Nokea
A nurse is caring for a client who is post-operative following an open reduction
internal fixation (ORIF) of a femur fracture. What is NOT included in the evaluation
of the neurovascular status of the client's affected extremity?
- A. Color
- B. Temperature
- C. Sensation
- D. Skin integrity
Correct Answer: D
Rationale:
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The nurse assesses a wound with exudate. What should not be included when
documenting the exudate?
- A. Amount
- B. Consistency
- C. Heat
- D. Odor
Correct Answer: C
Rationale:
A client has an abdominal incision. The surgical wound was closed with 10
sutures. This surgical wound is healing by what process?
- A. Primary intention
- B. Binary intention
- C. Secondary intention
- D. None of the Above
Correct Answer: A
Rationale:
Most adults with human immunodeficiency virus will exhibit which of the
following laboratory values?
- A. Higher than normal number of CD4+ T-cells and CD8+ T-cells are normal
- B. Lower than normal number of CD4+ T-cells and higher than normal CD8+ T-cells
- C. Higher than normal number of CD4+ T-cells and CD8+ T-cells are low
- D. Lower than normal number of CD4+ T-cells and CD8+ T-cells are normal
Correct Answer: D
Rationale:
The nurse is performing a psychosocial assessment on a client with a severe
rheumatoid arthritis. What would be the most appropriate statement by the
nurse?
- A. "Tell me about what medication you are taking"?
- B. "What physical limitations are you experiencing?"?
- C. "How does this impact your role in your family?"?
- D. "What therapies are you using to reduce swelling?"?
Correct Answer: C
Rationale:
The nurse is providing medication for a client with osteomyelitis. What teaching
should the nurse indicate in the education?
- A. The most common adverse e effect for nonsteroidal anti-inflammatory drugs
(NSAIDS)are liver failure and tinnitus - B. The main side effect of acetaminophen is gastrointestinal GI bleeding
- C. You should not take more than 4000 mg of acetaminophen a day
- D. Nonsteroidal anti-inflammatory drugs (NSAIDS) are very safe and are known to have
no side effects
Correct Answer: A
Rationale: