Nursing Elites

1. The client with rheumatoid arthritis is having her rheumatoid factor (RF) drawn while she is having a flare-up of the disease. Which result is seen in clients with rheumatoid arthritis?

• A. Factor does not change
• B. Decreased level of rheumatoid arthritis
• C. A positive rheumatoid factor
• D. A negative rheumatoid factor

Correct answer: C

Rationale:

2. 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:

3. What activities should the client avoid after cataract surgery? (Select all that apply)

• A. Blowing one’s nose
• B. Bearing down during defecation
• C. Lifting items heavier than 10 pounds
• D. All of the Above

Correct answer: D

Rationale: After cataract surgery, the client should avoid activities that can increase intraocular pressure. Blowing one’s nose and bearing down during defecation can raise the pressure inside the eye, which can be harmful during the healing process. Lifting items heavier than 10 pounds can also lead to an increase in intraocular pressure. Therefore, all the activities mentioned in the choices (nose blowing, bearing down during defecation, and lifting heavy items) should be avoided after cataract surgery to promote proper healing and reduce the risk of complications.

4. The client complains of fatigue and joint pain and reports that they are unable to walk due to pain in the knees. What is the most appropriate statement by the nurse?

• A. "You just have arthritis and should take some ibuprofen."?
• B. "You should avoid walking. This might be osteoporosis."?
• C. "Please tell me more about when your pain started."?
• D. "You need to lose weight or the pain won't go away."?

Correct answer: C

Rationale:

5. Which of the following clients should be placed in isolation for airborne precautions?

• A. A high school wrestling championship with a rash
• B. A client that recently travelled and developed a fever with cough
• C. A client with an unknown skin infection
• D. A client with heart palpitations

Correct answer: B

Rationale:

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