Correct Answers.
The nurse is caring for a 65-year-old client and notes a temperature of 101 F◦. how does the nurse
interpret this finding?
Hyperthermia
What is true about antiretroviral drugs used to treat human immunodeficiency virus (HIV)?
These drugs inhibit viral replication
What is not an expected assessment finding in a client with inflammation?
Polyuria
A client does not understand why vision loss due to glaucoma is irreversible. What is the nurse's best
explanation?
Once the tissue has necrosed from high-pressure. It does not regenerate.
The nurse is teaching a client with debilitating rheumatoid arthritis about home safety. Which
statement should the nurse include?
"There are many adaptive devices such as grab bars, reacting tools, grasping devices and adaptive
silverware available that may help you."
A client is in the emergency room in critical condition and hypotensive. Her spouse is distraught. What
is the priority nursing action?
Maintain the client's blood pressure
A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the
management of gout. What statement by the client indicates a correct understanding of the
teaching?
"I should avoid eating liver and other organ meats."
What level of Maslow's Hierarchy of needs does shelter belong to?
Physiological
The nurse is providing medication for a client with osteomyelitis. What teaching should the nurse
indicate in the education?
You should not take more than 4000mg acetaminophen a day.
The nurse is caring for a client with rheumatoid arthritis one day after the shoulder surgery. What
would prompt the nurse to call the provider immediately?
The client had paresthesia in her fingers and intense increasing pain in her shoulder.
A client with systemic lupus erythematous complains of flank pain. Which laboratory test does the
nurse anticipate will be ordered?
Creatinine
, The nurse is performing a psychosocial assessment on a client with a severe rheumatoid arthritis.
What would be the most appropriate statement by the nurse?
"How does this impact your role in your family?"
A post-operative client with a sutured abdominal incision felt a sharp abdominal pain after having a
bowel movement. Upon inspection, the nurse notices bowel protruding from the incision site. What
does the nurse tell the physician about the event?
The client's incision site has eviserated.
Most adults with human immunodeficiency virus will exhibit which of the following laboratory values?
Lower than normal number of CD4+ T-cells are normal
A nurse is teaching a client who has fibromyalgia about strategies that might help reduce her
symptoms. What should the nurse include in the client education?
Establish a regular sleep pattern.
What is a sign of inadequate perfusion?
Pallor in toes
A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the
nurse's priority?
Administer antibiotics to the client.
The client states, "Why am I getting protein supplements while I am healing from a bed sore?" What is
the best response by the nurse?
"Protein has amino acids that promotes wound healing."
A client has a new diagnosis of human immunodeficiency virus HIV. The client is distraught and does
not know what to do. What intervention by the nurse is the best?
Assess the client's support system.
The nurse is providing education to a client regarding the administration of eye drops. Which of the
following actions indicates the need for further client education?
The client touches the administration dropper to her eye.
A client is immobile and requires mechanical ventilation with a tracheostomy. She has a pressure
injury on her coccyx measuring 5cm by 3cm. The nurse observes bone and tendon at the base of the
wound. How would the nurse document this wound?
Stage IV pressure injury
Which of the following lab tests should be used for diagnosing connective tissue diseases? (Select all
that apply)
-Rheumatoid factor (RF)
-Erythrocyte sedimentation rate (ESR)
-Anti-nuclear antibody (ANA)
-C-reactive protein (CRP)