Nokea
Radiation burns occur as a result of:
- A. High-voltage electricity
- B. Radiation and acids
- C. Sunburn, radiotherapy and radiation
- D. Excessive exposure to heat
Correct Answer: C
Rationale: Radiation burns result from sunburn, radiotherapy, and other forms of radiation exposure.
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The client diagnosed with a verruca vulgaris (wart) on the left ring finger below the knuckle is prescribed a colloidal acid solution. Which information should the nurse discuss with the client?
- A. Apply the solution to the wart every 12 hours.'
- B. Expect the wart to disappear within 1 week.'
- C. Be careful because the wart may spread easily.'
- D. Do not wear any rings on the left hand.'
Correct Answer: A
Rationale: Apply acid (e.g., salicylic/lactic) every 12-24 hours for 2-3 weeks. It takes 2-3 weeks to work, not 1, and it doesn't spread easily or restrict ring use.
The nurse is caring for clients on a medical unit. After the shift report, which client should the nurse assess first?
- A. The 34-year-old client who is quadriplegic and cannot move his arms
- B. The elderly client diagnosed with a CVA who is weak on the right side
- C. The 78-year-old client with pressure ulcers who has a temperature of 102.3°F
- D. The young adult who is unhappy with the care that was provided last shift
Correct Answer: C
Rationale: A fever of 102.3°F in a client with pressure ulcers suggests possible infection, requiring urgent assessment.
The orthopedic nurse should assess for signs and symptoms of Volkmann's contracture if a patient has fractured which of the following bones?
- A. Femur
- B. Humerus
- C. Radial head
- D. Clavicle
Correct Answer: B
Rationale: The most serious complication of a supracondylar fracture of the humerus is Volkmann's ischemic contracture, which results from antecubital swelling or damage to the brachial artery. This complication is specific to humeral fractures.
A male client comes to the physician's office for treatment of severe sunburn. The nurse takes this opportunity to discuss the importance of protecting the skin from the sun's damaging rays. Which instruction would best prevent skin damage?
- A. Wear protective clothing only.
- B. Use a tanning bed instead of sun exposure.
- C. Apply sunscreen even on overcast days.
- D. Avoid sunscreen on cloudy days.
Correct Answer: C
Rationale: UV rays penetrate clouds, so applying sunscreen even on overcast days is essential to prevent skin damage.
What would the nurse anticipate to be prescribed for a client with a suspected inhalation injury at home?
- A. 100% oxygen via an aerosol mask
- B. Oxygen via nasal cannula at 6 L/minute
- C. Oxygen via nasal cannula at 15 L/minute
- D. 100% oxygen via a tight-fitting, nonrebreather face mask
Correct Answer: D
Rationale: In cases of suspected inhalation injury, providing high concentrations of oxygen is crucial to counteract potential hypoxia and carbon monoxide poisoning. A nonrebreather mask can deliver close to 100% oxygen.