Nokea
What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?
- A. The blood pressure (BP) cuff should not be applied to the affected arm.
- B. Venipuncture for blood work should be performed on the affected arm.
- C. The affected arm should be used for intravenous (IV) therapy.
- D. The affected arm should be held down close to the woman's side.
Correct Answer: A
Rationale: The affected arm should not be used for BP readings, IV therapy, or venipuncture. It should be elevated to prevent complications like lymphedema.
You may also like to solve these questions
Which questionnaire would be best for the nurse to use when screening an adolescent client for an eating disorder?
- A. Four Cs
- B. Dietary Guidelines for America
- C. SCOFF screening tool
- D. Dual-energy x-ray absorptiometry (DEXA) scan
Correct Answer: C
Rationale: The SCOFF screening tool helps identify eating disorders, with a score of 2 or more indicating anorexia nervosa or bulimia.
The health history and physical examination cannot reliably identify all persons infected with HIV or other blood-borne pathogens. Which infection control practice should the nurse use when providing eye prophylaxis to a term newborn?
- A. Wear gloves.
- B. Wear mouth, nose, and eye protection.
- C. Wear a mask.
- D. Wash the hands after medication administration.
Correct Answer: A
Rationale: Standard precautions require the use of gloves when providing eye prophylaxis to a newborn.
A nurse is providing breast care education to a client after mammography. Which information regarding fibrocystic changes in the breast is important for the nurse to share?
- A. Fibrocystic breast disease is a disease of the milk ducts and glands in the breasts.
- B. It is a premalignant disorder characterized by lumps found in the breast tissue.
- C. Healthy women with fibrocystic breast disease find lumpiness with pain and tenderness in varying degrees in the breast tissue during menstrual cycles.
- D. Lumpiness is accompanied by tenderness after menses.
Correct Answer: C
Rationale: Fibrocystic changes are palpable thickenings in the breast usually associated with pain and tenderness. The pain and tenderness fluctuate with the menstrual cycle. They are not premalignant changes and tenderness most often occurs before menses.
In the acronym BRAIDED, which letter is used to identify the key components of informed consent that the nurse must document?
- A. B stands for birth control.
- B. R stands for reproduction.
- C. A stands for alternatives.
- D. I stands for ineffective.
Correct Answer: C
Rationale: In BRAIDED, 'A' stands for alternatives, representing the key component of informed consent that includes information about other viable methods.
What is the primary role of practicing nurses in the research process?
- A. Designing research studies
- B. Collecting data for other researchers
- C. Identifying researchable problems
- D. Seeking funding to support research studies
Correct Answer: C
Rationale: When problems are identified, research can be properly conducteResearch of healthcare issues leads to evidence-based practice guidelines.