Nokea
Dry skin (Xerosis) can lead to itching (Pruritis). What statement by the client
indicates need for further teaching about preventing dry skin?
- A. I will drink at least 3000 mL of water daily."?
- B. . 'I will shower every day in hot water."?
- C. I will avoid tights belts."?
- D. I will use a humidifier during the winter months."?
Correct Answer: B
Rationale:
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A provider has ordered a wound culture for a client with a non-healing wound.
What is the nurse's first action?
- A. Label the specimen tube
- B. Put on non-sterile gloves
- C. Gently remove the soiled dressings
- D. Irrigate the wound
Correct Answer: B
Rationale:
The nurse is caring for 4 clients. Which of these clients will the nurse see
first?
- A. A client with sudden and increasing pain in his fractured arm
- B. A client being discharged in 2 hours and needs to be taught how to use his
crutches - C. A client with RA and a scheduled pain medication
- D. A client with a fractured ankle who would like a glass of water
Correct Answer: A
Rationale:
What nursing interventions increase the risk the pressure injuries?
- A. Padding hard surfaces
- B. Have client sit in wheelchair as much as possible
- C. Place pillows between bony surfaces
- D. Keep head of bed (HOB) at or less than 3
Correct Answer: B
Rationale:
What steps are NOT included in preparing a sterile field?
- A. Do not turn away from the sterile field
- B. Obtain PAPR mask
- C. Prepare the client before setting up the sterile field
- D. Cover the sterile field once it is set up
Correct Answer: B
Rationale:
A nurse is teaching a client who has out about dietary recommendations. The
nurse should teach the client which of the following beverages can trigger an
attack?
- A. Fruit juice
- B. Alcohol
- C. Milk
- D. Coffee
Correct Answer: B
Rationale: