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In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:
- A. diabetic signs and symptoms
- B. nutritional status
- C. bleeding problems
- D. availability of insulin
Correct Answer: C
Rationale: Bleeding problems are not typically associated with diabetes management. Assessing diabetic symptoms, nutritional status, and insulin availability are critical to ensure glycemic control in a disaster.
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When a client has a chest drainage system in place, where should the system be placed?
- A. above the client's head
- B. at the client's shoulders
- C. at the level of the chest
- D. below the level of the chest
Correct Answer: D
Rationale: A chest drainage system should be placed below the level of the client's chest so that the drainage flows out of the chest into the system. The remaining choices are too high and do not allow fluid to drain out of the chest.
Which of the following statements by a client indicates adequate understanding of preparation for a lipoprotein fractionation test?
- A. I cannot eat or drink after midnight.'
- B. I cannot eat for 12 hours before the test.'
- C. I need to limit my fluid intake.'
- D. I need to ingest a lipid solution.'
Correct Answer: B
Rationale: Fasting for 12 hours is required for a lipoprotein fractionation test to ensure accurate lipid levels. Water is allowed, and no lipid solution is ingested.
Regardless of their practice area, nurses should be concerned with:
- A. All drug-resistant bacteria
- B. Microorganisms that are critical
- C. Transmission of microorganisms
- D. Overprescription of bacteriostatic drugs
Correct Answer: C
Rationale: Preventing microorganism transmission is a universal nursing concern to protect clients, families, and staff, achieved through asepsis and infection control practices.
Which of the following medications might cause upper-gastrointestinal (UGI) bleeding?
- A. Cardizem (diltiazem)
- B. Naprosyn (naproxen)
- C. Elavil (amitriptyline)
- D. Corgard (nadolol)
Correct Answer: B
Rationale: Naprosyn, an NSAID, can irritate the gastric mucosa, increasing the risk of UGI bleeding, unlike the other medications, which are less associated with this risk.
A client begins bleeding from the site of a previous arterial blood gas draw on the right wrist. What should the nurse do first?
- A. Check the blood count.
- B. Apply pressure to the site.
- C. Document the bleeding.
- D. Monitor the bleeding.
Correct Answer: B
Rationale: If a client begins bleeding from the site of a previous arterial blood gas draw on the right wrist, the nurse should first apply pressure to the site. This prevents further bleeding. The remaining choices can be performed later.