A client is in skeletal traction. With the nurse's assessment, it is noted that the
pairs appear red, swollen and there is purulent drainage. What action does the
nurse take first?
- A. Collect a culture of the purulent fluid
- B. Cleanse the skin around the pins
- C. Administer an antibiotic
- D. Instruct the client to complete exercise of the affected extremity
Correct Answer: A
Rationale:
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Which organization publishes the National Patient Safety Goals?
- A. The Joint Commission
- B. Medicare
- C. The American Nurses Association
- D. The Institute of Medicine
Correct Answer: A
Rationale:
The client had surgery one day ago. What assessment is most likely related to
pain?
- A. Blood pressure of 175/90 mm Hg
- B. Respirations of 10 breaths per minute
- C. Heart rate 60 beats/minute
- D. Oxygen saturation of 97%
Correct Answer: A
Rationale:
What level of Maslow's Hierarchy of needs does shelter belong to?
- A. Love and belonging
- B. Physiological
- C. Safety and security
- D. Esteem
Correct Answer: C
Rationale:
The nurse is preparing to administer medications to a client with osteoarthritis.
What is the goal of medication therapy?
- A. Eradicate the disease
- B. Reduce pain and inflammation
- C. Turn on the immune system
- D. Manage weight loss
Correct Answer: B
Rationale:
What lifestyle habits positively affect skin integrity?
- A. Regular exercise
- B. Tattoos
- C. Smoking
- D. Tanning
Correct Answer: A
Rationale: