Why is a chest X-ray ordered for a client with a positive Mantoux test?

Correct Answer: C

Rationale: The correct answer is C: To determine the extent of lesions. A chest X-ray is ordered for a client with a positive Mantoux test to assess the presence and extent of any lesions in the lungs, which may indicate active tuberculosis disease. This helps in determining the severity of the infection and guiding appropriate treatment. Explanation for incorrect choices: A: Chest X-ray does not confirm the diagnosis of tuberculosis, as other diagnostic tests like sputum culture are needed. B: A repeat skin test is not determined by a chest X-ray but by guidelines based on the initial Mantoux test result. D: Chest X-ray does not differentiate between primary and secondary infection, as this distinction is typically based on clinical history and other factors.

Correct Answer: D

Rationale: The correct answer is D: Anisocoria. Anisocoria refers to unequal pupil size, which can be a result of various conditions affecting the eye or nervous system. The term "enteric" (A) refers to the intestines, not pupil size. Diplopia (B) is double vision, not unequal pupil size. Anecteric (C) is not a recognized medical term related to pupil size. Therefore, choice D is the correct answer as it specifically addresses the condition of unequal pupil size.

Correct Answer: B

Rationale: The correct answer is B: Call the doctor immediately. This is the most important nursing action because severe pain after a renal biopsy could indicate a serious complication such as internal bleeding or organ damage, which requires prompt medical intervention. Calling the doctor ensures timely assessment and appropriate treatment. Rationale for other choices: A: Assess for malingering - In this context, assuming the client is faking or exaggerating pain can delay necessary medical attention. C: Assess pain scale - While important, assessing pain scale alone does not address the urgency of the situation. D: Give analgesic as ordered - Administering pain medication without consulting the doctor first could mask symptoms of a serious complication and delay proper treatment.

Correct Answer: A

Rationale: The correct answer is A because identifying symptoms and measures to prevent urinary tract infections is a key indicator of successful management of urinary incontinence. This shows understanding of potential complications and proactive steps to prevent them. Choice B does not directly address the outcome related to urinary incontinence. Choice C focuses on disposal rather than management of incontinence. Choice D is more about personal hygiene rather than addressing the specific issue of incontinence. Therefore, A is the correct choice as it directly relates to the expected outcome for a client with urinary incontinence.

Correct Answer: B

Rationale: The correct answer is B: "I need to restrict my activity while this catheter is in place." This statement is incorrect because clients with a PICC line do not need to restrict their activity. They can resume normal activities as tolerated unless otherwise instructed by their healthcare provider. Restricting activity unnecessarily can lead to deconditioning and reduced quality of life. A: "I need to wear a MedicAlert tag or bracelet." - This is a correct statement as it helps alert healthcare providers about the presence of the PICC line in case of an emergency. C: "I need to keep the insertion site protected when in the shower or bath." - This is a correct statement to prevent infection and maintain the integrity of the PICC line. D: "I need to check the markings on the catheter each time the dressing is changed." - This is a correct statement as it helps ensure the catheter is in the correct position.