Nokea
A nurse is preparing to discharge a patient from the emergency department after receiving treatment for an ankle sprain. While providing discharge education, the nurse should encourage which of the following?
- A. Apply heat for the first 24 to 48 hours after the injury.
- B. Maintain the ankle in a dependent position.
- C. Exercise hourly by performing rotation exercises of the ankle.
- D. Keep an elastic compression bandage on the ankle.
Correct Answer: D
Rationale: Treatment of a sprain consists of resting and elevating the affected part, applying cold, and using a compression bandage. After the acute inflammatory stage (usually 24 to 48 hours after injury), heat may be applied intermittently. Rotation exercises would likely be painful.
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A client treated for pelvic inflammatory disease is preparing for discharge. During the teaching session, the use of tampons is discussed. Which of the following statements by the client indicate the understanding of the content provided?
- A. I will be able to wear tampons, change them every four hours, and wear pads at night.'
- B. The use of tampons is forever prohibited.'
- C. Both of the above
- D. None of the above
Correct Answer: A
Rationale: Tampons are allowed but must be changed regularly (every 4 hours), and pads at night prevent prolonged use, reducing infection risk.
The client sustained a hot grease burn to the right hand and calls the emergency room for advice. Which information should the nurse provide to the client?
- A. Apply an ice pack to the right hand
- B. Place the hand in cool water
- C. Be sure to rupture any blister formation
- D. Go immediately to the doctor's office
Correct Answer: B
Rationale: Cool water reduces heat and pain without damaging tissue, unlike ice or rupturing blisters, which can worsen the injury.
A client with myocardial infarction suddenly becomes tachycardic, shows signs of air hunger, and begins coughing frothy, pink-tinged sputum. Which finding would the nurse anticipate when auscultating the client's breath sounds?
- A. Stridor
- B. Crackles
- C. Scattered rhonchi
- D. Diminished breath sounds
Correct Answer: B
Rationale: Pulmonary edema from MI causes crackles due to fluid in the alveoli.
Common sites for psoriasis include:
- A. The palate, nasal septum and knees
- B. Knees, nape of the neck and elbows
- C. Elbows, knees and scalp
- D. Scalp, eyebrows and gluteal cleft
Correct Answer: C
Rationale: Psoriasis commonly affects the elbows, knees, and scalp.
The parents of a 2-year-old child diagnosed with measles call the pediatric clinic about the child being uncomfortable, irritable, and fretful. Which recommendation should the nurse discuss?
- A. Alternate ibuprofen with children's aspirin every 4 hours.
- B. Apply diphenhydramine cream to the rash.
- C. Administer acetaminophen elixir to the child.
- D. Tell the parents that there is no medication for the child.
Correct Answer: C
Rationale: Acetaminophen reduces discomfort in measles. Aspirin risks Reye's syndrome, diphenhydramine cream isn't suitable, and denying medication ignores symptom relief options.