Nokea
The medical-surgical nurse performs a dressing change on a patient with a history of non-insulin-dependent diabetes. The patient questions why the wound is not healing. Recognizing a teaching opportunity, what response does the nurse offer the patient?
- A. Are you eating enough carbohydrates in your diet?
- B. Have you limited your exercise because of the wound?
- C. How much sleep are you getting at night?
- D. How often do you check your blood sugar levels at home?
Correct Answer: D
Rationale: Blood sugar control significantly impacts wound healing in diabetic patients.
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Which teaching strategies should the nurse plan to use for a baby boomer patient (select all that apply)?
- A. Podcast
- B. Role playing
- C. Group teaching
- D. Lecture-discussion
Correct Answer: B
Rationale: The correct answers are 'Role playing,' 'Group teaching,' and 'Lecture-discussion.' Baby boomers often prefer interactive and structured learning environments. Podcasts and games may not resonate as well with this demographic.
What is the most common cause of amblyopia?
- A. Strabismus
- B. Cataracts
- C. Astigmatism
- D. Glaucoma
Correct Answer: A
Rationale: Strabismus, or misalignment of the eyes, is the leading cause of amblyopia in children.
A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take?
- A. Insert an indwelling urinary catheter.
- B. Inspect the mouth for signs of inhalation injuries.
- C. Administer intravenous pain medication.
- D. Draw blood for a complete blood cell (CBC) count.
Correct Answer: B
Rationale: The correct answer is B: Inspect the mouth for signs of inhalation injuries. This is the priority action because inhalation injuries can be life-threatening due to airway compromise. The nurse should assess for soot in the mouth, facial burns, hoarseness, and difficulty breathing. This allows for prompt intervention if respiratory distress is present.
A: Inserting an indwelling urinary catheter is not the priority as it does not address the immediate life-threatening issue.
C: Administering pain medication is important but not the priority over assessing for inhalation injuries which could lead to respiratory distress.
D: Drawing blood for a CBC count is not the priority as it does not address the immediate threat to the client's airway.
For which condition would the use of salt tablets be considered?
- A. Mild deficits of serum sodium
- B. Severe deficits of serum magnesium
- C. Severe deficits of serum potassium
- D. Severe deficits of serum calcium
Correct Answer: A
Rationale: Salt tablets are used to correct mild sodium deficits by providing additional sodium chloride.
During an assessment of a patient who sustained a head injury 24 hours ago, the medical-surgical nurse notes the development of slurred speech and disorientation to time and place. The nurse's initial action is to
- A. continue the hourly neurologic assessments.
- B. inform the neurosurgeon of the patient's status.
- C. prepare the patient for emergency surgery.
- D. recheck the patient's neurologic status in 15 minutes.
Correct Answer: B
Rationale: Neurological changes could indicate worsening intracranial pressure, necessitating immediate physician notification.