Nokea
A client is experiencing numbness and tingling distal to a new arm cast with no
increase in pain. The nurse assesses that the client's fingers are pale, cool and
swollen. What action does the nurse take next?
- A. Remove the cast to decrease pressure
- B. Raise the arm above the level of the heart
- C. Apply heat to the affected hand
- D. Encourage range of motion
Correct Answer: B
Rationale:
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What nursing intervention is best to improve communication with a hearingimpaired client?
- A. Talk in a regular voice in the good ear
- B. Talk loudly in the impaired ear
- C. Write down the message
- D. Speak slowly and clearly while facing the client
Correct Answer: D
Rationale:
What is the nurse's priority action for a client with compromised immunity?
- A. Wash hands before entering the client's room
- B. Take the client's vital signs every 4 hours
- C. Determine whether it is temporary or permanent
- D. Teach the family members to receive the flu shot annually
Correct Answer: A
Rationale:
A provider has ordered a wound culture for a client with a non-healing wound.
What is the nurse's first action?
- A. Label the specimen tube
- B. Put on non-sterile gloves
- C. Gently remove the soiled dressings
- D. Irrigate the wound
Correct Answer: B
Rationale:
The client with RA complains of intensely dry eyes. What does the nurse
suspect?
- A. Systemic sclerosis
- B. Sjogren's syndrome
- C. Chron's disease
- D. Discoid lupus
Correct Answer: B
Rationale:
A client arrives speaking only Spanish. What is the priority nursing
intervention?
- A. Give the client a tour of the unit
- B. Verify the reason for admission
- C. Request a medical interpreter
- D. Call the chaplain for support
Correct Answer: C
Rationale: