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The client and spouse were involved in a motorcycle accident in which the spouse was killed. The client, being treated for multiple rib fractures and a broken leg, asks the nurse in which room his wife is located. Which response is most appropriate?
- A. Unfortunately, your wife is not in the hospital at this time.'
- B. I'm sorry, but your wife did not survive the motorcycle accident.'
- C. Let me get your family so that you can talk to them about your wife.'
- D. The doctor will be talking to you to let you know where she is located.'
Correct Answer: B
Rationale: B. Because the nurse-client relationship is built on trust, the nurse should not withhold information from the client. The nurse should disclose that the spouse did not survive and be available for support.
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The clinic nurse assesses a client with complaints of pain and numbness in the left hand and fingers. Which question should the nurse ask the client?
- A. Do you smoke or use any type of tobacco products?'
- B. Do you have to wear gloves when you are out in the cold?'
- C. Do you do repetitive movements with your left fingers?'
- D. Do you have tremors or involuntary movements of your hand?'
Correct Answer: C
Rationale: Repetitive movements are a primary cause of carpal tunnel syndrome, causing pain and numbness. Smoking, cold sensitivity, and tremors are unrelated.
The client diagnosed with OA is prescribed a nonsteroidal anti-inflammatory drug (NSAID). Which instruction should the nurse teach the client?
- A. Take the medication on an empty stomach.
- B. Make sure to taper the medication when discontinuing.
- C. Apply the medication topically over the affected joints.
- D. Notify the health-care provider if vomiting blood.
Correct Answer: D
Rationale: Vomiting blood indicates GI bleeding, a serious NSAID side effect requiring immediate HCP notification. NSAIDs should be taken with food, tapering is not typical, and topical NSAIDs are distinct.
Which statement by the client diagnosed with a fractured ulna indicates to the nurse the client needs further teaching?
- A. I need to eat a high-protein diet to ensure healing.'
- B. I need to wiggle my fingers every hour to increase circulation.'
- C. I need to take my pain medication before my pain is too bad.'
- D. I need to keep this immobilizer on when lying down only.'
Correct Answer: D
Rationale: Immobilizers must be worn continuously to stabilize a fractured ulna, not just when lying down. High-protein diet, finger movement, and proactive pain management are correct.
The day after an amputation, the client begins to hemorrhage from his stump. What action should the nurse take first?
- A. Apply a pressure dressing to the stump
- B. Place a tourniquet above the stump
- C. Notify the physician
- D. Apply an ice pack to the stump
Correct Answer: A
Rationale: Applying a pressure dressing is the first action to control hemorrhage, followed by notifying the physician.
Which statement made by the client to the nurse provides the best evidence that the client understands the therapeutic plan?
- A. I should keep my hand as still as possible.
- B. I should stop playing golf for the time being.
- C. I can substitute playing miniature golf.
- D. I can wear a tight leather glove when golfing.
Correct Answer: B
Rationale: Tenosynovitis involves inflammation of the tendon sheath, often exacerbated by repetitive wrist motion. The physician recommends avoiding such motions temporarily. Stopping golf, which involves repetitive wrist actions, directly aligns with this plan, unlike miniature golf, which still requires wrist movement, or wearing a glove, which does not address motion.