Nokea
What complication of wound healing is an abnormal passage that connects
two body cavities or a cavity and the skin?
- A. Fistula
- B. Hemorrhage
- C. Evisceration
- D. infection
Correct Answer: A
Rationale:
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A nurse is caring for a client who has methicillin-resistant Staphylococcus
aureus (MRSA) in an abdominal wound. The nurse prepares to enter the room
to check the client's pulse. What personal protective equipment (PPE) should
the nurse don?
- A. PAPR mask
- B. Sterile gloves
- C. Gown
- D. Surgical mask
Correct Answer: C
Rationale:
The nurse assesses a wound with exudate. What should not be included when
documenting the exudate?
- A. Amount
- B. Consistency
- C. Heat
- D. Odor
Correct Answer: C
Rationale:
The client complains of fatigue and joint pain and reports that they are
unable to walk due to pain in the knees. What is the most appropriate statement
by the nurse?
- A. "You just have arthritis and should take some ibuprofen."?
- B. "You should avoid walking. This might be osteoporosis."?
- C. "Please tell me more about when your pain started."?
- D. "You need to lose weight or the pain won't go away."?
Correct Answer: C
Rationale:
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:
A nurse is teaching a newly hired group of unlicensed assistive personnel
about infection-control measures on the unit. What is the most effective way to
prevent the spread of pathogens during client care?
- A. Properly dispose of contaminated equipment
- B. Perform hand hygiene
- C. Discard used syringes into appropriate containers
- D. Change soiled linens
Correct Answer: B
Rationale: