Nokea
When caring for a dying client, which intervention protects the client’s skin from breakdown?
- A. Applying oil to the client’s body.
- B. Providing plenty of drinking water to hydrate the client’s skin.
- C. Giving the client a sponge bath twice a day.
- D. Changing the client’s position every 2 hours.
Correct Answer: D
Rationale: Regularly repositioning the client reduces pressure on vulnerable areas, preventing skin breakdown.
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What condition should the nurse anticipate that might occur during epidural and spinal anesthesia?
- A. Spinal headache
- B. Hypotension and bradycardia
- C. Loss of consciousness and seizures
- D. Downward extension of nerve block
Correct Answer: B
Rationale: Epidural and spinal anesthesia commonly cause hypotension and bradycardia due to sympathetic blockade.
19. Which herb may relieve anxiety but can cause hepatotoxicity?
- A. Kava
- B. Ginseng
- C. Milk thistle
- D. Ginkgo biloba
Correct Answer: A
Rationale: Kava (option A) is known for its anxiolytic properties but carries a risk of hepatotoxicity if misused.
Which of the following tasks is most appropriate to delegate to the nursing assistant?
- A. Escort the family to a place of privacy
- B. Go with the organ donor specialist to talk to the family
- C. Assist with postmortem care
- D. Assist the family to collect belongings
Correct Answer: C
Rationale: Postmortem care involves basic hygiene and positioning, which can be performed by a nursing assistant.
What type of contamination is the nurse trying to eliminate when he or she requests people to remove all garments before entering a house or shelter?
- A. Internal radiologic contamination
- B. External vesicant contamination
- C. External radioactive contamination
- D. Cross-contamination
Correct Answer: C
Rationale: The correct answer is C because removing contaminated clothing reduces external radioactive exposure.
Signs of clotting and bleeding concurrently indicate
- A. Hemophilia.
- B. Multiple myeloma.
- C. Disseminated intravascular coagulation.
- D. Polycythemia vera.
Correct Answer: C
Rationale: DIC involves both clotting and bleeding due to widespread activation of the coagulation system.