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aharden0629 aharden0629
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Posts: 325
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6 years ago
A client is scheduled for a uric acid level to be drawn. Which foods should the nurse instruct the client to avoid for 24 hours in preparation for this test? (Select all that apply.)
 
  1. Salmon
  2. Broccoli
  3. Scallops
  4. Sardines
  5. Organ meats

Question 2

The nurse determines that a client has understood instructions given following a bone scan when the client states:
 
  1. I won't play with the grandchildren for at least 48 hours.
  2. I won't eat foods with any artificial colors or dyes.
  3. I'll avoid close contact with my family for 1 week.
  4. I need to drink a lot of fluids.

Question 3

When assessing the musculoskeletal system of an older client, it would be important for the nurse to report which finding?
 
  1. Client complains of stiffness and mild pain in the knee joints.
  2. Client complains of numbness in the hands.
  3. Client is unable to fully extend arms about the head.
  4. Crepitus is heard when bending the knee.

Question 4

The nurse is preparing a client scheduled for an arthroscopy of the elbow. When the client asks whether there will be any restrictions after the procedure, the nurse explains:
 
  1. You will need to keep the elbow elevated for 1-2 days.
  2. You will need to limit ROM in the joint until the sutures are removed.
  3. The elbow will be kept in a sling for 2 weeks.
  4. There are no restrictions, unless you have a lot of pain.

Question 5

A client scheduled for a magnetic resonance imaging (MRI) of the shoulder expresses concern over radiation exposure. The nurse should provide which information to the client?
 
  1. The amount of radiation is no more than when you have a dental x-ray.
  2. You will not be exposed to any radiation.
  3. Drinking a lot of water after the procedure helps to flush it out of the body.
  4. Most of your body will be covered with a lead apron.

Question 6

Following an arthrocentesis of the right knee in the physician's office, the nurse should give which instructions to the client?
 
  1. Begin ROM exercises to the knee in 24 hours.
  2. Remove the pressure dressing when you get home.
  3. Apply warm, moist heat as needed for pain relief.
  4. Limit use of the joint for 2-3 days.
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Replies
wrote...
6 years ago
The answer to question 1

Answer: 3, 4, 5

1. Salmon is not a purine-rich food.
2. Broccoli is not a purine-rich food.
3. Purine-rich foods such as scallops are restricted for 24 hours prior to the test.
4. Purine-rich foods such as sardines are restricted for 24 hours prior to the test.
5. Purine-rich foods such as organ meats are restricted for 24 hours prior to the test.

The answer to question 2

Answer: 4

1. Radioactive precautions are not necessary, as the amount is minimal.
2. Restricting foods with artificial colors or dyes is not necessary.
3. Radioactive precautions are not necessary, as the amount is minimal.
4. Increased fluid intake is necessary to promote excretion of the radioactive material and prevent renal complications.

The answer to question 3

Answer: 2

1. Osteoarthritis causes pain and stiffness in the joints.
2. Numbness could indicate a neurologic or musculoskeletal disorder, because these systems are closely related. It would not be considered a normal age-related finding.
3. Full ROM and flexibility are decreased with age.
4. Crepitus is a grating noise heard due to loss of cartilage over ends of bones and can occur with age and osteoarthritis.

The answer to question 4

Answer: 1

1. Elevation of the involved extremity is necessary for 24-48 hours to prevent swelling.
2. ROM exercises might be indicated.
3. The limb will not be in a sling for 2 weeks.
4. Pain should be reported to the physician.

The answer to question 5

Answer: 2

1. Radiation is not used.
2. A super magnet and radiofrequency signals are used in an MRI.
3. Drinking water is not necessary since radiation is not used for an MRI.
4. Radiation is not used.

The answer to question 6

Answer: 4

1. ROM exercises would be started in about a week.
2. The pressure dressing should be removed after 8-24 hours.
3. Heat would increase swelling; cold packs should be applied.
4. The affected joint is rested for 2-3 days to allow for healing and reduce swelling.
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