Nokea
Which of the following clients should have his clothing removed immediately?
- A. A 32-year-old man who was burned while working on high-tension wires
- B. A 14-year-old boy who suffered severe smoke inhalation during a fire at school
- C. A 78-year-old man who was burned during a fire that started when the client fell asleep while smoking
- D. A 19-year-old student who spilled chemicals on himself in the chemistry lab at school
Correct Answer: D
Rationale: Clothing must be removed immediately in chemical burns to prevent further skin exposure and damage from the corrosive substance.
You may also like to solve these questions
Postoperatively, which of the following client concerns should be the nurse's highest priority?
- A. Pain
- B. Waiting
- C. Anxiety
- D. Fatigue
Correct Answer: A
Rationale: Pain is a priority as it may indicate complications like infection or graft failure.
Which question is most appropriate for the nurse to ask at this time?
- A. What childhood diseases have you had?
- B. What's your present occupation?
- C. Do you eat a well-balanced diet?
- D. How much aspirin do you take?
Correct Answer: D
Rationale: Excessive aspirin use can cause tinnitus, making it the most relevant question.
When examining the electrical burn on the victim, which assessment is most important for the nurse to determine?
- A. The entry and exit wound sites
- B. Degree of skin discoloration
- C. Amount of eschar on the wound bed
- D. Characteristics of wound drainage
Correct Answer: A
Rationale: Identifying entry and exit sites assesses the extent of internal tissue damage.
The nurse compares the characteristics of open-angle glaucoma with those of angle-closure glaucoma. Which of the following statements describe ways they are similar? Select all that apply.
- A. The visual field examination demonstrates a loss of vision.
- B. Clients are initially treated with medications.
- C. Blurred vision is a common manifestation.
- D. Attacks are self-limited but are more harmful with each episode.
- E. Surgery is often required.
Correct Answer: A,B,E
Rationale: Both types cause vision loss, are initially treated with medications, and may require surgery.
The nurse and an unlicensed assistive personnel (UAP) on a medical floor are caring for clients who are elderly and immobile. Which action by the UAP warrants immediate intervention by the nurse?
- A. The UAP elevates the head of the bed of a client who can feed himself with minimal assistance.
- B. The UAP asks to take a meal break before turning the clients at the two (2)-hour time limit.
- C. The UAP restocks the rooms that need unsterile gloves before clocking out for the shift.
- D. The UAP mixes Thick-It into the glass of water for a client who has difficulty swallowing.
Correct Answer: B
Rationale: Delaying turning immobile clients risks pressure ulcers, requiring immediate intervention. Bed elevation, restocking, and Thick-It are appropriate.