WGU D446 Pre - Assessment V2 / D446 Adult
Health II PA Review | Latest Update
| Questions & Answers | Grade A | 100% Correct
Verified Solutions
While caring for a client with amyotrophic lateral sclerosis (ALS), the nurse performs a
neurological assessment every four hours. Which assessment finding warrants
immediate intervention by the nurse?Rationale:finding in a client with ALS, as it can
lead to ineffective airway clearance and increase the risk of aspiration pneumonia.
Immediate intervention, such as suctioning or respiratory support, may be necessary to
maintain airway patency and prevent complications.
Weakened cough
A client with stage 4 bone cancer is admitted to the hospital verbalizes continuous,
severe pain of 8 on a 0 to 10 scale. Which intervention should the nurse
implement?Rationales: Both opioids and nonopioids are appropriate intervention
managing severe pain as it addresses pain from multiple pathways and provide more
effective pain relief.
Administer opioid and non-opioid medication simultaneously.
A 59-year-old male client presents to the clinic reporting pain in the right great toe. The
client says that the pain feels like it is another attack of gout, which he has had on 2
other occasions in the last 4 months. The client tells the nurses that the pain started
about 9 days ago in the evening and that it got very painful and swollen shortly
thereafter. In the past, the gout attacks have resolved without treatment after about 5
days, but the client reports that his condition has not.Each row must have at least one,
but may have more than one, response option selected. temperature 100.5° F (38.1° C).
,Heart rate 97 beats/minute
Respirations 18 breaths/minute
Blood pressure 151/87 mm Hg
Oxygen saturation 95% on room air
Height is 5 ft 11 in (180.34 cm)
Weight is 228 lb (103.4 kg)
Body mass index (BMI) is 31.8 kg/m2
Pain rating of 8 on 0 to 10 scale, in the right foot
Day 1, 0830
Renal dysfunction- Chronic gout
A 59-year-old male client presents to the clinic reporting pain in the right great toe. The
client says that the pain feels like it is another attack of gout, which he has had on 2
other occasions in the last 4 months. The client tells the nurses that the pain started
about 9 days ago in the evening and that it got very painful and swollen shortly
thereafter. In the past, the gout attacks have resolved without treatment after about 5
,days, but the client reports that his condition has not.Each row must have at least one,
but may have more than one, response option selected.
Day 1, 0830
Visible tophi
- Chronic gout
A 59-year-old male client presents to the clinic reporting pain in the right great toe. The
client says that the pain feels like it is another attack of gout, which he has had on 2
other occasions in the last 4 months. The client tells the nurses that the pain started
about 9 days ago in the evening and that it got very painful and swollen shortly
thereafter. In the past, the gout attacks have resolved without treatment after about 5
days, but the client reports that his condition has no.tEach row must have at least one,
but may have more than one, response option selected.
Day 1, 0830
Low grade fever
- Acute gout attack
A 59-year-old male client presents to the clinic reporting pain in the right great toe. The
client says that the pain feels like it is another attack of gout, which he has had on 2
other occasions in the last 4 months. The client tells the nurses that the pain started
about 9 days ago in the evening and that it got very painful and swollen shortly
, thereafter. In the past, the gout attacks have resolved without treatment after about 5
days, but the client reports that his condition has not.Each row must have at least one,
but may have more than one, response option selected.
Day 1, 0830
Pain at the affected joint
- Acute gout attack
A 59-year-old male client presents to the clinic reporting pain in the right great toe. The
client says that the pain feels like it is another attack of gout, which he has had on 2
other occasions in the last 4 months. The client tells the nurses that the pain started
about 9 days ago in the evening and that it got very painful and swollen shortly
thereafter. In the past, the gout attacks have resolved without treatment after about 5
days, but the client reports that his condition has not.Each row must have at least one,
but may have more than one, response option selected.
Day 1, 0830
Occur in more than 1 joint
- Chronic gout
A 59-year-old male client presents to the clinic reporting pain in the right great toe. The
client says that the pain feels like it is another attack of gout, which he has had on 2
other occasions in the last 4 months.The client tells the nurses that the pain started
Health II PA Review | Latest Update
| Questions & Answers | Grade A | 100% Correct
Verified Solutions
While caring for a client with amyotrophic lateral sclerosis (ALS), the nurse performs a
neurological assessment every four hours. Which assessment finding warrants
immediate intervention by the nurse?Rationale:finding in a client with ALS, as it can
lead to ineffective airway clearance and increase the risk of aspiration pneumonia.
Immediate intervention, such as suctioning or respiratory support, may be necessary to
maintain airway patency and prevent complications.
Weakened cough
A client with stage 4 bone cancer is admitted to the hospital verbalizes continuous,
severe pain of 8 on a 0 to 10 scale. Which intervention should the nurse
implement?Rationales: Both opioids and nonopioids are appropriate intervention
managing severe pain as it addresses pain from multiple pathways and provide more
effective pain relief.
Administer opioid and non-opioid medication simultaneously.
A 59-year-old male client presents to the clinic reporting pain in the right great toe. The
client says that the pain feels like it is another attack of gout, which he has had on 2
other occasions in the last 4 months. The client tells the nurses that the pain started
about 9 days ago in the evening and that it got very painful and swollen shortly
thereafter. In the past, the gout attacks have resolved without treatment after about 5
days, but the client reports that his condition has not.Each row must have at least one,
but may have more than one, response option selected. temperature 100.5° F (38.1° C).
,Heart rate 97 beats/minute
Respirations 18 breaths/minute
Blood pressure 151/87 mm Hg
Oxygen saturation 95% on room air
Height is 5 ft 11 in (180.34 cm)
Weight is 228 lb (103.4 kg)
Body mass index (BMI) is 31.8 kg/m2
Pain rating of 8 on 0 to 10 scale, in the right foot
Day 1, 0830
Renal dysfunction- Chronic gout
A 59-year-old male client presents to the clinic reporting pain in the right great toe. The
client says that the pain feels like it is another attack of gout, which he has had on 2
other occasions in the last 4 months. The client tells the nurses that the pain started
about 9 days ago in the evening and that it got very painful and swollen shortly
thereafter. In the past, the gout attacks have resolved without treatment after about 5
,days, but the client reports that his condition has not.Each row must have at least one,
but may have more than one, response option selected.
Day 1, 0830
Visible tophi
- Chronic gout
A 59-year-old male client presents to the clinic reporting pain in the right great toe. The
client says that the pain feels like it is another attack of gout, which he has had on 2
other occasions in the last 4 months. The client tells the nurses that the pain started
about 9 days ago in the evening and that it got very painful and swollen shortly
thereafter. In the past, the gout attacks have resolved without treatment after about 5
days, but the client reports that his condition has no.tEach row must have at least one,
but may have more than one, response option selected.
Day 1, 0830
Low grade fever
- Acute gout attack
A 59-year-old male client presents to the clinic reporting pain in the right great toe. The
client says that the pain feels like it is another attack of gout, which he has had on 2
other occasions in the last 4 months. The client tells the nurses that the pain started
about 9 days ago in the evening and that it got very painful and swollen shortly
, thereafter. In the past, the gout attacks have resolved without treatment after about 5
days, but the client reports that his condition has not.Each row must have at least one,
but may have more than one, response option selected.
Day 1, 0830
Pain at the affected joint
- Acute gout attack
A 59-year-old male client presents to the clinic reporting pain in the right great toe. The
client says that the pain feels like it is another attack of gout, which he has had on 2
other occasions in the last 4 months. The client tells the nurses that the pain started
about 9 days ago in the evening and that it got very painful and swollen shortly
thereafter. In the past, the gout attacks have resolved without treatment after about 5
days, but the client reports that his condition has not.Each row must have at least one,
but may have more than one, response option selected.
Day 1, 0830
Occur in more than 1 joint
- Chronic gout
A 59-year-old male client presents to the clinic reporting pain in the right great toe. The
client says that the pain feels like it is another attack of gout, which he has had on 2
other occasions in the last 4 months.The client tells the nurses that the pain started
