Nokea
Which client is at highest risk of compromised immunity?
- A. A client who just had surgery
- B. A client who just delivered a baby
- C. A client with extreme anxiety
- D. A client who is awaiting surgery
Correct Answer: A
Rationale:
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A client is post-operative day 1 and reports a sudden increase in blood-tinged
liquid draining from his incision after feeling a popping sensation. What is the
nurse's next action?
- A. Send the client back to surgery
- B. Assess the wound for signs of dehiscence
- C. Call the provider immediately
- D. Prepare to culture the wound
Correct Answer: B
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 providing medication for a client with osteomyelitis. What teaching
should the nurse indicate in the education?
- A. The most common adverse e effect for nonsteroidal anti-inflammatory drugs
(NSAIDS)are liver failure and tinnitus - B. The main side effect of acetaminophen is gastrointestinal GI bleeding
- C. You should not take more than 4000 mg of acetaminophen a day
- D. Nonsteroidal anti-inflammatory drugs (NSAIDS) are very safe and are known to have
no side effects
Correct Answer: A
Rationale:
The nurse suspects a 3-year-old who is coughing vigorously has aspirated a
small object. Which action should the nurse take?
- A. Deliver upward abdominal thrusts with a fisted hand
- B. Perform a blind finger sweep of the child's mouth
- C. Complete five rapid back blows between the shoulder blades
- D. Encourage the child to continue coughing
Correct Answer: D
Rationale:
What should the nurse do first if they are stuck by a needle?
- A. Seek medical attention
- B. Flush the exposed skin with water
- C. Complete an incident report
- D. Report the exposure
Correct Answer: B
Rationale: