Nokea
Anne returned from carpal tunnel surgery. Her hand and arm must remain elevated above the heart after the surgery. She asks you why. You respond by saying
- A. To reduce lymphatic drainage.
- B. To restrict hand movements.
- C. To decrease possibility of nosocomial infection.
- D. To reduce postoperative swelling.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
The nurse documents a client's surgical incision as having red granulated tissue. This indicates that the wound is:
- A. infected.
- B. not healing.
- C. necrotic.
- D. healing.
Correct Answer: D
Rationale: The wound is not infected. An infected wound would contain pus, debris, and exudate. A necrotic wound would appear black or brown. The wound is healing properly. It is filled with red granulated tissue and fragile capillaries. A necrotic wound would appear black or brown. The wound is healing properly. It is filled with red granulated tissue and fragile capillaries.
In which circumstance should a nurse avoid using midline and midclavicular sites for IV therapy?
- A. To administer solutions with a pH greater than 5 and less than 9.
- B. To administer antineoplastic chemotherapy.
- C. To administer slow,low-volume infusions.
- D. To administer solutions with an osmolality less than 500 mOsm/L.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client is scheduled to have a tracheostomy placed in an hour. What action by the nurse is the priority?
- A. Administer prescribed anxiolytic medication.
- B. Ensure informed consent is on the chart.
- C. Reinforce any teaching done previously.
- D. Start the preoperative antibiotic infusion.
Correct Answer: B
Rationale: The correct answer is B: Ensure informed consent is on the chart. This is the priority because obtaining informed consent is essential to ensure the client understands the procedure, risks, benefits, and alternatives. It protects the client's autonomy and ensures legal and ethical standards are met. Administering anxiolytic medication may help with anxiety but does not address the crucial issue of consent. Reinforcing teaching and starting antibiotics are important but secondary to obtaining informed consent.
A deathly ill patient from a culture different than the nurse’s is admitted. Which question is appropriate to help the nurse provide culturally competent care?
- A. “If you die
- B. will you want an autopsy?”
- C. “Are you interested in learning about palliative or hospice care?”
- D. “Do you have any preferences for what happens if you are dying?”
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are reviewing lab findings on an 88-year-old patient and note that her vitamin B12 level is low. A decrease in B12 among older adults frequently results in:
- A. Aplastic anemia
- B. Pernicious anemia
- C. Folate anemia
- D. Wernicke’s anemia
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.