Nokea
A nurse is preparing a client who is postoperative following a below-the-knee amputation for a leg prosthesis fitting. Which of the following actions should the nurse take?
- A. Wrap the stump with an elastic bandage in a figure-eight configuration.
- B. Remove the elastic bandage and re-wrap the stump once per day.
- C. Perform passive range of motion exercises once daily.
- D. Secure the elastic bandage to the lowest joint.
Correct Answer: A
Rationale: The correct answer is A: Wrap the stump with an elastic bandage in a figure-eight configuration. This action helps reduce swelling, provide support, and shape the stump for prosthesis fitting. Wrapping in a figure-eight pattern ensures even compression and prevents constriction. Choice B is incorrect as frequent re-wrapping can disrupt wound healing. Choice C is unnecessary and may cause discomfort. Choice D is incorrect as securing the bandage at the lowest joint can lead to constriction and hinder circulation.
You may also like to solve these questions
A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?
- A. Stop taking the pills and switch to a different contraceptive method.
- B. Take a home pregnancy test.
- C. Do not have vaginal intercourse until after your next period.
- D. Take the missed dose now, then continue the medication as ordered.
Correct Answer: D
Rationale: The correct answer is D: Take the missed dose now, then continue the medication as ordered. In the first week of a 28-day cycle pack, missing one pill does not significantly impact contraceptive efficacy. Taking the missed dose as soon as possible and then continuing the medication as prescribed maintains the contraceptive effectiveness. Choice A is incorrect as stopping the pills abruptly can lead to unintended pregnancy. Choice B is unnecessary as missing one pill does not automatically indicate pregnancy. Choice C is not relevant in this context as the client can still take the missed dose and continue with the contraceptive method.
A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor?
- A. Family history of cardiac disease.
- B. Increasing age.
- C. Diagnosis of diabetes mellitus.
- D. Cigarette smoking.
Correct Answer: D
Rationale: The correct answer is D: Cigarette smoking. Smoking is a modifiable risk factor for cardiovascular disease as individuals can quit smoking to reduce their risk. Family history (A) and increasing age (B) are non-modifiable risk factors. Diabetes (C) is a risk factor but not modifiable in this context. Other choices not provided.
A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates understanding of the teaching?
- A. Unlike chickenpox, the vesicles of smallpox are more abundant on the face.
- B. Smallpox lesions appear in various stages of healing.
- C. Vaccination against smallpox provides lifelong immunity.
- D. There are rare, occasional occurrences of smallpox.
Correct Answer: A
Rationale: The correct answer is A because smallpox vesicles are more abundant on the face compared to chickenpox. This is a key characteristic of smallpox that differentiates it from chickenpox. Option B is incorrect because smallpox lesions all appear at the same stage. Option C is incorrect as smallpox vaccination does not provide lifelong immunity. Option D is incorrect as smallpox has been eradicated, so occurrences are not rare but non-existent.
A nurse is triaging clients following a mass casualty event. Which of the following clients should the nurse assess first?
- A. A client who has a small circular partial-thickness burn of the left calf.
- B. A client who has severe respiratory stridor and a deviated trachea.
- C. A client who has a splinted open fracture of the left medial malleolus.
- D. A client who has a massive head injury and is experiencing seizures.
Correct Answer: B
Rationale: The correct answer is B. The client with severe respiratory stridor and a deviated trachea should be assessed first as this indicates a compromised airway, which is a life-threatening emergency. Immediate intervention is crucial to prevent respiratory arrest. Clients with airway issues should always be the top priority in triage.
Other choices are incorrect because:
A: Small circular partial-thickness burn of the left calf is not immediately life-threatening and can be addressed after addressing more critical conditions.
C: Splinted open fracture of the left medial malleolus, while serious, does not present an immediate threat to the client's life compared to compromised airway.
D: Massive head injury and seizures are also serious, but in this scenario, the client with compromised airway takes precedence as airway issues can lead to rapid deterioration.
A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?
- A. Tamoxifen
- B. Leuprolide
- C. Finasteride
- D. Cyclophosphamide
Correct Answer: B
Rationale: The correct answer is B: Leuprolide. Leuprolide is a gonadotropin-releasing hormone agonist that suppresses testosterone production, which can help slow the growth of prostate cancer. Tamoxifen (A) is used for breast cancer, Finasteride (C) is used for benign prostatic hyperplasia, and Cyclophosphamide (D) is a chemotherapy drug for various cancers. Therefore, in this case, the most appropriate medication for prostate cancer would be Leuprolide (B).