Nokea
The nurse would be correct to request a consultation with a dietitian if the client chooses a meal that includes which food?
- A. Nuts
- B. Milk
- C. Eggs
- D. Liver
Correct Answer: D
Rationale: Liver is high in purines, which increase uric acid levels, worsening gout. Nuts, milk, and eggs are low-purine foods, suitable for a gout diet, necessitating a dietitian consultation for education.
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Which explanation most accurately explains to the client the primary purpose of the splints?
- A. Splints are used to correct joint deformities.
- B. Splints are used to slow joint deterioration.
- C. Splints are used to improve hand strength.
- D. Splints are used to increase range of motion.
Correct Answer: B
Rationale: Splints immobilize joints to reduce inflammation and slow deterioration.
The nurse is teaching a class to pregnant teenagers. Which information is most important when discussing ways to prevent osteoporosis?
- A. Take at least 1,200 mg of calcium supplements a day.
- B. Eat foods low in calcium and high in phosphorus.
- C. Osteoporosis does not occur until around age 50 years.
- D. Remain as active as possible until the baby is born.
Correct Answer: D
Rationale: Staying active (weight-bearing exercise) during pregnancy builds bone density, preventing future osteoporosis. Calcium supplements are secondary, low-calcium diets are harmful, and age misconception ignores prevention.
A cast has just been applied to a client's left forearm, and he has 10 lbs of Russell's traction on his left leg. Which of the following nursing concerns takes priority in the care of this client?
- A. The casted extremity may swell, and the cast will become a tourniquet.
- B. Heat conduction from the wet cast can cause burning to the skin below.
- C. Muscle atrophy of the areas involved can lead to decreased muscle tone.
- D. Skin irritation from the cast edges can cause abrasions.
Correct Answer: A
Rationale: Swelling in a newly casted extremity can cause the cast to act as a tourniquet, compromising circulation, which is the priority concern. Heat from a wet cast does not burn skin, muscle atrophy is a long-term issue, and skin irritation is less urgent.
The client diagnosed with OA is prescribed a nonsteroidal anti-inflammatory drug (NSAID). Which instruction should the nurse teach the client?
- A. Take the medication on an empty stomach.
- B. Make sure to taper the medication when discontinuing.
- C. Apply the medication topically over the affected joints.
- D. Notify the health-care provider if vomiting blood.
Correct Answer: D
Rationale: Vomiting blood indicates GI bleeding, a serious NSAID side effect requiring immediate HCP notification. NSAIDs should be taken with food, tapering is not typical, and topical NSAIDs are distinct.
Which statement made by the client to the nurse provides the best evidence that the client understands the therapeutic plan?
- A. I should keep my hand as still as possible.
- B. I should stop playing golf for the time being.
- C. I can substitute playing miniature golf.
- D. I can wear a tight leather glove when golfing.
Correct Answer: B
Rationale: Tenosynovitis involves inflammation of the tendon sheath, often exacerbated by repetitive wrist motion. The physician recommends avoiding such motions temporarily. Stopping golf, which involves repetitive wrist actions, directly aligns with this plan, unlike miniature golf, which still requires wrist movement, or wearing a glove, which does not address motion.