The nurse is creating a plan of care for a client diagnosed with Sjögren’s syndrome.
Which interventions should the nurse incorporate in the plan for this client?

Use of silicone-based vaginal lubricants.

Use of dehumidifiers in the home.

Use of artificial tears.

Use of contact lenses.

Answer and Explanation

Correct Answer : C

Choice A rationale

The use of silicone-based vaginal lubricants is recommended for clients with Sjögren’s syndrome to alleviate vaginal dryness and discomfort during intercourse.

Choice B rationale

Using dehumidifiers in the home is not recommended for clients with Sjögren’s syndrome, as it can exacerbate dryness in the eyes, mouth, and other mucous membranes.

Choice C rationale

The use of artificial tears is essential for clients with Sjögren’s syndrome to relieve dry eyes and prevent complications such as corneal ulcers.

Choice D rationale

The use of contact lenses is not recommended for clients with Sjögren’s syndrome, as it can further irritate dry eyes and increase the risk of eye infections. .

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Correct Answer is D

Explanation

Choice A rationale

Sound lateralizing to the right ear during the Rinne test does not indicate conductive hearing loss in the left ear. This result suggests that the right ear may have better hearing or that there is an issue with the left ear, but it does not specifically diagnose conductive hearing loss.

Choice B rationale

Sound lateralizing to the left ear during the Rinne test indicates that the left ear is perceiving the sound better, which could be due to conductive hearing loss in the left ear. However, this option does not provide a definitive result for conductive hearing loss.

Choice C rationale

Air conduction being greater than bone conduction in the left ear is a normal finding and does not indicate conductive hearing loss. In conductive hearing loss, bone conduction is typically better than air conduction.

Choice D rationale

Air conduction being less than bone conduction in the left ear is indicative of conductive hearing loss. This result means that the sound is being conducted through the bones of the skull more effectively than through the air, which is a hallmark of conductive hearing loss.

A. A phlebotomist who collects blood from clients who have HIV. B. A nurse who works for an insurance company and collects urine samples from clients who have HIV. C. An occupational therapist who works with a client who has HIV. D. A personal trainer who works with a client who has HIV.

Correct Answer is A

Explanation

Choice A rationale

A phlebotomist who collects blood from clients who have HIV is at the greatest risk for contracting HIV. This is because they are frequently exposed to blood, which is a bodily fluid that can transmit HIV if proper precautions are not taken.

Choice B rationale

A nurse who works for an insurance company and collects urine samples from clients who have HIV is at a lower risk compared to a phlebotomist. Urine is not a common transmission route for HIV.

Choice C rationale

An occupational therapist who works with a client who has HIV is at a lower risk compared to a phlebotomist. Occupational therapists are not typically exposed to blood or other high-risk bodily fluids.

Choice D rationale

A personal trainer who works with a client who has HIV is at a lower risk compared to a phlebotomist. Personal trainers are not typically exposed to blood or other high-risk bodily fluids.

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The nurse is creating a plan of care for a client diagnosed with Sjögren’s syndrome. Which interventions should the nurse incorporate in the plan for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client for conductive hearing loss. When using the Rinne test, which of the following results should the nurse identify as an indication that the client has conductive hearing loss of the left ear?

Correct Answer is D

Explanation

A group of nurses are discussing risk factors for transmission of human immunodeficiency virus (HIV) from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV?

Correct Answer is A

Explanation

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The nurse is creating a plan of care for a client diagnosed with Sjögren’s syndrome.
Which interventions should the nurse incorporate in the plan for this client?