Nokea
The nurse is teaching a client who is scheduled for a percutaneous kidney biopsy. Which of the following information should the nurse include?
- A. You will need to lay flat immediately after this procedure.
- B. A heating pad will be applied to the affected area for pain relief.
- C. Before you eat, your gag reflex will need to return.
- D. You can resume your regular activities and diet right after the procedure.
Correct Answer: A
Rationale: Lying flat post-kidney biopsy prevents bleeding complications. Heating pads are not standard, gag reflex is irrelevant, and immediate activity resumption is unsafe.
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The occupational health nurse is conducting an in-service on reducing back injuries in the workplace. It would be correct for the nurse to identify that the most common location of back injuries is in the
- A. Cervical spine.
- B. Lumbar spine.
- C. Thoracic spine.
- D. Pelvis.
Correct Answer: B
Rationale: The lumbar spine is the most common site for back injuries due to its weight-bearing role and flexibility. Other areas are less frequently injured.
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 is caring for a client who has generalized urticaria. Which disease transmission precautions should the nurse implement?
- A. Airborne precautions
- B. Droplet precautions
- C. Contact precautions
- D. Standard precautions
Correct Answer: D
Rationale: Generalized urticaria is typically non-infectious (e.g., allergic), requiring only standard precautions. Transmission-based precautions are unnecessary.
The nurse is assisting a client in selecting appropriate food options for dumping syndrome. Which foods would be suitable choices? Select all that apply.
- A. Rice cereal
- B. Pastries
- C. Chicken breast
- D. Cola
- E. Scrambled eggs
Correct Answer: A,C,E
Rationale: Rice cereal, chicken breast, and scrambled eggs are low-sugar, high-protein options suitable for dumping syndrome. Pastries and cola are high-sugar, triggering symptoms.
The nurse is caring for a 4-year-old child who is being hospitalized due to complications from an autoimmune disorder, frequent infections, and a low white blood cell count. This child is very nervous about being in the hospital. Which intervention should the nurse implement to address this child's fears?
- A. Provide the child with a private room
- B. Encourage them to play with other children in the common area
- C. Advise the parents to only visit during visiting hours
- D. Allow the parents to stay as much as they'd like
Correct Answer: D
Rationale: Parental presence reduces fear in a hospitalized child, especially with immune compromise. A private room is ideal but not the focus, group play risks infection, and limited visits increase anxiety.