Ati

The nurse, a Cub Scout leader, is preparing a group of Cub Scouts for an overnight camping trip and instructs them about the methods to prevent Lyme disease. Which statement by one of the Cub Scouts indicates a need for further teaching?

" I will not use insect repellent because it will attract the ticks."

A nurse is reinforcing preoperative teaching for a client who is to undergo an arthroscopy to repair a shoulder injury. Which of the following statements should the nurse include? (Select all that apply.)

" Inspect your incision daily for indications of infection.", " Apply ice packs to the area for the first 24 hours.", "Perform isometric exercises."

A nurse is reinforcing teaching with a client who is going to have a bone scan. Which of the following statements should the nurse include?

" You will have to urinate just before the procedure."

A client is being discharged after application of a plaster leg cast. The nurse determines that the client understands proper care of the cast if the client makes which statement?

"I need to avoid getting the cast wet."

A nurse is reinforcing dietary teaching about calcium-rich foods with a client who has osteoporosis. Which of the following foods should the nurse include in the instructions?

Broccoli

A nurse is reviewing the health record of a client who is undergo total joint arthroplasty. The nurse should recognize which of the following findings as a contraindication to this procedure?

Bronchitis 2 weeks ago

The nurse is caring for the client who has had skeletal traction applied to the left leg. The client is complaining of severe left leg pain. Which action would the nurse take first?

Check the client's alignment in bed

The nurse is caring for a client with a fresh application of a plaster leg cast. The nurse would plan to prevent the development of compartment syndrome by which action?

Elevating the limb and applying ice to the affected leg

A nurse is assisting with the care of a client following a vertebroplasty of the thoracic spine. Which of the following actions should the nurse take?

Ensure client maintains a supine position

A client is complaining of skin irritation from the edges of a cast applied the previous day. The nurse would plan for which intervention?

Petaling the cast edges with adhesive tape

The nurse is planning to reinforce instructions the client about how to stand on crutches. In the instructions, the nurse would plan to tell the client to place the crutches in which position?

8 inches to the front and side of the client's toes

The nurse is assisting with the administration of immunizations at a health care clinic. The nurse would understand that immunization provides which protection?

Acquired immunity from disease

The client diagnosed with pemphigus is being seen in the clinic regularly. The nurse would plan care based on which description of this condition?

An autoimmune disease that causes blistering in the epidermis

Which individual is least a risk for the development of Kaposi's sarcoma?

An individual working in an environment where exposure to asbestos exists

The client calls the office of the primary health care provider (PHCP) and states to the nurse that he was just stung by a bumblebee while gardening. The client is afraid of a severe reaction because their neighbor experienced such a reaction just one week ago. Which would be the appropriate nursing action?

Ask the client if they ever sustained a bee sting in the past

The nurse is assigned to care for a client with multiple traumas who is admitted to the hospital. The client has a leg fracture, and a plaster cast has been applied. In positioning the casted leg, the nurse would perform which intervention?

Elevate the leg on pillows continuously for 24 to 48 hours

The client is diagnosed with stage 1 of Lyme disease. The nurse would check the client for which characteristic of this stage?

Flu-like symptoms

The nurse witnesses a client sustain a fall and suspects that the client's leg may be fractured. Which action is the priority?

Immobilize the leg before moving the client

A client has sustained a closed fracture and has just had a cast applied to the affected arm. The client is complaining of intense pain. The nurse has elevated the limb, applied an ice bag, and administered an analgesic, which was ineffective in relieving the pain. The nurse interprets that this pain may be cause by which condition?

Impaired tissue perfusion

The client arrives at the health care clinic and states to the nurse that they were just bitten by a tick and would like to be tested for Lyme disease. The client tells the nurse that they removed the tick and flushed it down the toilet. Which nursing action is appropriate?

Instruct the client to return in 4 to 6 weeks to be teste, because testing before this time is not reliable

The nurse is assigned to care for a client diagnosed with systemic lupus erythematosus (SLE). The nurse would plan care considering which factor regarding this diagnosis?

It is an inflammatory disease of collagen contained in connective tissue

the nurse is preparing a list of cast care instructions for a client who just had a plaster cast applied to his right forearm. Which instructions would the nurse include on the list? Select all that apply.

Keep the cast and extremity elevated, The cast needs to be kept clean and dry, Allow the wet cast 24 to 72 hours to dry

The camp nurse prepares to instruct a group of children about Lyme disease. Which information would the nurse include in the instructions?

Lyme disease is caused by a tick carried by deer

The client brought to the emergency department is experiencing an anaphylactic reaction from eating shellfish. The nurse needs to implement which immediate action?

Maintaining a patent airway

The nurse is evaluating the client's use of a cane for left-sided weakness. The nurse would intervene and correct the client if the nurse observed that the client performed which action?

Moves the cane when the right leg is moved

The nurse has provided instructions regarding specific leg exercises for the client immobilized in right skeletal lower leg traction. The nurse determines that the client needs further teaching if the nurse observes the client doing which activity?

Performing active range of motion (ROM) to the right ankle and knee

The nurse is checking the casted extremity of a client. The nurse needs needs to check for which sign indicative of infection?

Presence of a "Hot spot" on the cast

The nurse is assisting with planning the care of a client with a diagnosis of immunodeficiency. The nurse would incorporate which intervention as a priority in the plan of care?

Protecting the client from infection

A client with a hip fracture asks the nurse why Buck's extension traction is being applied before surgery. The nurse's response is based on the understanding that Buck's extension traction has which primary function?

Provides comfort by reducing muscle spasms and provides fracture immobilization

The client with acquired immunodeficiency syndrome (AIDS) is diagnosed with cutaneous Kaposi's sarcoma. Based on this diagnosis, the nurse would determine that this has been confirmed by which finding?

Punch biopsy of the cutaneous lesions

The client is suspected of having systemic lupus erythematous (SLE). The nurse monitors the client, knowing that which is one of the initial characteristic signs of SLE?

Rash on the face across the nose and on the cheeks

The nurse is evaluating the pin sites of a client in skeletal traction. The nurse would be least concerned with which finding?

Serous drainage

The nurse is one of several people who witness a vehicle hit a pedestrian at a fairly low speed on a small street. The individual is dazed and tries to get up, and the leg appears fractured. The nurse would plan to perform which action?

Stay with the person and encourage the person to remain still

Which interventions would be implemented in the care of a client at high risk for an allergic response to a latex allergy? Select all the apply.

Use nonlatex gloves, Use medications from glass ampules, Do not puncture rubber stoppers with needles, Keep a latex-safe supply cart available in the client's area

The nurse prepares to give a bath and change the bed linens for a client with cutaneous Kaposi's sarcoma lesions. The lesions are open and draining a scant amount of serous fluid. Which would the nurse incorporate in the plan during the bathing of this client?

Wearing a gown and gloves