Nokea
A post-operative client with a sutured abdominal incision felt a sharp
abdominal pain after having a bowel movement. Upon inspection, the nurse
notices bowel protruding from the incision site. What does the nurse tell the
physician about the event?
- A. The client's incision site has eviscerated
- B. The client's incision site has lacerated
- C. The client's incisional site is approximated
- D. The client's incisional site has dehisced after.
Correct Answer: A
Rationale:
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The client with systemic sclerosis (Scleroderma) is experiencing Raynaud's
phenomenon. What assessment finding does the nurse anticipate?
- A. Excessive heartburn
- B. Cyanosis of the lips
- C. Excess wrinkled skin
- D. Cold and purple nailbeds
Correct Answer: D
Rationale:
A nurse is providing oral hygiene for an unconscious client. What is the priority
nursing intervention?
- A. Position the client on one side with the head turned towards you
- B. Handle dentures with care
- C. Use gentle brushing and flossing techniques for clients with fragile mucosa
- D. Have a suction apparatus ready at the bedside
Correct Answer: A
Rationale:
Which of the following is NOT a risk factor for osteoarthritis?
- A. Older age
- B. Sports injuries
- C. Obesity
- D. Vegan diet
Correct Answer: D
Rationale:
During a skin inspection at the outpatient clinic, the nurse notices patches of
thick, red skin with silvery scales on the client's elbows and knees. What skin
abnormality does the nurse suspect?
- A. Scabies
- B. Rosacea
- C. Psoriasis
- D. Statis dermatitis
Correct Answer: C
Rationale:
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: