A client undergoes arthrography for an examination of the knee. What information should the nurse provide to the client?

Correct Answer: A

Rationale: Rationale: The correct answer is A) Expect crackling or clicking noises in the joint for up to 2 days. Arthrography involves injecting a contrast dye into the joint to visualize structures on X-ray. It is normal to experience crackling or clicking noises post-procedure due to the movement of the contrast dye within the joint space. This information is crucial to provide as it reassures the client about expected post-procedure sensations and prevents unnecessary anxiety. Option B) Expect fever, nausea, and vomiting for up to 2 days is incorrect as these symptoms are not typical after arthrography. Fever, nausea, and vomiting could indicate an infection or adverse reaction, which would require immediate medical attention. Option C) Avoid dairy products for up to 2 days is incorrect and irrelevant to arthrography. There is no association between dairy products and this procedure. Option D) Avoid potassium-rich foods for up to 2 days is also incorrect. There is no restriction on potassium-rich foods following arthrography. Educational Context: Providing accurate pre and post-procedure information to clients undergoing medical tests is essential for ensuring their understanding and cooperation. Nurses play a key role in educating clients about what to expect, potential side effects, and how to care for themselves post-procedure. This not only enhances patient outcomes but also promotes client empowerment and satisfaction with their healthcare experience.

Correct Answer: A

Rationale: In caring for clients with osteoporosis, emphasizing a diet high in calcium is essential due to the role of calcium in bone health. Calcium is a vital mineral that helps build and maintain strong bones. Osteoporosis is a condition characterized by weakened bones, making individuals more prone to fractures. By consuming an adequate amount of calcium, bone density can be preserved and the risk of fractures reduced. Iron is not the correct answer for osteoporosis because while iron is important for other functions in the body like oxygen transport, it does not directly impact bone health as calcium does. Similarly, zinc is important for immune function and wound healing, but it does not play a significant role in bone health. Carbohydrates provide energy but do not have a direct impact on bone strength. In an educational context, understanding the specific dietary needs for various health conditions is crucial for nurses and healthcare professionals. By knowing the importance of calcium in osteoporosis management, nurses can effectively educate patients on dietary choices to support their bone health and overall well-being. This knowledge empowers patients to take an active role in managing their condition through proper nutrition.

Correct Answer: C

Rationale: In this scenario, the correct answer is C: Applies ice and gentle massage to the patient's lower extremities. Paget's disease is a chronic bone disorder that involves abnormal bone remodeling, leading to soft, deformed bones that can cause pain and deformities. Ice and massage can exacerbate the condition by potentially causing microfractures in the already weakened bones, making this intervention inappropriate. Option A, administering ibuprofen, is not necessarily contraindicated in Paget's disease as it can help manage the pain associated with the condition. Option B, encouraging the patient to perform physical therapy exercises, is beneficial in maintaining mobility and function. Option D, reminding the patient to consume dairy products, is also appropriate as adequate calcium intake is crucial for maintaining bone health. Educationally, this question highlights the importance of understanding the specific care needs of patients with Paget's disease. It emphasizes the need for nurses to be cautious about interventions that may pose a risk of further harm to the patient. Understanding the pathophysiology of conditions like Paget's disease is essential for providing safe and effective care to patients with complex health issues.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) The patient complains of pressure and pain. This finding should be reported immediately because it could indicate compartment syndrome, a serious condition where increased pressure within a muscle compartment compromises blood flow and can lead to tissue damage. Prompt intervention is crucial to prevent long-term complications. Option B) The cast being dry and intact is a positive finding but not as urgent as the patient's complaint of pressure and pain. It indicates proper initial care of the fractures. Option C) The skin being pink and warm to touch is a good sign of adequate circulation, but it does not address the patient's complaint of pressure and pain, which takes precedence. Option D) The patient being able to move all fingers and thumb is also a positive finding but does not address the immediate concern of pressure and pain, which could signal a serious complication. In an educational context, this question highlights the importance of prioritizing patient assessments based on potential complications. Understanding the signs and symptoms of conditions like compartment syndrome is crucial for nurses to provide timely and appropriate care to prevent further harm to the patient. This knowledge is essential for nurses preparing for the NCLEX exam and in their clinical practice to ensure patient safety and well-being.

Correct Answer: B

Rationale: The correct answer is B) Administration of a histamine antagonist (Pepcid) as a gastrointestinal preventative measure for a client with intracranial pressure. This intervention helps reduce the risk of stress ulcers by decreasing gastric acid secretion. Stress ulcers can develop due to increased intracranial pressure and stress response in neurologically compromised patients. Option A) Insertion of an NG tube is not primarily used as a gastrointestinal preventative measure for intracranial pressure but rather for decompression or feeding purposes. Option C) Sips of clear fluid may not be sufficient to prevent gastrointestinal complications in a client with intracranial pressure. In fact, excessive fluid intake can sometimes exacerbate intracranial pressure. Option D) Insertion of a rectal tube is not a standard intervention for preventing gastrointestinal issues related to intracranial pressure and would not address the underlying cause of stress ulcers in this context. Educationally, understanding the rationale behind using a histamine antagonist to reduce gastric acid secretion in patients with increased intracranial pressure is crucial for nursing practice. It highlights the importance of preventive measures in managing complications associated with neurological conditions, promoting critical thinking and evidence-based interventions in patient care.