Nokea
A nurse is caring for an intubated and sedated geriatric client. What
intervention is most appropriate for reducing the risk for a friction and shear
injury?
- A. Use a mechanical lift to reposition the client every 2 hours
- B. Elevate the client's head of the bed to 45 degrees
- C. Postpone daily bed bath
- D. Caregiver independently slides the client up in the bed
Correct Answer: A
Rationale:
You may also like to solve these questions
The nurse is caring for a client who develops compartment syndrome from a
severely fractured arm. The client asks how this can happen. What is the best
response by the nurse?
- A. . "The fascia expands with injury, causing pressure on underlying nerves and muscles."?
- B. "An injured artery causes impaired arterial perfusion through the compartment."?
- C. "Bleeding and swelling cause increased pressure in an area that cannot expand."?
- D. . "A bone fragment has injured the nerve supply in the area."?
Correct Answer: C
Rationale:
Which of the following statements made by a client diagnosed with human
immunodefiency virus (HIV) would require further teaching?
- A. "I will have to be careful and avoid crowds."?
- B. "I will take prescribed medications."?
- C. "I will have to take medications for the rest of my life."?
- D. "I will only need to take HIV medications for 6 months, and I will be cured
Correct Answer: D
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:
What steps are NOT included in preparing a sterile field?
- A. Do not turn away from the sterile field
- B. Obtain PAPR mask
- C. Prepare the client before setting up the sterile field
- D. Cover the sterile field once it is set up
Correct Answer: B
Rationale:
What is an infectious disease that can be transmitted directly from one
person to another?
- A. A communicable disease
- B. A portal of exit from the reservoir
- C. A susceptible host
- D. A portal of entry to a host
Correct Answer: A
Rationale: