Nokea
The nurse is most concerned about which of these findings in a client with
systemic lupus erythematous?
- A. The client reports chronic fatigue
- B. The client has a butterfly rash
- C. Blood pressure of 126/85 mm Hg
- D. Urine output of 20 mL/hour
Correct Answer: D
Rationale:
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A client has an abdominal incision. The surgical wound was closed with 10
sutures. This surgical wound is healing by what process?
- A. Primary intention
- B. Binary intention
- C. Secondary intention
- D. None of the Above
Correct Answer: A
Rationale:
Where will the nurse collect the most reliable source of pain assessment?
- A. From the nurse-to-nurse bedside report
- B. From a medical surgical book
- C. From the client
- D. From the client's chart
Correct Answer: C
Rationale:
What client is a susceptible host most at risk for infection?
- A. A client with leukemia
- B. A hospitalized 35-year-old-client
- C. A child who is immunized
- D. A 60-year-old client
Correct Answer: A
Rationale:
What is a symptom of the expected disease pattern of rheumatoid arthritis?
- A. Unilateral joint pain
- B. Bilateral joint pain
- C. Contralateral joint pain
- D. Obtuse variety joint pain
Correct Answer: B
Rationale:
A nurse is caring for a client who has acute osteomyelitis. Which of the
following interventions is the nurse's priority?
- A. Administer antibiotics to the client
- B. Increase the client's protein intake
- C. Teach relaxation breathing to reduce the client's pain
- D. Provide the client with anti-pyretic therapy
Correct Answer: A
Rationale: