What is a sign of inadequate perfusion?
- A. Intact sensation
- B. Pallor in toes
- C. Bounding pulses
- D. Pink fingers
Correct Answer: B
Rationale:
You may also like to solve these questions
A nurse enters the hospital room of a client with reduced immunity. What
observation requires further action by the nurse?
- A. The client is in a private room.
- B. The client has a vase of fresh flowers on the table
- C. The client has a dedicated vital signs machine
- D. There is hand sanitizer by the door
Correct Answer: B
Rationale:
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:
The client states, "Why am I getting protein supplements while I am healing
from a bed sore?"? What is the best response by the nurse?
- A. Because it is easy to digest.'
- B. Protein has amin acid that promotes wound healing.'
- C. If you do not like it, you do not have to take it.'
- D. These supplements have nothing to do with your wound,'
Correct Answer: B
Rationale:
A client is immobile and requires mechanical ventilation with a tracheostomy.
She has a pressure injury on her coccyx measuring 5 cm by 3 cm. the nurse
observes bone and tendon at the base of the wound. How would the nurse
document this wound?
- A. Stage III pressure injury
- B. A stage II pressure injury
- C. A non-staging pressure injury
- D. Stage IV pressure injury
Correct Answer: D
Rationale:
A nurse is preparing a community presentation about repetitive motion
injuries. Which of the following occupations should the nurse identify as
increasing a client's risk for carpal tunnel syndrome?
- A. Elementary school teacher
- B. Nursing assistant
- C. Assembly line worker
- D. Truck driver
Correct Answer: A
Rationale: