
High veal diet should be avoided as it is high in purines which can exacerbate gout.
Choice B rationale:
High bacon diet should be avoided as it is high in purines and sodium which can exacerbate gout.
Choice C rationale:
Increasing alcohol intake is not recommended as it can increase uric acid production, worsening gout.
Choice D rationale:
High fish diet should be avoided as it is high in purines which can exacerbate gout.
Choice E rationale:
Starvation diet is not recommended as rapid weight loss can increase uric acid levels, triggering a gout attack.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with systemic lupus has been ordered hydroxychloroquine. Which of the following adverse effects is of most concern?.

Correct Answer is D

Explanation

A nurse is teaching a client who has a new diagnosis of gout about managing the disorder. Which of the following instructions should the nurse include in the teaching? (Select All that Apply.).

Correct Answer is ["A","B","D"]

Explanation

A nurse in a clinic is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE). Exhibits Based on the client's prescribed medications, the nurse should assess the client for developing? Select All that Apply

The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy. Which task should the nurse delegate to the unlicensed assistive personnel?

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?.

A nurse is preparing dietary instructions for a client who has cholecystitis from chronic cholelithiasis. Which diet is most important to include in the patient teaching?.

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?.

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?.