The nurse is caring for an older adult client with a history of osteoarthritis who is having difficulty walking due to increased right knee pain. To assess the quality of the client's knee pain, which approach should the nurse use?

Ask the client to describe the pain.

Observe body language and movement.

Identify effective pain relief measures.

Provide a numeric pain scale.

Answer and Explanation

The Correct Answer is A

Choice A reason: Asking the client to describe the pain is essential as it provides subjective information about the pain's quality, intensity, and impact on daily activities, which is crucial for assessing osteoarthritis pain.

Choice B reason: Observing body language and movement can offer insights into the pain's impact on function, but it does not replace the client's verbal description of the pain experience.

Choice C reason: Identifying effective pain relief measures is part of managing osteoarthritis but does not directly assess the quality of the client's knee pain.

Choice D reason: Providing a numeric pain scale is a method to quantify pain intensity but may not fully capture the quality or characteristics of the pain.

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Free Nursing Study Resources

Correct Answer is ["67"]

Explanation

Step 1: Convert the volume of fluid to be infused from mL to mL (since the rate is usually measured in mL/hr):

100 mL = 100 mL (No conversion needed as the volume is already in mL)

Step 2: Convert the time for infusion from hours to hours (since the rate is usually measured in mL/hr):

1.5 hours = 1.5 hours (No conversion needed as the time is already in hours)

Step 3: Calculate the rate (volume ÷ time):

Rate = Volume ÷ Time

Rate = 100 mL ÷ 1.5 hours

Rate = 66.67 mL/hr

So, the nurse should program the infusion pump to deliver at a rate of 67 mL/hr (rounded to the nearest whole number

A. Assess body temperature. B. Monitor skin elasticity. C. Observe the aspiration site. D. Measure urinary output.

Correct Answer is C

Explanation

Choice A reason: Assessing body temperature is a routine post-procedure check but not the most critical for thrombocytopenia.

Choice B reason: Monitoring skin elasticity is not directly related to the risks associated with thrombocytopenia following a bone marrow biopsy.

Choice C reason: Observing the aspiration site is crucial because thrombocytopenia increases the risk of bleeding, and the site must be monitored for any signs of hemorrhage.

Choice D reason: Measuring urinary output is important but does not take precedence over monitoring the biopsy site for bleeding in a thrombocytopenic patient.

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The nurse is caring for an older adult client with a history of osteoarthritis who is having difficulty walking due to increased right knee pain. To assess the quality of the client's knee pain, which approach should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["67"]

Explanation

A client with leukemia undergoes a bone marrow biopsy. The client's laboratory values indicate the client has thrombocytopenia. Based on this data, which nursing assessment is most important following the procedure?

Correct Answer is C

Explanation

Patient Data Exhibits Review H and P, nurse's note, and laboratory results. Click to mark whether the client statement indicates understanding no understanding of the education given.

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