Nokea
What action should the nurse include in teaching Mr. Ross about skin care of the irradiated area?
- A. Applying ointment or lotion to the skin
- B. Washing the area with soap and water
- C. Keeping the area dry and open to air
- D. Massaging the area and exposing it to sunlight
Correct Answer: C
Rationale: Protecting the skin from irritation and moisture promotes healing.
You may also like to solve these questions
Thirty-six hours postoperatively a patient has a temperature of 100°F (37.8°C). What is the most likely cause of this temperature elevation?
- A. Dehydration
- B. Wound infection
- C. Lung congestion and atelectasis
- D. Normal surgical stress response
Correct Answer: D
Rationale: Low-grade fever within the first 48 hours postoperatively is typically a normal response to surgical stress.
Which vitamin does a client lack if there is a problem with the absorption of calcium?
- A. Vitamin A
- B. Vitamin B
- C. Vitamin C
- D. Vitamin D
Correct Answer: D
Rationale: Vitamin D is essential for calcium absorption in the intestines. A deficiency impairs this process.
A healthcare professional is auscultating the lungs of a client who has pleurisy. Which of the following adventitious breath sounds should the professional expect to hear?
- A. Loud, scratchy sounds
- B. Squeaky, musical sounds
- C. Popping sounds
- D. Snoring sounds
Correct Answer: A
Rationale: The correct answer is A: Loud, scratchy sounds. Pleurisy is inflammation of the pleura, causing friction between layers of the lung lining, resulting in loud, scratchy sounds known as pleural friction rubs. Squeaky, musical sounds (B) are indicative of wheezing in conditions like asthma. Popping sounds (C) can be heard in conditions like atelectasis or pneumonia. Snoring sounds (D) are typically associated with upper airway obstruction, not pleurisy. Therefore, in the context of pleurisy, the healthcare professional should expect to hear loud, scratchy sounds during auscultation.
What cultural elements should a nurse ask about or observe when performing a cultural assessment on a client?
- A. Health beliefs,dietary preferences and communication styles.
- B. Only health beliefs.
- C. Only dietary preferences.
- D. Only communication styles.
Correct Answer: A
Rationale: Comprehensive cultural assessments include health beliefs, dietary preferences, and communication styles to tailor care appropriately.
What accurately describes the health care system in which future nurses will be employed?
- A. With improvements in medicine there will be fewer patients with chronic illnesses
- B. Rapidly changing technology and expanding knowledge will simplify the health care environment
- C. The Quality and Safety Education for Nurses (QSEN) project measures the ability of nursing graduates to be prepared for the reality of practice
- D. The Joint Commission establishes National Patient Safety Goals and evidence-based solutions for nurses to promote meeting these goals by all caring for the patient
Correct Answer: C
Rationale: The QSEN project focuses on preparing nurses for real-world practice, and The Joint Commission sets safety goals. Chronic illnesses are increasing due to aging populations, and technology adds complexity rather than simplifying the environment.