Nokea
The nurse has attended a continuing education conference focused on reducing work-related injuries. Which statement by the nurse would require follow-up regarding actions helpful in reducing work-related injuries?
- A. Keeping back, neck, pelvis, and feet aligned helps maintain proper posture and reduces strain.
- B. I should position myself furthest away from the client (or object) being lifted.
- C. Flexing the knees and maintaining a broad base of support provides stability and helps distribute weight evenly.
- D. Encouraging the client to assist during repositioning or transfers promotes independence and reduces strain on the caregiver.
Correct Answer: B
Rationale: Positioning close to the client reduces strain during lifting. Other statements promote proper body mechanics.
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The nurse is caring for a client who underwent moderate sedation for a closed shoulder reduction. The nurse reviews the client’s clinical data. Which post-procedure data requires immediate followup?
- A. Blood Pressure
- B. Glasgow Coma Scale
- C. Respirations
- D. Temperature
Correct Answer: C
Rationale: Respiratory depression is a critical risk post-moderate sedation, so abnormal respirations require immediate follow-up. Blood pressure, Glasgow Coma Scale, and temperature are important but secondary unless specific abnormalities are noted.
The nurse has attended a conference on intraoperative nursing interventions for the older adult. which of the following statements by the nurse would indicate the need for additional teaching?
- A. Warming devices should be used to prevent the client from developing hypothermia
- B. The client's head and feet should be covered during surgery
- C. Clients should be slid, not lifted into the proper position
- D. Providing extra padding for clients with decreased peripheral circulation is important
Correct Answer: C
Rationale: Sliding clients instead of lifting can cause shear injuries, particularly in older adults with fragile skin. Warming devices, covering extremities, and extra padding are appropriate to prevent hypothermia and protect pressure points, indicating correct understanding.
The nurse has obtained a client's blood pressure. The nurse recognizes that which of the following factors may increase a client's blood pressure?
- A. Nicotine patch application
- B. Heat exhaustion
- C. Performing deep breathing exercises
- D. Hypothyroidism
Correct Answer: A
Rationale: Nicotine, a vasoconstrictor, increases blood pressure. Heat exhaustion, deep breathing, and hypothyroidism typically lower or do not affect BP acutely.
The nurse is visiting an older adult client with impaired vision. It would be necessary for the nurse to follow up if the client states which of the following? Select all that apply.
- A. I secured my throw rugs to the floor with tape.
- B. I switched to using an electric shaver instead of a razor.
- C. I usually sit in a recliner while I listen to the television.
- D. I use different shaped containers with lids to organize my medications.
- E. I use the upstairs bathroom instead of the one on the main floor.
Correct Answer: E
Rationale: Using an upstairs bathroom increases fall risk for a visually impaired client, requiring follow-up. Securing rugs, using an electric shaver, sitting in a recliner, and organizing medications are safe practices.
The nurse is caring for a child immediately postoperative following a left ear myringotomy. The nurse should position the child
- A. left lateral recumbent
- B. prone
- C. right lateral recumbent
- D. modified trendelenburg
Correct Answer: C
Rationale: Positioning the child on the right lateral recumbent side (operative ear up) post-myringotomy facilitates drainage from the left ear and prevents pressure on the surgical site. Left lateral recumbent or prone positions could obstruct drainage, and modified Trendelenburg is not indicated.