Nokea
The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?
- A. Russell's traction
- B. Buck's traction
- C. Halo traction
- D. Crutchfield tong traction
Correct Answer: C
Rationale: Halo traction is used for cervical fractures and can be maintained post-discharge for stabilization.
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Which information should be reported to the state Board of Nursing?
- A. The facility fails to provide literature in both Spanish and English.
- B. The narcotic count has been incorrect on the unit for the past 3 days.
- C. The client fails to receive an itemized account of his bills and services received during his hospital stay.
- D. The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.
Correct Answer: B
Rationale: Incorrect narcotic counts suggest potential diversion or mismanagement of controlled substances, which must be reported to the state Board of Nursing.
The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician's teaching by telling the parents that:
- A. The medication will be needed only during times of rapid growth.
- B. The medication will be needed throughout the child's lifetime.
- C. The medication schedule can be arranged to allow for drug holidays.
- D. The medication is given one time daily every other day.
Correct Answer: B
Rationale: Congenital hypothyroidism requires lifelong thyroid hormone replacement therapy to maintain normal metabolism and development.
A client with AIDS asks the nurse why he cannot have a pitcher of water left at his bedside. The nurse should tell the client that:
- A. It would be best for him to drink ice water.
- B. He should drink several glasses of juice instead.
- C. It makes it easier to keep a record of his intake.
- D. He should drink only freshly run water.
Correct Answer: D
Rationale: For clients with AIDS, stagnant water in a pitcher can harbor bacteria, posing an infection risk due to their compromised immune system. Freshly run water minimizes this risk.
In order to ensure adequate protein intake during pregnancy, how many additional grams of protein should the woman ingest daily during the second half of the pregnancy? Report your answer using a whole number.
Correct Answer: 25
Rationale: Pregnant women need an additional 25 grams of protein daily in the second half of pregnancy to support fetal growth and maternal health.
The infant is admitted to the unit with Tetralogy of Fallot. The nurse would anticipate an order for which medication?
- A. Digoxin
- B. Epinephrine
- C. Aminophyline
- D. Atropine
Correct Answer: A
Rationale: Digoxin is commonly used in Tetralogy of Fallot to improve cardiac function and manage heart failure symptoms.