Which diagnostic test is most accurate for diagnosing osteoporosis?
- A. X-ray of the femur
- B. Serum alkaline phosphatase
- C. Dual-energy x-ray absorptiometry (DEXA)
- D. Serum bone Gla-protein test
Correct Answer: C
Rationale: DEXA accurately measures bone density, diagnosing osteoporosis.
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What would the nurse dressing a necrotic pressure injury with a minimal exudate most likely use?
- A. Hydrocolloid dressing
- B. Alginate dressing
- C. Hydrofiber dressing
- D. Transparent film
Correct Answer: A
Rationale: Hydrocolloid dressings are useful in necrotic wounds with little exudate. Alginate and hydrofiber dressings are used for wounds with copious exudate. Transparent film is not absorbent.
A client has been diagnosed with hyperthyroidism. The nurse monitors for which sign or symptom indicating a complication of this disorder?
- A. Fever
- B. Nausea
- C. Lethargy
- D. Bradycardia
Correct Answer: A
Rationale: Fever can indicate thyroid storm, a life-threatening complication of hyperthyroidism, characterized by hypermetabolism, unlike lethargy or bradycardia, which suggest hypothyroidism.
A nurse assesses a pressure ulcer on a child and finds full-thickness loss of the dermal layer and visible subcutaneous fat. At which stage does the nurse document this pressure ulcer to be?
- A. Stage I
- B. Stage II
- C. Stage III
- D. Stage IV
Correct Answer: C
Rationale: A stage III pressure ulcer involves the full thickness of the dermis, possible visible subcutaneous fat, possible sloughing, and possible tunneling.
Which intervention should the nurse implement post-laminectomy?
- A. Position prone with knees slightly elevated
- B. Assess for difficulty speaking or breathing
- C. Measure drainage in Jackson Pratt bulb daily
- D. Encourage postponement of narcotic medications
Correct Answer: B
Rationale: Assessing for difficulty speaking or breathing is crucial as laminectomy can affect structures impacting these functions.
The nurse is performing an initial assessment of a patient who has a raised, pruritic rash. The patient denies taking any prescription medication and denies any allergies. What would be an appropriate question to ask this patient at this time?
- A. Is anyone in your family allergic to anything?
- B. How long have you had this abrasion?
- C. Do you take any over-the-counter drugs or herbal preparations?
- D. What do you do for a living?
Correct Answer: C
Rationale: If suspicious areas are noted, the patient is questioned about nonprescription or herbal preparations that might be in use.
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