Nokea
The nurse is performing a physical assessment on a client with a history of gout. The nurse should assess the client for:
- A. Pain and swelling of the affected joint
- B. Increased urinary output
- C. Fever with a temperature greater than 101°F
- D. Numbness in the affected extremity
Correct Answer: A
Rationale: Pain and swelling of the affected joint (often the big toe) are classic gout signs due to uric acid crystal deposits increased urine, fever, or numbness aren't typical. Nurses assess for redness and warmth, guiding anti-inflammatory treatment, critical for managing this metabolic disorder's acute flares.
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Which of the following communication skill is most effective in dealing with covert communication?
- A. Validation
- B. Listening
- C. Evaluation
- D. Clarification
Correct Answer: B
Rationale: Listening (B) is most effective for covert communication hidden feelings per Rogers, detecting subtle cues. Validation (A) confirms, evaluation (C) judges, clarification (D) seeks overt meaning. Listening uncovers the unspoken, making it correct.
A client has a new diagnosis of hyperthyroidism and is being taught about dietary management. Which of the following statements should the nurse include in the teaching?
- A. You should increase your intake of iodine-rich foods.
- B. You should avoid foods that contain iodine.
- C. You should increase your intake of dairy products.
- D. You should avoid foods that contain gluten.
Correct Answer: B
Rationale: The correct answer is B. In hyperthyroidism, it is advisable to avoid foods that contain iodine to help manage the condition and prevent complications. Excessive iodine intake can exacerbate hyperthyroidism symptoms by stimulating the thyroid gland. Therefore, the nurse should include information about avoiding iodine-rich foods in the client's dietary management teaching. Choices A, C, and D are incorrect because increasing intake of iodine-rich foods can worsen hyperthyroidism symptoms, increasing dairy products is not specific to managing hyperthyroidism, and avoiding gluten is more relevant for conditions like celiac disease, not hyperthyroidism.
When teaching a client with a new diagnosis of hepatitis about dietary management, which of the following statements should the nurse include?
- A. Increase your intake of high-protein foods.
- B. Decrease your intake of high-protein foods.
- C. Avoid foods that contain lactose.
- D. Increase your intake of dairy products.
Correct Answer: B
Rationale: For a client with hepatitis, it is important to decrease the intake of high-protein foods. High-protein foods can be harder for the liver to process and may exacerbate symptoms or contribute to liver damage. Recommending a diet with moderate protein intake is beneficial for managing symptoms and promoting liver health. Choice A is incorrect as increasing high-protein foods can strain the liver. Choice C is not directly related to hepatitis unless there is an intolerance present. Choice D is also incorrect because increasing dairy products may not be suitable for all individuals with hepatitis, especially if there are underlying liver conditions that could be aggravated by certain dairy components.
The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?
- A. Tremulousness
- B. Slow pulse
- C. Nausea
- D. Flushed skin
Correct Answer: A
Rationale: Tremulousness is a classic sign of hypoglycemia in insulin-dependent diabetes, resulting from the autonomic nervous system's response to low glucose, triggering adrenaline release shakiness signals urgent need for sugar. Slow pulse, nausea, or flushed skin align more with other conditions or hyperglycemia. Nurses teach this symptom for self-recognition, enabling rapid intervention with glucose sources, preventing severe outcomes like seizures, critical for diabetes management.
Which of the following statement best describe patient advocacy?
- A. Ignoring patient needs
- B. Supporting patient rights
- C. A routine task
- D. A medical treatment
Correct Answer: B
Rationale: Patient advocacy is supporting patient rights (B), per nursing e.g., voicing wishes. Not ignoring (A), not routine (C), not treatment (D) rights-focused. B best defines advocacy's protective role, making it correct.