Nokea
Which nursing instruction is most appropriate before the client leaves the emergency department?
- A. Advise the client to limit dietary intake of fluids.
- B. Tell the client to sleep in a recliner or with the head up.
- C. Show the client how to take the carotid pulse at hourly intervals.
- D. Warn the client to avoid blowing the nose for several hours.
Correct Answer: D
Rationale: Avoiding nose blowing prevents dislodging clots and restarting bleeding.
You may also like to solve these questions
The nurse suspects that the client's anxiety is due to fear that nursing care will intensify symptoms. Which nursing intervention is most appropriate to add to the care plan?
- A. Let the client suggest ways to carry out care.
- B. Discontinue nursing care measures at this time.
- C. Restrict care to nutrition and elimination only.
- D. Carry out nursing activities quickly and efficiently.
Correct Answer: A
Rationale: Involving the client in care decisions reduces anxiety by providing control.
The public health nurse is providing a class on skin disorders in the African American community. Which information should the nurse include in the presentation?
- A. People with dark skin suffer the same skin conditions as people with light skin.
- B. African American men are more likely to have skin cancer than women.
- C. Dark-skinned individuals are less likely to form keloids after any type of surgery.
- D. Buccal mucosa of dark-skinned individuals is usually a bluish-tinged color.
Correct Answer: A
Rationale: Dark and light skin experience similar conditions, though presentation varies. Skin cancer risk is not gender-specific, keloids are more common in dark skin, and buccal mucosa is not bluish.
The middle-aged client has had two (2) lesions diagnosed as basal cell carcinoma removed. Which discharge instruction should the nurse include?
- A. Teach the client that there is no more risk for cancer.
- B. Refer the client to a prosthesis specialist for prosthesis.
- C. Instruct the client how to apply sunscreen to the area.
- D. Demonstrate care of the surgical site.
Correct Answer: D
Rationale: Surgical site care prevents infection and promotes healing. Ongoing cancer risk remains, prostheses are irrelevant, and sunscreen is secondary post-surgery.
Before leaving the room, which of the following nursing access to the nurse's place, the client's place.
- A. The nurse straightens the client's linens.
- B. The nurse informs the client when leaving the room.
- C. The nurse offers to give the client a back rub.
- D. The nurse shares some current events with the client.
Correct Answer: B
Rationale: Informing the client when leaving reduces anxiety and enhances safety.
The nurse is caring for a person who has severe poison ivy. Soaks with Burrow's solution are ordered. What is the primary reason for using Burrow's solution soaks?
- A. To disinfect the wound
- B. To prevent pain from the lesions
- C. To stop the pruritus associated with the condition
- D. To help dry the oozing lesions
Correct Answer: C
Rationale: Burrow’s solution soaks relieve pruritus (itching) in poison ivy by soothing the skin and reducing inflammation.