Nokea
While assessing a patient with degenerative joint disease, the nurse notices Heberden's nodes, and large prominences on the patient's fingers that are reddened and painful. What should the nurse do?
- A. Discuss strategies for managing chronic pain with the patient.
- B. Check the patient's radial pulses and capillary refill time.
- C. Immediately notify the healthcare provider of the finding.
- D. Review the patient's dietary intake of high-protein foods.
Correct Answer: A
Rationale: Discussing chronic pain management strategies addresses the discomfort associated with Heberden's nodes, a common osteoarthritis feature.
You may also like to solve these questions
A patient with small cell carcinoma of the lung is admitted with syndrome of inappropriate antidiuretic hormone (SIADH). The patient's serum sodium level increases from 120 mEq/L to 125 mEq/L as they respond to treatment. Based on this finding, what intervention should the nurse implement?
- A. Maintain the prescribed fluid restriction.
- B. Withhold the next scheduled dose of treatment.
- C. Increase neurologic checks to every 2 hours.
- D. Assess for increasing fluid volume overload.
Correct Answer: A
Rationale: Maintaining fluid restriction is key in SIADH to prevent further sodium dilution, supporting the patient's improving sodium levels.
A patient in the operating room has been administered succinylcholine and is now experiencing muscle rigidity and an extremely high temperature. What should the nurse do next?
- A. Call the PACU nurse to prepare for prolonged ventilatory support.
- B. Hold a prescription for dantrolene until the fever is reduced.
- C. Prepare ice packs for placement in the patient's axillary area.
- D. Determine if prescribed antibiotics were administered preoperatively.
- E. None
- F. None
Correct Answer: C
Rationale: Applying ice packs addresses hyperthermia in malignant hyperthermia, a critical response to succinylcholine-induced symptoms.
Which action should the nurse implement to reduce the risk of vesicant extravasation in the client who is receiving intravenous chemotherapy?
- A. Keep the head of the bed elevated until the treatment is completed.
- B. Instruct the client to drink plenty of fluids during the treatment.
- C. Monitor the client's intravenous site hourly during the treatment.
- D. Administer an antiemetic before starting the chemotherapy.
Correct Answer: C
Rationale: Hourly IV site monitoring allows early detection of extravasation, preventing tissue damage from vesicant chemotherapy.
A nurse is caring for a patient who has been admitted to the hospital with a suspected diagnosis of bacterial meningitis. Which diagnostic procedure should the nurse prepare the patient for?
- A. Lumbar puncture.
- B. Skull radiography.
- C. Magnetic resonance imaging (MRI).
- D. Computerized tomography (CT) scan.
Correct Answer: A
Rationale: A lumbar puncture is essential for confirming bacterial meningitis by analyzing cerebrospinal fluid, making it the priority diagnostic procedure.
The parent of an adolescent tells the clinic nurse, 'My child has athlete's foot. I have been applying triple antibiotic ointment for two days, but there has been no improvement.' Which instruction should the nurse provide?
- A. Antibiotics take two weeks to become effective against infections such as athlete's foot.
- B. Continue using the ointment for a full week, even after the symptoms disappear.
- C. Applying too much ointment can deter its effectiveness. Apply a thin layer to prevent maceration.
- D. Stop using the ointment and encourage complete drying of feet and wearing clean socks.
Correct Answer: D
Rationale: Athlete's foot is fungal, not bacterial; stopping antibiotic ointment and keeping feet dry with clean socks aids treatment.