The nurse is caring for a client suspected of having a muscle injury in the left upper arm, and anticipates the provider will order what diagnostic test?
1. X-ray
2. MRI
3. Myelogram
4. Arthroscopy
2
Rationale: MRI is the best test for diagnosing soft tissue injuries such as those involving muscles. X-rays are not highly diagnostic for soft tissue damage, and are better suited for examining bones. Myelograms are done to diagnose herniated disks. Arthroscopies examine the inside of a joint.
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The Theory of Stress and Coping is an example of which of the following?
A) A nursing model B) A grand theory C) A borrowed theory D) A grounded theory
Nursing interventions for the client with hypertension (HTN) would include all of the following. Which would increase client satisfaction and compliance with the prescribed treatment regimen?
a. discussing possible sexual dysfunction in an open and candid manner b. encouraging the client to actively participate in the treatment c. reviewing records of the client's blood pressure readings and weight d. insisting on making referrals to a dietitian, a smoking cessation clinic, stress-management seminars, and fitness centers
A patient who has been taking a diuretic for the past 2 weeks now experiences all of the following changes. Which change indicates that the diuretic is effective?
a. Weight loss of 7 lb b. Heart rate increased from 72 to 80 beats/min c. Respiratory rate decreased from 20 to 16 breaths/min d. Morning blood glucose decreased from 142 to 110 mg/dL
The client has chronic alcoholism. He asks the nurse why his doctor put him on folic acid (Folvite) since he promised the doctor that he would stop drinking. What is the best response by the nurse?
1. "You should ask your doctor since you promised him that you would not drink anymore." 2. "You have been drinking instead of eating, and alcohol interferes with folate metabolism in your liver." 3. "You need folic acid to make up for the vitamin B12 deficiency that was caused by your alcoholism." 4. "You need folic acid because you have not been compliant with taking your vitamins and attending Alcoholics Anonymous (AA) meetings."