Nokea
The nurse is caring for 4 clients. Which of these clients will the nurse see
first?
- A. A client with sudden and increasing pain in his fractured arm
- B. A client being discharged in 2 hours and needs to be taught how to use his
crutches - C. A client with RA and a scheduled pain medication
- D. A client with a fractured ankle who would like a glass of water
Correct Answer: A
Rationale:
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A client is recovering from a fractured radius that occurred 7weeks ago. Which
state of bone healing occurs at this time as the callus is restored and
transformed into bone?
- A. Stage 3
- B. Stage 5
- C. Stage 1
- D. Stage 4
Correct Answer: D
Rationale:
The nurse is teaching a client with debilitating rheumatoid arthritis about home safety. Which statement should the nurse include?
- A. "My grandfather always had problems with his arthritis, and he would tell me that it is better to be more stoic and not let pain interrupt your life"?
- B. "There are many adaptive devices such as grab bars, reaching tools, grasping devices, and adaptive silverware available that may help you."?
- C. "Place throw rugs throughout your home. You will enjoy how pretty they are, and you can use them to cover up power cords, so you do not trip on them."?
- D. "Lack of home safety may be an issue of compliance. Are you being compliant with your medication?"?
Correct Answer: B
Rationale: The correct answer is B. This statement is the most appropriate because it focuses on providing practical solutions to enhance the client's safety at home while managing rheumatoid arthritis. Adaptive devices like grab bars, reaching tools, grasping devices, and adaptive silverware can help the client maintain independence and prevent accidents. Choice A is incorrect as it does not provide practical advice on home safety but rather a personal anecdote. Choice C is incorrect as throw rugs can pose a tripping hazard instead of enhancing safety. Choice D is also incorrect as it does not directly address home safety measures but rather shifts the focus to medication compliance.
A nurse is caring for an intubated and sedated geriatric client. What
intervention is most appropriate for reducing the risk for a friction and shear
injury?
- A. Use a mechanical lift to reposition the client every 2 hours
- B. Elevate the client's head of the bed to 45 degrees
- C. Postpone daily bed bath
- D. Caregiver independently slides the client up in the bed
Correct Answer: A
Rationale:
A client has AIDS. Which of these findings indicate possible
infection?
- A. Respirations; 22 breaths per minute
- B. Client ambulates 20 feet
- C. Purulent drainage
- D. Oxygen saturation; 97% on room air
Correct Answer: C
Rationale:
A nurse is teaching a client how to follow a low-purine diet as prescribed by the
provider for the management of gout. What statement by the client indicates a
correct understanding of the teaching?
- A. "I should choose red meat instead of poultry."?
- B. "I should avoid eating liver and other organ meats."?
- C. I can drink only white wine."?
- D. "I will need to limit the number of fruit servings each day."?
Correct Answer: B
Rationale: