Nokea
A nurse is caring for an immobile client. What is the priority assessment of this client?
- A. Palpate for edema
- B. Auscultate for bowel sounds
- C. Inspect the skin for injury
- D. Auscultation of lung sounds
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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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.
The following client come to the ophthalmology clinic. Which client needs to be seen first?
- A. Client who had recent cataract surgery and has worsening vision
- B. Client with an absent red reflex on ophthalmic examination
- C. Client with an intraocular pressure of 24 mm Hg
- D. Client with a tearing, reddened eye with exudate
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the condition called when the client's pupils are different sizes and have been this way since childhood?
- A. Exophthalmos
- B. Anisocoria
- C. Strabismus
- D. Scleral edema
Correct Answer: B
Rationale: Anisocoria is the correct answer. Anisocoria is the condition of having pupils of different sizes. Exophthalmos refers to abnormal protrusion of the eyeball, not pupil size difference. Strabismus is a condition where the eyes are not properly aligned with each other. Scleral edema is swelling of the sclera, the white part of the eye, and not related to differing pupil sizes.
The nurse educates a client about how to reduce their risk for osteoporosis. Which of these statements by the nurse is correct? (Select all that apply)
- A. You can decrease your risk of osteoporosis by avoiding vitamin D.
- B. You can decrease your risk of osteoporosis by reducing caffeine intake.
- C. You can decrease the risk of osteoporosis by decreasing alcohol intake.
- D. You can decrease your risk of osteoporosis by reducing protein intake.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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.