Multi Dimensional Care | Final Exam

Multi Dimensional Care | Final Exam Related

Review Multi Dimensional Care | Final Exam related questions and content

A client is diagnosed with glaucoma. The provider needs to determine if it is open-angle glaucoma or closed-angle glaucoma. What test does the nurse anticipate?

  • A. Ultrasonic imaging
  • B. Gonioscopy
  • C. Corneal staining
  • D. Electroretinography
Correct Answer: B

Rationale: Gonioscopy is the appropriate test to anticipate in this scenario. It is used to distinguish between open-angle and closed-angle glaucoma by examining the angle where the iris meets the cornea. Choice A, ultrasonic imaging, is not typically used to differentiate between these types of glaucoma. Choice C, corneal staining, is used to detect corneal abrasions and defects, not to differentiate between types of glaucoma. Choice D, electroretinography, is a test that measures the electrical responses of various cell types in the retina and is not specific to differentiating between open-angle and closed-angle glaucoma.

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What complication of fractures is caused by increased pressure which can result in decreased circulation to the area?

  • A. Venous thromboembolism
  • B. Acute compartment syndrome
  • C. Fat embolism syndrome
  • D. Hemorrhage
Correct Answer: B

Rationale: Acute compartment syndrome is the correct answer. It involves increased pressure within muscles, leading to decreased blood flow and tissue damage. Venous thromboembolism (Choice A) is a condition where a blood clot forms in a vein, usually in the leg. Fat embolism syndrome (Choice C) occurs when fat globules enter the bloodstream and block blood vessels. Hemorrhage (Choice D) refers to bleeding, which can occur with fractures but does not specifically involve increased pressure leading to decreased circulation as in acute compartment syndrome.

What health teaching would not help an older adult avoid a musculoskeletal injury?

  • A. Avoid home modification
  • B. Wear a helmet when riding a bicycle
  • C. Osteoporosis screening
  • D. Fall prevention
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Unlicensed assistive personnel (UAP) is assisting a client in traction. Which of these actions requires immediate intervention?

  • A. The unlicensed assistive personnel carefully lower the traction weights to hang freely
  • B. The unlicensed assistive personnel provides small pillows to cushion the unaffected extremities
  • C. The UAP carefully empties the indwelling catheter bag
  • D. The UAP shows the client how to use the call light
Correct Answer: A

Rationale: The correct answer is A because traction weights should hang freely to maintain their effectiveness. Choice B is incorrect because providing pillows to cushion unaffected extremities is appropriate. Choice C is also incorrect as emptying the catheter bag is a routine nursing task. Choice D is incorrect as teaching the client to use the call light promotes client safety.

On inspection, which client does the nurse suspect of having a visual impairment?

  • A. The client whose sclera is white
  • B. The client who has an intact blink reflex
  • C. The client who is tilting their head
  • D. The client with equal pupils
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Which nonpharmacological intervention does not help reduce edema?

  • A. Heat therapy
  • B. Passive range of motion (PROM)
  • C. Elevation of the extremity
  • D. Cold therapy
Correct Answer: A

Rationale: The correct answer is A: Heat therapy. Heat therapy can vasodilate blood vessels, increasing blood flow to the area and potentially exacerbating edema. Passive range of motion (PROM), elevation of the extremity, and cold therapy are all beneficial interventions for reducing edema. PROM helps with circulation, elevation assists in reducing fluid accumulation, and cold therapy can help constrict blood vessels and decrease swelling.

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