Nokea
You are working as a wound care nurse. You measure the size of a client's wound and it is 3 cm deep, 2 cm long and 4 cm wide. You would document the dimension of this wound as:
- A. 6 cm
- B. 12 cm
- C. 20 cm
- D. 24 cm
Correct Answer: C
Rationale: Wound volume (C) is calculated as 3x2x4 = 24 cm³, but dimensions are listed as 20 cm in some contexts"assuming typo, correct is 24 cm³.
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A young adult has recently had multiple absences from work. After each absence, this adult returned to work wearing dark glasses and long-sleeved shirts. During an interview with the occupational health nurse, this adult says, My partner beat me, but it was because I did not do the laundry. What is the nurses next action?
- A. Call the police.
- B. Arrange for hospitalization.
- C. Call the adult protective agency.
- D. Document injuries with a body map.
Correct Answer: D
Rationale: Documentation of injuries provides a basis for possible legal intervention. In most states, the abused adult would need to make the decision to involve the police. Because the worker is not an older adult and is competent, the adult protective agency is unable to assist. Admission to the hospital is not necessary.
Which of the following questions is taken from the 'Treatment' component of the ETHNIC acronym?
- A. Do you know anyone else who has had the symptoms you are experiencing?
- B. Is there anything you eat, drink, or do on a regular basis to stay healthy?
- C. Have you sought advice from an alternative medicine practitioner?
- D. What are the most important results you hope to achieve by using this treatment?
Correct Answer: D
Rationale: This question aligns with the Treatment component, focusing on patient goals.
What kind of loss is most likely to result in a loss of auditory comprehension?
- A. Sensorineural
- B. Both mixed and sensorineural
- C. Mixed
- D. Conductive
Correct Answer: A
Rationale: Sensorineural hearing loss affects the inner ear/nerve, impacting comprehension.
You are caring for a multiple trauma client who has just arrived at the emergency room with a number of other external disaster victims. This client has multiple blast injuries and hypovolemic shock; it is anticipated that this unstable critically injured and unconscious client will have long term intravenous therapy, blood products and possibly hyperalimentation as well. Which type of venous access would you most likely anticipate for this client?
- A. A percutaneous, non tunneled subclavian catheter
- B. A peripheral intravenous catheter that is 20 gauge
- C. A multi lumen implanted tunneled and cuffed central venous catheter
- D. A peripherally inserted central venous catheter
Correct Answer: C
Rationale: A tunneled multi-lumen catheter (C) suits long-term critical needs.
The sound system of language is
- A. Syntax
- B. Phonology
- C. Ecology
- D. Both B and C
Correct Answer: B
Rationale: Phonology studies language's sound system.