what is the priority nursing diagnosis for a client with metastatic bone disease

ATI RN

Multi Dimensional Care | Final Exam

1. What is the priority nursing diagnosis for a client with metastatic bone disease?

A. Chronic pain
B. Impaired mobility
C. Risk for falls
D. Risk for infection

Correct answer: C

Rationale: The correct answer is 'Risk for falls.' In clients with metastatic bone disease, weakened bones can lead to an increased risk of falls, making it a priority nursing diagnosis. Chronic pain (choice A) may be present but addressing the risk for falls is more critical in this situation. While impaired mobility (choice B) can be a consequence of metastatic bone disease, preventing falls takes precedence. Risk for infection (choice D) is not the priority in this case, as falls pose a more immediate threat to the client's safety.

2. What is a classic symptom assessed in clients with lupus?

A. Butterfly rash
B. Chvostek's sign
C. Ovid's sign
D. Heberden's nodes

Correct answer: A

Rationale:

3. Which of the following nonpharmacological methods cannot be used to manage the chronic pain of a client with rheumatoid arthritis?

A. Adequate rest
B. Heat for 20-30 minutes
C. Hot showers
D. Ice for 2 hours at a time

Correct answer: D

Rationale:

4. What is one of the earliest signs of fat embolism syndrome?

A. Paresthesia
B. Severe pain in the affected limb unrelieved by medication
C. Edema
D. Hypoxemia

Correct answer: D

Rationale: Hypoxemia is one of the earliest signs of fat embolism syndrome. In fat embolism syndrome, fat globules enter the bloodstream and can obstruct blood flow in the lungs, leading to hypoxemia. Paresthesia, severe pain unrelieved by medication, and edema are not typically among the earliest signs of fat embolism syndrome.