The nurse is caring for an 86-year-old client who is reporting inability to concentrate, uneasiness, lightheadedness, weakness, and muscle and joint discomfort. The client also has an elevated pulse, elevated respirations, and a normal temperature. Which of the following statements would be accurate?

Without an elevated temperature, infection is not present.

The client's symptoms are typical of an older adult client.

An infection was present and has dissipated.

An older adult can have an infection without a fever.

Answer and Explanation

The Correct Answer is D

A.   It is possible for an infection to be present without an elevated temperature, especially in older adults.
B.   While some symptoms may be common in older adults, the presence of symptoms alone does not exclude the possibility of infection.
C.   The resolution of infection cannot be determined solely based on the absence of fever.
D.   Older adults may have a blunted fever response to infection, leading to a lack of fever despite the presence of other symptoms.

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Correct Answer is C

Explanation

A. Removing the mask just inside the door is a proper procedure to avoid potential contamination of the outer surface of the mask.
B. Washing hands and donning a face mask before entering the room is appropriate to prevent the transmission of droplets.

C. Even if the spouse stays a foot away from the client, wearing a mask is essential for droplet precautions as respiratory droplets can travel short distances.
D. This statement accurately describes how the disease is transmitted through respiratory droplets.

A. Crepitus with movement B. Full range of motion C. Bilateral joint inflammation D. Superficial, sharp pain

Correct Answer is A

Explanation

A. Crepitus, which is a crackling or grating sensation, is commonly associated with osteoarthritis and is often felt or heard with joint movement.
B. Osteoarthritis typically results in limited range of motion rather than full range of motion.
C. Osteoarthritis usually affects specific joints, rather than causing bilateral joint inflammation.
D. Osteoarthritis pain is typically described as deep, aching, and worsened with activity, rather than superficial and sharp.

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Naxlex Comprehensive Predictor Exams

A client has been placed on droplet precautions and the nurse is providing education to the spouse about specific personal protective equipment (PPE) that will need to be worn. Which of the following statements requires the need for further teaching?

Correct Answer is C

Explanation

The nurse is assessing a client who has been diagnosed with osteoarthritis. What findings would the nurse anticipate during their assessment?

Correct Answer is A

Explanation

A client who reports they are an avid outdoorsman and enjoys hiking, camping, and backpacking, has been admitted for Lyme's Disease. Lyme's Disease is spread by a tick. What is the mode of transmission?

The nurse is assessing the hands of a client and notes bony enlargements of the client's joints, as pictured here. The joints are hard, painless, and some of the fingers are deviated from the midline. The nurse suspects these findings are a result of which of the following?

The nurse is caring for a 67-year old client, who is on bedrest. Which of the following nursing actions should the nurse include in the plan of care to help maintain the body's first line of defense? Select all that apply.

A nurse is completing a head-to-toe assessment on a client who is 3 days post-operative from a right mastectomy. Which of the following should the nurse recognize as a sign of possible infection? Select all that apply.

The nurse is caring for a client who was diagnosed with "gouty arthritis." Which laboratory test is most important to perform to confirm this diagnosis?

The nurse is preparing to administer furosemide 80 mg PO daily. The amount available is furosemide oral solution 10mg/1mL. How many mL should the nurse administer? (Round to the nearest whole number and label your answer.)