A client sustained a crushing injury to his right arm during a car accident. He arrives to the emergency room complaining of numbness in his right hand. He has no other injuries. What should the nurse do first?
- A. Assess the right radial pulse
- B. Call the provider
- C. Administer pain medication
- D. Assess the right pedal pulse
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What is the intended outcome for the treatment of glaucoma?
- A. Improve the vision of the eye
- B. Strengthen the muscles of the eye
- C. Lower the intraocular pressure
- D. Dry up excess secretions
Correct Answer: C
Rationale: The correct answer is C: Lower the intraocular pressure. The primary objective of treating glaucoma is to reduce intraocular pressure to prevent further vision loss. Choice A, 'Improve the vision of the eye,' is incorrect because while treatment may prevent vision loss, it does not necessarily improve vision. Choice B, 'Strengthen the muscles of the eye,' is incorrect as glaucoma primarily involves the optic nerve and not muscle weakness. Choice D, 'Dry up excess secretions,' is not related to the treatment goal of glaucoma which is focused on managing intraocular pressure.
The nurse Is teaching the client how to administer eye drops. Which of these actions indicates the need for further client education?
- A. The client sets the cap down in a manner that does not contaminate it.
- B. The client drops the prescribed number of drops into the conjunctival sac
- C. The client washes their hands before instilling the drops
- D. The client ensures that they touch the administration dropper to the eye
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
To promote independence, which of these is the best intervention to implement?
- A. Perform the client's activities of daily living for them.
- B. Speak directly in front of the client so they can read your lips well.
- C. Give the client their washcloth and toothbrush and leave the room.
- D. Allow the client to perform the activities of daily living they are able to do.
Correct Answer: D
Rationale: The correct answer is to allow the client to perform the activities of daily living they are able to do. This intervention promotes independence by encouraging clients to maintain their functional abilities. Choice A is incorrect as performing the client's activities of daily living for them does not empower independence. Choice B is irrelevant to promoting independence. Choice C is not actively promoting independence as it involves leaving the client alone without any guidance or support.
Why is a client with osteoporosis prone to fractures?
- A. The client has bone spurs that lead to fractures
- B. The client has increased bone density
- C. The client has porous bones
- D. The client is not prone to fractures
Correct Answer: C
Rationale: The correct answer is C. Osteoporosis is characterized by porous, weak bones due to decreased bone density. This porous nature of bones in osteoporosis makes them more prone to fractures. Choice A is incorrect because bone spurs do not lead to fractures in osteoporosis; they are bony outgrowths unrelated to osteoporosis. Choice B is incorrect as osteoporosis is associated with decreased, not increased, bone density. Choice D is incorrect as individuals with osteoporosis are indeed prone to fractures due to weakened bones.
What is accurate health promotion teaching to prevent ear infection or trauma? (Select all that apply)
- A. Blow nose gently without blocking nostrils
- B. Wear hearing protection when exposed to loud noise
- C. Avoid using cotton-tipped applicators to clean the external ear
- D. All of the above
Correct Answer: D
Rationale: The correct health promotion teachings to prevent ear infection or trauma include blowing the nose gently without blocking nostrils, wearing hearing protection when exposed to loud noise, and avoiding the use of cotton-tipped applicators to clean the external ear. Blocking one nostril when blowing the nose is incorrect, as it can cause problems. Therefore, choice A is inaccurate. Additionally, using cotton-tipped applicators to clean the external ear can lead to trauma or infection, making choice C a correct preventive measure.