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A nurse is formulating a care plan for a patient recovering from severe burns. Which of the following strategies should the nurse incorporate to provide emotional support? Which strategy provides emotional support for burn recovery?
- A. Engage in conversation with the patient during wound care.
- B. Ensure the patient's room is kept tidy by support staff.
- C. Keep the patient's family informed about his condition.
- D. Rotate the nursing staff to provide the patient with varied interactions.
Correct Answer: A
Rationale: The correct answer is A: Engage in conversation with the patient during wound care. This strategy provides emotional support by offering the patient a distraction and a sense of connection during a potentially painful and distressing procedure. It allows the patient to express their feelings and concerns, fostering a therapeutic relationship.
Choice B: Ensuring the patient's room is tidy is important for the patient's physical comfort but does not directly address emotional support.
Choice C: Keeping the patient's family informed is crucial for communication but may not directly provide emotional support to the patient.
Choice D: Rotating nursing staff may offer varied interactions, but consistency and building rapport with the same caregiver can be more beneficial for emotional support in this context.
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A nurse is caring for a patient whose right leg is in Buck's traction. Which interventions should the nurse implement to promote the patient's mobility? Which intervention promotes mobility in Buck's traction?
- A. Perform passive range of motion exercises on the right leg.
- B. Perform isometric exercises on both legs.
- C. Perform active range-of-motion exercises on the left leg.
- D. Log roll the patient every 2 hours.
Correct Answer: C
Rationale: Rationale: Performing active range-of-motion exercises on the left leg promotes mobility in Buck's traction by maintaining muscle strength and joint flexibility, preventing muscle atrophy, and improving circulation. This helps prevent complications and supports eventual rehabilitation. Passive range of motion exercises on the right leg are not recommended as it may cause discomfort. Isometric exercises on both legs may not address the specific immobilization of the right leg. Log rolling every 2 hours is not directly related to promoting mobility in Buck's traction.
A nurse is caring for a patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider? Which finding should the nurse report during bladder irrigation?
- A. Urine output of 200 mL/hr
- B. Pink-tinged urine
- C. Clots in the drainage bag
- D. Bladder spasms
Correct Answer: C
Rationale: The correct answer is C: Clots in the drainage bag. This finding should be reported to the provider because it may indicate bleeding or clot formation, which can obstruct the catheter and impair the irrigation process. Clots can also increase the risk of urinary retention or infection. Reporting this finding promptly allows the provider to assess the patient's condition and take appropriate interventions to prevent complications.
Incorrect choices:
A: Urine output of 200 mL/hr is within the expected range for continuous bladder irrigation and does not necessarily indicate a problem.
B: Pink-tinged urine is a common finding following prostate surgery and is expected during bladder irrigation.
D: Bladder spasms are common after prostate surgery and can be managed with appropriate medications.
E, F, G: These choices are not provided, but they would be incorrect as they are not related to complications of bladder irrigation post-prostate surgery.
A nurse is preparing to administer clonidine 0.3 mg at bedtime to a patient. The available amount is clonidine 0.1 mg/tablet. How many tablets should the nurse administer per dose? How many clonidine tablets should the nurse administer?
Correct Answer: 3
Rationale: Correct Answer: 3
Rationale: To calculate the number of tablets needed, divide the total dose needed (0.3 mg) by the dose per tablet (0.1 mg). 0.3 mg ÷ 0.1 mg = 3 tablets. Therefore, the nurse should administer 3 tablets per dose.
Summary:
A: Incorrect - Not the correct number of tablets based on the dosage calculation.
B: Incorrect - Not the correct number of tablets based on the dosage calculation.
C: Incorrect - Not the correct number of tablets based on the dosage calculation.
D: Incorrect - Not the correct number of tablets based on the dosage calculation.
E: Incorrect - Not the correct number of tablets based on the dosage calculation.
F: Incorrect - Not the correct number of tablets based on the dosage calculation.
G: Incorrect - Not the correct number of tablets based on the dosage calculation.
A nurse is educating a parent of a 6-month-old infant about car seat safety. Which statement from the parent indicates a correct understanding of the teaching?,Which statement indicates correct understanding of car seat safety?
- A. Our car seat is an infant model and is anchored in the car.
- B. The car seat is rear-facing in the front passenger seat.
- C. I can fit my hand between the baby and the car seat harness.
- D. Our car seat is front-facing in the back seat.
Correct Answer: A
Rationale: The correct answer is A because anchoring the infant car seat in the car is crucial for safety. This ensures the seat is securely installed and minimizes the risk of injury during a collision. Choice B is incorrect as rear-facing car seats should never be placed in the front passenger seat due to the presence of airbags, which can be dangerous for infants. Choice C is incorrect because the harness should be snug against the infant's body without any slack, and being able to fit a hand between the harness and the baby indicates it is too loose. Choice D is incorrect as infants should be in rear-facing seats until at least 2 years old for optimal safety.
A nurse is assisting a healthcare provider with a sterile procedure and is preparing to pour solution onto a sterile piece of gauze. In what sequence should the nurse perform the following steps when pouring the sterile solution? In what sequence should the nurse pour sterile solution?
- A. Pick up the bottle with the label facing the palm.
- B. Pour the solution onto the gauze.
- C. Pour 1 to 2 mL into a receptacle.
- D. Perform hand hygiene.
- E. Place the bottle cap face-up on a clean surface.
- F. Remove the bottle cap.
Correct Answer: D,A,F,C,E,B
Rationale: The correct sequence is D, A, F, C, E, B.
1. Perform hand hygiene to ensure cleanliness.
2. Pick up the bottle with the label facing the palm to maintain sterility.
3. Remove the bottle cap to prepare for pouring.
4. Pour 1 to 2 mL into a receptacle to ensure proper amount.
5. Place the bottle cap face-up on a clean surface to prevent contamination.
6. Pour the solution onto the gauze for the sterile procedure to be completed.
Incorrect choices:
- G: It is not a step in the process of pouring sterile solution.
- The correct order ensures sterility, proper amount, and prevention of contamination.