Nokea
Priority treatment of a fracture is
- A. Surgical reduction of the fracture.
- B. Immobilization of the area.
- C. Insertion of an internal fixation device.
- D. Reduction of the fracture.
Correct Answer: B
Rationale: Immobilization prevents further injury and promotes healing.
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What action assumes greatest priority for Mr. Walker with productive cough, dull percussion notes, and rhonchi?
- A. Determine if Mr. Smith has a history of COPD
- B. Monitor respiratory status for increasing dyspnea
- C. Discuss ways to prevent pneumonia
- D. Obtain a physician’s order for sedatives
Correct Answer: B
Rationale: Monitoring for worsening respiratory distress is critical.
The third stage of labor is when:
- A. Contractions reach their peak
- B. The head is visible
- C. The water breaks
- D. The placenta is delivered
Correct Answer: D
Rationale: The third stage of labor involves the delivery of the placenta after the baby is born.
When performing a neurologic assessment on Ken, the physician notices that there is contraction of his facial muscle after tapping the facial nerve anterior to his ear. He recognizes this as Chvostek’s sign. This is seen in:
- A. Hyponatremia.
- B. Hypokalemia.
- C. Hypocalcemia.
- D. Hypomagnesemia.
Correct Answer: C
Rationale: The correct answer is Hypocalcemia (C). Chvostek's sign is a clinical sign of hypocalcemia, where tapping the facial nerve causes twitching of facial muscles due to increased neuromuscular excitability caused by low calcium levels.
What condition should the nurse anticipate that might occur during epidural and spinal anesthesia?
- A. Spinal headache
- B. Hypotension and bradycardia
- C. Loss of consciousness and seizures
- D. Downward extension of nerve block
Correct Answer: B
Rationale: Epidural and spinal anesthesia commonly cause hypotension and bradycardia due to sympathetic blockade.
A primary nursing responsibility is the prevention of lung cancer by assisting patients in smoking/tobacco cessation. Which task would be appropriate to delegate to the LPN/LVN?
- A. Develop a 'quit plan'.
- B. Discuss strategies to avoid relapse.
- C. Explain the application of a nicotine patch.
- D. Suggest ways to deal with urges for tobacco.
Correct Answer: C
Rationale: Explaining the application of a nicotine patch is a technical task that LPNs/LVNs can perform, while developing plans or discussing strategies require more specialized knowledge.