Nokea
A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?
- A. Eating a high fiber diet will reduce my risk for developing skin cancer
- B. should check my skin monthly for any changes.
- C. should use sunscreen even on cloudy days.
- D. should avoid the use of tanning booths.
Correct Answer: A
Rationale: There is no evidence that a high-fiber diet reduces skin cancer risk, indicating a misunderstanding. Other statements reflect correct preventive measures.
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A nurse is caring for a client who has shingles with multiple skin lesions. Which of the following actions by the nurse require intervention by the nurse's supervisor?
- A. The nurse wears a gown when bathing the client.
- B. The nurse admits another client who has shingles to the client's double room.
- C. The nurse wears gloves when providing direct care to the client.
- D. The nurse wears an N95 respirator mask.
Correct Answer: B
Rationale: Shingles is highly contagious, especially to those without chickenpox immunity. Cohorting clients with shingles in a shared room risks viral transmission. Other actions are appropriate precautions.
A nurse is assessing a client before administering a unit of packed RBCs. The nurse should identify which of the following data as most important to obtain prior to the infusion?
- A. Hemoglobin level
- B. Fluid intake
- C. Temperature
- D. Skin color
Correct Answer: C
Rationale: A baseline temperature is crucial to monitor for febrile reactions during transfusion. A significant rise indicates a reaction requiring intervention. Other data are less immediate.
A nurse in an emergency department is caring for a client who is bleeding profusely from a deep laceration on his left lower forearm. After observing standard precautions, which of the following actions should the nurse perform first?
- A. Elevate the limb and apply ice.
- B. Apply a tourniquet just below the elbow.
- C. Apply direct pressure over the wound.
- D. Clean the wound.
Correct Answer: C
Rationale: Applying direct pressure is the first-line intervention to control profuse bleeding, stopping or reducing blood loss immediately.
A nurse in an emergency department is caring for a client who is bleeding profusely from a deep laceration on his left lower forearm. After observing standard precautions, which of the following actions should the nurse perform first?
- A. Elevate the limb and apply ice.
- B. Apply a tourniquet just below the elbow.
- C. Apply direct pressure over the wound.
- D. Clean the wound.
Correct Answer: C
Rationale: Applying direct pressure is the first-line intervention to control profuse bleeding, stopping or reducing blood loss immediately.
A nurse is teaching a group of clients about lifestyle modifications that could decrease risk factors for developing hearing loss. Which of the following risk factors should the nurse include in the teaching?
- A. Consume foods high in potassium
- B. Avoid smoking tobacco products
- C. increase oral intake of water
- D. Limit alcohol to two drinks daily
Correct Answer: B
Rationale: Smoking impairs blood flow to the cochlea and auditory nerve, increasing hearing loss risk. Potassium, hydration, and moderate alcohol are not directly linked to hearing loss prevention.