Fund test 4

A nurse is required to apply antiembolism stockings to a client who has had surgery. What specific observations need to be completed when the nurse removes the stockings? 1. Signs of redness 2. Signs of pitting edema 3. Signs of skin discoloration 4. Signs of drainage a. 1, 2, 3 b. 1, 2, 4 c. 1, 3, 4 d. 2, 3, 4

a. 1, 2, 3

The nurse has to disassemble the aquathermia pad. What is the correct sequence of steps for disassembling the aquathermia pad after use? 1. Unplug the unit. 2. Empty the water out of the pump unit, the pad, and all tubes over a sink to prevent leakage. 3. Discard the pad. 4. Return only the heater/pump to the appropriate department. 5. Carefully wash hands. a. 1, 2, 3, 4, 5 b. 2, 4, 3, 5, 1 c. 3, 1, 2, 4, 5 d. 4, 2, 5, 3, 1

a. 1, 2, 3, 4, 5

The nurse is using a pulse oximeter to determine the percentage of oxygen saturation in a client's blood before administering oxygen to the client. Which of the following pulse oximetry levels indicates that the client needs supplemental oxygen? a. 90% b. 95% c. 98% d. 100%

a. 90%

The nurse is aware that amputation is the absence or removal of all or part of a limb or body organ. Which of the following candidates is most at risk for amputation? a. A homeless person with diabetes mellitus b. An elderly client who is on bed rest following a hip replacement c. A client who has advanced Parkinson's disease d. A client who runs marathons on the weekends

a. A homeless person with diabetes mellitus

The nurse is preparing a client with joint pain for an arthrogram. Which of the following is a nursing condition related to this test? a. Ask the client about sensitivities to food, iodine, latex, or medications. b. Ask the client if he or she has metallic implants, such as orthopedic screws c. Ask the client to drink extra fluids to increase excretion of isotope. d. Following the test, elevate the client's joint and apply ice to control edema.

a. Ask the client about sensitivities to food, iodine, latex, or medications.

A nurse is asked to monitor the condition of a client in whom an elastic roller bandage has been to the leg. Which might indicate a block in the circulation to the extremities? a. Change of color in the toes and severe pain in the legs b. Increase in the temperature over the toes c. Symptoms of fever and vomiting d. Symptoms of rashes and itching over the legs

a. Change of color in the toes and severe pain in the legs

The nurse is teaching a client the necessary steps to collect a sputum specimen. What is the best time for the nurse to instruct the client to obtain a sputum specimen for the nurse that can provide the most accurate results? a. Early morning b. Mid day c. Afternoon d. Evening

a. Early morning

A nurse's management of injuries and postoperative care depend on the application and management of bandages. A nurse is required to apply a bandage to a client who has injured a leg in an accident. What type of bandage is preferred for the client? a. Elastic roller bandage b. Antiembolism stockings c. T-binder d. Montgomery straps

a. Elastic roller bandage

A nurse is caring for a client receiving oxygen from a large oxygen cylinder for an extended period. What measure should the nurse employ? a. Ensure that the cylinder is always kept away from heat. b. Connect the cylinder to the client without changing the pressure. c. Roll the cylinder in a horizontal position when moving it. d. Remember to keep the valve of the cylinder turned on at all times.

a. Ensure that the cylinder is always kept away from heat.

A 3-year old client is diagnosed with a fracture of the ulnar bone after a fall from the stairs. The fracture appears to be on one side of the bone, whereas the other side is bent. What type of fracture does the client have? a. Greenstick b. Depressed c. Compression d. Oblique

a. Greenstick

The nurse is caring for a client who has severe joint pain. Which of the following treatments might the nurse use to cause vasodilation and promote healing? a. Hot compresses b. Cold compresses c. AROM d. Immobilization

a. Hot compresses

A client recovering from a gunshot wound to the leg has a vacuum-assisted closure machine on the wound. What will the nurse instruct the client about this device? a. Increases granulation tissue growth and decreases healing time b. Provides a moist healing environment c. Facilitates drainage in deep wounds with excessive drainage d. Removes debris from an open wound following injury

a. Increases granulation tissue growth and decreases healing time

Intermittent positive pressure breathing (IPPB) treatments are ordered for a young client with cystic fibrosis. What is the goal of IPPB? a. Liquefy mucus b. Hydrate sputum c. Relax bronchioles d. Fight infection

a. Liquefy mucus

A client after cardiac arrest is receiving oxygen therapy via a mask. What unit should the nurse use to document the amount of oxygen delivered? a. Liters per minute b. Milliliters per minute c. Pounds per square inch d. Liters per square inch

a. Liters per minute

A client with a draining wound in the leg and has been prescribed a warm soak. What is the purpose of a warm soak? a. Loosens scabs and crusts b. Slows bacterial activity c. Slows or stops bleeding d. Reduces swelling in injured tissues

a. Loosens scabs and crusts

A client is going to surgery in the morning and will be required to wear antiembolitic stocking upon return to the nursing unit. What step should the nurse take in the care of the client? a. Measure the client's thigh or calf before applying the stocking. b. Instruct the client that movement every 15 minutes will be required. c. Assess the client's leg every 8 hours. d. Keep the client's leg cold and dry.

a. Measure the client's thigh or calf before applying the stocking.

The nurse applies an aquathermia pad to a client for pain relief. What is the most common use for an aquathermia pad? a. Muscle sprains b. Rectal surgery c. Perineal surgery d. Infant delivery

a. Muscle sprains

The nurse is administering oxygen to clients in the PACU. What is the most important safety issue related to oxygen that the nurse should consider? a. Oxygen allows common flammable materials to burn faster and hotter. b. Oxygen should be given to all clients postoperatively to prevent nosocomial infections. c. Oxygen can increase the heart's work of pumping blood. d. Decreased oxygen concentration weakens the stimulus to breathe.

a. Oxygen allows common flammable materials to burn faster and hotter.

A nurse is changing the dry sterile dressing of a client after a colectomy. Which precaution should the nurse take when performing this procedure? a. Prepare strips of tape before beginning the procedure. b. Cleanse wound with alcohol or soap. c. Cleanse the wound from outside to center. d. Keep the wound as moist as possible.

a. Prepare strips of tape before beginning the procedure.

A nurse documents a paralyzed client's right heel ulcer as a stage 3 pressure ulcer. Which describes a stage 1 pressure ulcer? a. Pressure-related alteration of intact skin b. Loss of epidermis with damage into the dermis that appears as a shallow crater/blister with red/pink wound bed and no sloughing c. Subcutaneous tissues involved and subcutaneous fat may be visible with no bone, tendon, or muscle exposed d. Extensive damage to underlying structures, full-thickness tissue loss with exposed bones, tendons, or muscles

a. Pressure-related alteration of intact skin

After an assessment, the nurse determines that a client has a stage 2 pressure ulcer. What did the nurse assess in this client? a. Shallow crater with pink wound bed and no sloughing b. Area of persistent redness that does not blanch when pressed c. Nonpainful wound with visible subcutaneous tissue d. Foul-smelling wound with exposed bone and muscle

a. Shallow crater with pink wound bed and no sloughing

The nurse is removing a client's sutures. What will the nurse apply to the area after the sutures are removed? a. Steri-Strips b. Hydrocolloid dressing c. Polyurethane dressings d. Montgomery straps

a. Steri-Strips

A client who had a wound on her left thigh developed a scar following healing. When would deep scarring most likely occur in the client? a. Third-intention healing b. Electrical stimulation c. First-intention healing d. Antiseptic application

a. Third-intention healing

The nurse is admitting a client to a healthcare facility. The client has been using the T-binder at home. What are the most common uses for the T-binder in the care of a client? a. To support a specific part of the body and to hold a dressing in place b. To enable frequent dressing changes and discourage formation of blood clots c. To support a dressing and to exert pressure over a bleeding point d. To ensure adequate return circulation to the heart and to prevent blood clots

a. To support a specific part of the body and to hold a dressing in place

The nurse is planning care for a client at risk for pressure ulcer development. Which interventions should be included in this plan of care? Select all that apply. a. Turn and reposition the client every two hours. b. Elevate bony prominences with pillows. c. Limit the amount of linens under the client. d. Utilize a donut when sitting. e. Encourage bed rest.

a. Turn and reposition the client every two hours. b. Elevate bony prominences with pillows. c. Limit the amount of linens under the client.

The nurse is using Montgomery straps on a client following abdominal surgery. What are the best rationales for using Montgomery straps on the client? 1. Avoids repeated tape removal 2. Avoids clot formation within the blood vessels 3. Minimizes skin irritation with each dressing change 4. Minimizes mobility of the abdominal muscles a. 1, 2 b. 1, 3 c. 2, 4 d. 3, 4

b. 1, 3

The nurse is wrapping an elastic roller bandage on the client's arm. What is the correct sequence for wrapping an elastic roller bandage? 1. Fasten the end securely. 2. Wrap the bandage around the client's limb twice, below the joint to anchor it. 3. Use alternating ascending and descending turns to form a figure eight. 4. Overlap each turn of the bandage by one-half to two-thirds the width of the strip. a. 1, 2, 3, 4 b. 2, 3, 4, 1 c. 3, 4, 1, 2 d. 4, 1, 2, 3

b. 2, 3, 4, 1

The nurse is teaching a student nurse danger signs to monitor in a person with a chest tube. Which of the following accurately describes these signs? Select all that apply. a. Bubbling in the control bottle b. Air leak at the insertion site c. Devices located below the level of tube insertion d. Signs of cyanosis or dyspnea e. Complaints of chest pain f. Absence of air streaming into the drainage system

b. Air leak at the insertion site d. Signs of cyanosis or dyspnea e. Complaints of chest pain

The nurse knows that the peripheral vascular status must be checked frequently when bandages or binders are applied. What is the best recommended frequency that the peripheral vascular status has to be completed on a client? a. At least every hour b. At least every 2 hours c. At least every 3 hours d. At least every 4 hours

b. At least every 2 hours

Following a postoperative procedure, a nurse is asked to apply antiembolism stockings to the client. Which does the application of antiembolism stockings prevent? a. Need for frequent dressing changes b. Clot formation within the blood vessels c. Development of pain in the legs d. Limitation of mobility of the legs

b. Clot formation within the blood vessels

A client has had dry heat ordered for low back pain. What should the nurse do when providing dry heat treatment using an aquathermia pad? a. Fill the control unit receptacle with tap water. b. Cover the pad with a pad cover or towel. c. Add water, then connect the control unit to the pad. d. Ask the client to lie down on the pad.

b. Cover the pad with a pad cover or towel.

The nurse knows that when administering oxygen to an individual who is having difficulty breathing, the type of device that is used is critically important. What is the primary concern when delivering oxygen to a client? a. Ease of oxygen delivery b. Delivery of desired concentration c. Monitoring of ABGs d. Comfort of the client

b. Delivery of desired concentration

A client with Parkinson's disease is visiting a health clinic for a check-up. Which of the following tests might be ordered to determine whether the client's muscles respond appropriately to stimuli? a. Myelogram b. Electromyogram c. Computed tomography d. Magnetic resonance imaging

b. Electromyogram

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD) receiving supplemental oxygen through a Venturi mask. What measure should the nurse employ when caring for this client? a. Connect a humidifier at one end of the mask adapter. b. Ensure that the windows of the mask remain exposed to room air. c. Set flow rate required to keep the bag inflated one-third full. d. Place a folded towel behind the client's neck to hyperextend it.

b. Ensure that the windows of the mask remain exposed to room air.

A drainage system is used in a client after a mastectomy for the expected bloody drainage. Which is used to drain a postmastectomy wound? a. EnzySurge b. Hemovac c. VariCare d. Fibracol

b. Hemovac

A 30-year-old client who had an amputation of his left leg above the knee complains that he often feels the presence of the absent body part. He occasionally experiences pain and an itching sensation over the amputated portion of the leg. The client is diagnosed with phantom limb pain. What nursing measures and client teaching must the nurse employ when caring for this client? a. Explain that the condition is rare and occurs because of infections. b. Instruct the client to ask for pain medication, if needed. c. Explain that the condition does not interfere with prosthetic fitting. d. Encourage the client to place a pillow under the stump when sleeping.

b. Instruct the client to ask for pain medication, if needed.

The nurse is assessing the respiratory status of a client after cardiac bypass surgery. Which of the following may occur as an adverse effect of oxygen administration? a. The pulse rate may decrease in a client with respiratory distress. b. Pain may lead to hyper- or hypoventilation. c. The client who is not receiving sufficient oxygen may exhibit signs of jaundice. d. Pneumonia may occur as a result of too much oxygen.

b. Pain may lead to hyper- or hypoventilation.

The nurse is selecting an oxygen mask for a client with pneumonia who requires an oxygen concentration of 75% with a flow rate around 10 LPM. Which of the following masks would be a good choice for this client? a. Simple mask b. Partial-rebreathing mask c. "Non-rebreathing" mask d. Venturi mask

b. Partial-rebreathing mask

A client had a colon resection that required a large abdominal incision. Wound healing differs according to how much tissue has been damaged. What is the purpose of a dry sterile dressing for this client? a. Absorbs drainage from the surgical wound b. Prevents development of a pressure ulcer c. Protects it from contamination d. Prevents skin breakdown owing to friction

b. Prevents development of a pressure ulcer

The physician orders a tub soak for a client for 30 minutes at 110°F. Which independent action should the nurse take? a. Administer the bath as ordered. b. Question the order with the physician, due to the possibility of burning the client. c. Request that someone else provide the bath. d. Change the order to 105°F.

b. Question the order with the physician, due to the possibility of burning the client.

A nurse is caring for a client with a sprained ankle. What should the nurse teach the client regarding the purpose of a cold compress? a. Stimulates circulation b. Reduces swelling c. Relaxes muscles d. Relieves stiffness

b. Reduces swelling

A nurse is caring for a 70-year-old client who has undergone hip replacement surgery. What measures must the nurse employ when caring for this client? a. Assist the client to cross the legs as often as possible. b. Restrict the client from bending more than 90 degrees. c. Assist the client to gently turn the affected leg inward. d. Provide back care twice a day when the client is on bed rest.

b. Restrict the client from bending more than 90 degrees.

After applying an antiembolism stocking to a client, the nurse observes paleness and cyanotic appearance of the client's toes. What could have been the reason for the change in color? a. Excess movement of the legs by the client b. Restriction of circulation to the extremities c. Elevation of the legs for a long duration d. Removal of the bandage by the client

b. Restriction of circulation to the extremities

A fireman suffered second-degree burns at the scene of a house fire. Wound healing differs according to how much tissue has been damaged. The fireman asks the nurse about the healing process for the burn. Based on this information, how will wound healing occur for the fireman's burns? a. First-intention b. Second-intention c. Third-intention d. Fourth-intention

b. Second-intention

A 30-year-old client with complaints of chronic wrist pain in his left arm along with numbness and tingling sensation in the fingers is diagnosed with carpal tunnel syndrome. Which of the following is true in a client with carpal tunnel syndrome? a. The client exhibits increased symptoms during the day. b. The client exhibits positive Tinel's signs. c. The client's grip is usually unaffected. d. The client has an inflamed wrist joint.

b. The client exhibits positive Tinel's signs.

The nurse is using Montgomery straps on a client following abdominal surgery. What is the rationale for using Montgomery straps for the client? a. To support the abdominal muscles b. To enable frequent dressing changes c. To exert pressure over a bleeding point d. To ensure adequate return circulation to the heart

b. To enable frequent dressing changes

The nurse is planning care for a client who is on prolonged bed rest following a hip replacement. Which of the following is a nursing consideration for this client? a. Maintain prolonged bed rest to prevent contractures. b. Turn client frequently to prevent skin breakdown. c. Use abundant soap when bathing client. d. Plan a high-fat diet for the client.

b. Turn client frequently to prevent skin breakdown.

A client with painful pedal edema is advised to soak his foot in warm water for some time. The client asks the nurse why warm water is necessary. The nurse answers the client with which statement? a. "Warm water constricts the dilated blood vessels." b. "Warm water will decrease the swelling instantaneously." c. "Warm water dilates blood vessels and improves circulation." d. "Warm water will decrease the pain in the foot."

c. "Warm water dilates blood vessels and improves circulation."

The nurse is applying antiembolism stockings to the lower extremities of a client. What is the correct sequence for application of the antiembolism stockings? 1. Applying the antiembolism stockings 2. Taking measurement of the legs for proper size 3. Explaining the procedure to the client 4. Checking the integrity of the stockings a. 1, 2, 3, 4 b. 2, 1, 4, 3 c. 3, 2, 1, 4 d. 4, 3, 2, 1

c. 3, 2, 1, 4

The nurse educator is reviewing with a group of student nurses procedures related to suture and staple removal. What is the best response by a student nurse about the correct time frame for removal of sutures and staples after surgery? a. 1 to 4 days b. 4 to 7 days c. 7 to 10 days d. 10 to 14 days

c. 7 to 10 days

The nurse is caring for a client who has an amputated arm. How would the nurse classify the amputation? a. According to the severity of the amputation b. According to remaining function c. According to limb and level of amputation d. According to the type of prosthesis that is needed

c. According to limb and level of amputation

A client is in the recovery room following replantation of his severed arm. Which of the following is recommended postoperative management? a. Thrombin therapy b. Adding caffeine to the diet c. Administration of antibiotics d. Monitor for increased ROM

c. Administration of antibiotics

A client is undergoing a procedure to remove a bone spur from his shoulder. For which of the following procedures would the nurse prepare this client? a. Arthrogram b. Arthrocentesis c. Arthroscopy d. Bone scan

c. Arthroscopy

The nurse is monitoring the vital signs of a client who is receiving a sitz bath. Which vital sign finding needs to be reported to the primary care provider immediately? a. Respirations 20 b. Pulse 96 c. Blood pressure 88/50 d. Temperature 98.8°F

c. Blood pressure 88/50

The nurse is monitoring an ice bag being used on a client's ankle. The treatment should be discontinued immediately if the client complains of what type of pain? a. Dull b. Sharp c. Burning d. Stabbing

c. Burning

A nurse is using a hypothermia blanket for a client with a very high temperature. Which should the nurse keep in mind when caring for this client? a. Stop treatment when temperature reaches normal. b. Monitor blood pressure continuously. c. Check the client's core temperature frequently. d. Arrange for an aquathermia pad to be ready to use.

c. Check the client's core temperature frequently.

A teenage client who is paralyzed from the neck down following a skiing accident is placed on a special mattress to prevent skin breakdown. Which factor contributes to skin breakdown? a. Age b. High caloric intake c. Immobility d. Normal hydration level

c. Immobility

A 50-year-old client diagnosed with intervertebral disk disease has to undergo a type of lumbar decompression that exposes the spinal canal and allows for relief of compression of the spinal cord and spinal nerve roots. What is the term used for this procedure? a. Diskectomy b. Spinal fusion c. Laminectomy d. Microdiskectomy

c. Laminectomy

A healthcare provider ordered an electromyogram (EMG) for a 50-year-old client with muscular dystrophy. The nurse knows that what principle is the performance of an EMG based on? a. Use of sound waves and their echoes b. Application of a powerful magnetic field and scanning c. Measurement of electrical conductivity d. Scanning of a three-dimensional radiographic image

c. Measurement of electrical conductivity

A nurse is caring for a client who requires frequent dressing changes for an abdominal wound. Which binder is preferable in this case? a. Abdominal binder b. Tape binder c. Montgomery strap d. T-binder

c. Montgomery strap

A 60-year-old client is diagnosed with a trochanteric fracture following a fall. What assessment should the nurse consider as expected in this client? a. Decreased muscle tone b. Internal rotation of the foot c. Shortening of the leg d. Depressed deep tendon reflex

c. Shortening of the leg

Which of the following treatments is usually most appropriate for a maternity client who has just delivered a baby and had an episiotomy? a. Aqua-K pad to the perineum b. Electric pad to the perineum c. Sitz bath to the perineum d. Warm compress to the perineum

c. Sitz bath to the perineum

A nurse is caring for a client receiving oxygen through a portable liquid-oxygen stroller. What measure should the nurse employ when operating the stroller? a. Refill the stroller using small oxygen cylinders. b. Reduce the pressure before connecting it to the client. c. Take measures to keep the stroller upright at all times. d. Connect the tubing of the stroller to an electric plug.

c. Take measures to keep the stroller upright at all times.

The nurse is assisting the respiratory therapist to prepare a client with cystic fibrosis for postural drainage. Which of the following is a recommended intervention for this procedure? a. Tell the client to lie flat on the bed with the foot of the bed slightly raised. b. Tell the client the treatment will last for 30 to 45 minutes. c. Tell the client a head downward position will be used to drain secretions. d. Tell the client that positions will alternate from lying flat to sitting up every 5 minutes.

c. Tell the client a head downward position will be used to drain secretions.

The nurse is performing a physical assessment of a client who complains of a sore throat and stuffy nose. The nurse notes a red inflamed throat and slight fever and suspects the client has strep throat. Which of the following tests would be ordered to confirm this diagnosis? a. Bronchoalveolar lavage b. Pulmonary function test c. Throat culture d. Sputum specimen

c. Throat culture

The nurse is using a roller bandage on a client. What are the most common reasons for for applying the roller bandage to the client? a. To support the abdominal muscles and to hold a dressing in place b. To enable frequent dressing changes c. To support a dressing and to exert pressure over a bleeding point d. To ensure adequate return circulation to the heart and to prevent blood clots

c. To support a dressing and to exert pressure over a bleeding point

A nurse is applying an oxygen mask for a client with chronic obstructive pulmonary disease (COPD) that provides the most reliable and consistent oxygen enrichment. Which mask has the nurse chosen? a. Partial-rebreathing mask b. Nonrebreathing mask c. Venturi mask d. Simple mask

c. Venturi mask

A 30-year-old client with gangrene of his left leg had to undergo surgical amputation of that leg. What nursing measure must the nurse employ when caring for a client following amputation? a. Assist and encourage the client to lie on his back. b. Place a pillow under the stump when the client is on his back. c. Wrap the amputation stump so that it forms a cone shape. d. Keep the foot end of the client's bed lowered.

c. Wrap the amputation stump so that it forms a cone shape.

All clients must be evaluated for the risk of developing pressure ulcers or skin breakdown on admission and regularly thereafter according to the facility protocol. Several methods are used to predict the possibility of pressure ulcer development. What measurements are included as part of the Braden Scale? 1. Pressure intensity 2. Sensory perception 3. Moisture level 4. Activity a. 1, 2, 3 b. 1, 2, 4 c. 1, 3, 4 d. 2, 3, 4

d. 2, 3, 4

A client is diagnosed with hypoxemia. Which of the following tests would most likely be ordered to determine oxygen deficiency in this client? a. Chest x-ray b. Computed tomography scan c. Pulmonary angiography d. Arterial blood gases

d. Arterial blood gases

A nurse is caring for a client who has been ordered oxygen using a nasal cannula. What care should the nurse take when caring for this client? a. Clean the cannula and examine the client's nares every hour. b. Set the oxygen flow rate to not less than 6 liters per minute (LPM). c. Guide the elastic strap over the top of the client's head. d. Attach the humidifier to the flow meter.

d. Attach the humidifier to the flow meter.

The nurse administering oxygen to clients with respiratory disorders is careful to monitor concentrations to prevent oxygen toxicity. How does this adverse reaction manifest itself? a. Changes in heart rate b. Changes in level of consciousness c. Changes in lung structure d. Changes in lung tissue

d. Changes in lung tissue

The nurse is preparing to discharge a client who is on supplemental oxygen to his home. Which of the following oxygen delivery systems is widely used in home care settings for its safety and convenience? a. Hyperbaric chamber b. Large oxygen cylinder c. Wall outlet unit d. Concentrator

d. Concentrator

A nurse is caring for a 30-year-old client with a simple fracture in the right hand supported in a plaster cast. What measures must the nurse employ when caring for a client with a cast? a. Handle the wet cast with fingers only. b. Avoid washing the area around the cast. c. To move the arm, grasp on one side of the cast. d. Cover the edges of the cast with tape.

d. Cover the edges of the cast with tape.

A nurse is performing sterile wound irrigation on a client who has a gunshot wound on his right upper arm. Which precaution should the nurse take after opening the irrigation solution? a. Pour solution with the bottle label facing away from the palm. b. Place bottle cover on the table with the inside facing downward. c. Wear sterile gloves and then pour the irrigation solution. d. Discard a small amount of the solution before use.

d. Discard a small amount of the solution before use.

A client has a roller bandage wrapped around his arm to support it. How often should the nurse assess the client's peripheral neurovascular status? a. Every 15 minutes b. Every 8 hours c. Every 4 hours d. Every 2 hours

d. Every 2 hours

A client diagnosed with a laceration develops a wound in his neck with a draining sinus tract. Which dressing is appropriate for this client? a. Transparent dressing b. Sterile padding c. Dry sterile dressing d. Gel-foam packing

d. Gel-foam packing

A nurse is caring for a 45-year-old client who has undergone arthroscopy. What client teaching should the nurse provide when caring for this client after the procedure? a. Restrict the client from elevating the joint. b. Encourage application of heat on the joint. c. Instruct the client to limit fluids. d. Instruct the client on monitoring the site for infections.

d. Instruct the client on monitoring the site for infections.

A client presents at the ER with spinal cord pain. Which of the following tests would most likely be ordered to check for spinal cord abnormalities caused by tumors, herniated intervertebral disks, or other lesions? a. Arthrogram b. Bone scan c. Ultrasound d. Myelogram

d. Myelogram

The nurse is caring for a client with TB who is having a thoracentesis performed to relieve breathing difficulty. For which of the following rare, but serious, complications should the nurse monitor the client? a. Hypotension b. Fluid retention c. Pulmonary embolism d. Pneumothorax

d. Pneumothorax

A client presents at a local clinic with a butterfly rash on her face. Which of the following diseases would the nurse suspect? a. Gout b. Scleroderma c. Rickets d. Systemic lupus erythematosus (SLE)

d. Systemic lupus erythematosus (SLE)

A client has recently undergone surgery for anal hemorrhoids. The nurse will instruct the client and family that which bandage will provide appropriate support for dressings in this rectal area? a. Antiembolism stocking b. Montgomery strap c. Kerlix bandage d. T-binder

d. T-binder

A nurse is required to apply a binder to hold a perineal dressing in place. Which binder is preferable in this case? a. Abdominal binder b. 3M Micropore tapes c Montgomery strap d. T-binder

d. T-binder

A nurse is asked to apply antiembolism stockings to a client following surgery. What important criteria should the nurse keep in mind before applying antiembolism stockings? a. Use a standard size stocking. b. The client should be lying down for at least 5 minutes. c. The client should be sitting in a chair for at least 15 minutes. d. The leg length and thigh or calf needs to be measured.

d. The leg length and thigh or calf needs to be measured

A nurse is caring for a newborn receiving 100% oxygen for resuscitation through an oxygen mask. What potential complication is of most concern for in this client? a. Thermal burns b. Decreased pulse c. Dry and irritated nares d. Vision difficulties

d. Vision difficulties