NCLEX RN: Diagnostic Tests Question and answers rated A+ 2023

NCLEX RN: Diagnostic Tests Question and answers rated A+ 2023 A client with acquired immunodeficiency syndrome is suspected of having cutaneous Kaposi's sarcoma. The nurse should prepare the client for which test to confirm the presence of this type of sarcoma? - correct answer 1.Liver biopsy 2.Sputum culture 3.White blood cell count 4.Punch biopsy of the cutaneous lesions Rationale: Kaposi's sarcoma lesions begin as red, dark blue, or purple macules on the lower legs that change into plaques. These large plaques ulcerate or open and drain. The lesions spread by metastasis to the upper body and then to the face and oral mucosa. The lymphatic system, lungs, and gastrointestinal (GI) tract can become involved as well. Late disease results in swelling and pain in the lower extremities, penis, scrotum, or face. Diagnosis is by punch biopsy of cutaneous lesions and biopsy of pulmonary and GI lesions. The remaining options are incorrect and would not confirm the presence of Kaposi's sarcoma. The nurse is planning care for a client returning to the nursing unit after a bone biopsy. Which nursing action would be contraindicated in the postprocedure care for this client? - correct answer 1.Monitor vital signs. 2.Administer oral analgesics as needed. 3.Place the limb in a dependent position for 24 hours. 4.Monitor biopsy site for swelling, bleeding, or hematoma. Rationale: The biopsied limb would be elevated for 24 hours to reduce edema, not placed in a dependent position. Other aspects of care include monitoring vital signs; administering analgesics for site discomfort; and monitoring the site for swelling, bleeding, and hematoma formation. A client is about to undergo a lumbar puncture (LP). Which position should the nurse tell the client will be used during the procedure? - correct answer 1.Prone, with a pillow under the abdomen 2.Prone, in a slight Trendelenburg's position 3.Side-lying position, with a pillow under the lower back, hip, and knees 4.Side-lying position, with legs pulled up and head bent down onto the chest Rationale: The client undergoing LP is positioned lying on the side, with the legs pulled up to the abdomen and the head bent down onto the chest. This position helps to open the spaces between the vertebrae and allows for easier needle insertion by the health care provider. Each of the other options is incorrect