A client with systemic sclerosis has been in bed for 2 weeks due to fatigue and
abdominal pain. Today, the client came into the clinic complaining of her leg
being hot, red and painful. What does the nurse suspect?
- A. Amputation
- B. Deep vein thrombosis
- C. Internal bleeding
- D. Kidney failure
Correct Answer: B
Rationale:
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A client with lupus experience Raynaud's phenomenon. What should the nurse
include when providing client education about this?
- A. In order to avoid flare-ups of Raynaud's, ensure you wear gloves in winter.'
- B. In order to avoid flare-ups of Raynaud's, ensure you brush your teeth for 2 minutes.'
- C. In order to avoid flare-ups of Raynaud's, ensure to keep cool.'
- D. In order to avoid flare-ups of Raynaud's, ensure you wear sunscreen.'
Correct Answer: A
Rationale:
The nurse is caring for a client who develops compartment syndrome from a
severely fractured arm. The client asks how this can happen. What is the best
response by the nurse?
- A. . "The fascia expands with injury, causing pressure on underlying nerves and muscles."?
- B. "An injured artery causes impaired arterial perfusion through the compartment."?
- C. "Bleeding and swelling cause increased pressure in an area that cannot expand."?
- D. . "A bone fragment has injured the nerve supply in the area."?
Correct Answer: C
Rationale:
A nurse assesses an audible grating sound (Crepitus) when a client with
osteoarthritis moves his knees. What is the cause of this sound?
- A. A herniated disk in the diseased joint
- B. Pieces of bone and cartilage floating
- C. Popping bursae from standing
- D. Years of an autoimmune process
Correct Answer: A
Rationale:
A nurse is teaching a client who has out about dietary recommendations. The
nurse should teach the client which of the following beverages can trigger an
attack?
- A. Fruit juice
- B. Alcohol
- C. Milk
- D. Coffee
Correct Answer: B
Rationale:
The nurse is preparing to administer medications to a client with osteoarthritis.
What is the goal of medication therapy?
- A. Eradicate the disease
- B. Reduce pain and inflammation
- C. Turn on the immune system
- D. Manage weight loss
Correct Answer: B
Rationale: