Nokea
The nurse is caring for a client who develops compartment syndrome from a
severely fractured arm. The client asks how this can happen. What is the best
response by the nurse?
- A. . "The fascia expands with injury, causing pressure on underlying nerves and muscles."?
- B. "An injured artery causes impaired arterial perfusion through the compartment."?
- C. "Bleeding and swelling cause increased pressure in an area that cannot expand."?
- D. . "A bone fragment has injured the nerve supply in the area."?
Correct Answer: C
Rationale:
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The nurse is performing a psychosocial assessment on a client with a severe
rheumatoid arthritis. What would be the most appropriate statement by the
nurse?
- A. "Tell me about what medication you are taking"?
- B. "What physical limitations are you experiencing?"?
- C. "How does this impact your role in your family?"?
- D. "What therapies are you using to reduce swelling?"?
Correct Answer: C
Rationale:
A provider has ordered a wound culture for a client with a non-healing wound.
What is the nurse's first action?
- A. Label the specimen tube
- B. Put on non-sterile gloves
- C. Gently remove the soiled dressings
- D. Irrigate the wound
Correct Answer: B
Rationale:
A client who is sitting in High-Fowler's position is at risk for what type of
injury as the skin layers shift in opposite directions?
- A. Traumatic injury
- B. Pressure injury
- C. Friction injury
- D. Shearing injury
Correct Answer: D
Rationale:
What steps are NOT included in preparing a sterile field?
- A. Do not turn away from the sterile field
- B. Obtain PAPR mask
- C. Prepare the client before setting up the sterile field
- D. Cover the sterile field once it is set up
Correct Answer: B
Rationale:
Which practice is recommended to prevent human immune deficiency virus
(HIV) transmission by health care workers?
- A. Wearing a mask within three feet of the client
- B. Using standard precautions
- C. Applying hand sanitizer to gloves during cares
- D. Double gloving
Correct Answer: B
Rationale: