Nokea
A nurse is caring for a client who has acute osteomyelitis. Which of the
following interventions is the nurse's priority?
- A. Administer antibiotics to the client
- B. Increase the client's protein intake
- C. Teach relaxation breathing to reduce the client's pain
- D. Provide the client with anti-pyretic therapy
Correct Answer: A
Rationale:
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A client is bedridden and appears to be frail and malnourished. Which nursing
interventions will increase the risk of pressure injury?
- A. Applying moisturizer to dry areas of the skin
- B. Massaging the client's reddened shoulders and heels
- C. Cleansing the skin routinely after soiling occurs
- D. Using a Hoyer lift for all transfers
Correct Answer: B
Rationale:
A nurse is teaching a client who has fibromyalgia about strategies that might
help reduce her symptoms. What should the nurse include in the client
education?
- A. Avoid exercise during flare-ups
- B. Do high impact exercises like running
- C. Establish a regular sleep pattern
- D. Increase calcium and caffeine intake
Correct Answer: C
Rationale:
A goal for a client with impaired mobility is to prevent skin breakdown. What
nursing intervention would best help the client meet this goal?
- A. Assist the client to orthopneic position
- B. Offer the client a bedpan for toileting
- C. Offer a protein-rich diet
- D. Turn the client every 2 hours
Correct Answer: D
Rationale:
A post-operative client with a sutured abdominal incision felt a sharp
abdominal pain after having a bowel movement. Upon inspection, the nurse
notices bowel protruding from the incision site. What does the nurse tell the
physician about the event?
- A. The client's incision site has eviscerated
- B. The client's incision site has lacerated
- C. The client's incisional site is approximated
- D. The client's incisional site has dehisced after.
Correct Answer: A
Rationale:
When providing a routine bed bath, what action does the nurse complete
first?
- A. Cleanse the client's feet
- B. Cleanse the client's hands
- C. Cleanse the client's perineal area
- D. Cleanse the client's face
Correct Answer: D
Rationale: