Nursing Elites

1. A nurse is caring for a client who is 2 days postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?

• A. Serosanguineous wound drainage
• B. Heart rate of 90/min
• C. Urine output of 30 mL/hr
• D. Temperature of 37.3°C (99.1°F)

Correct answer: C

Rationale: A urine output of 30 mL/hr is significantly low and indicates possible renal impairment or inadequate perfusion to the kidneys, which are critical for postoperative recovery. In this situation, decreased urine output could lead to fluid and electrolyte imbalances, affecting the client's overall condition. The nurse should report this finding promptly to the healthcare provider for further evaluation and intervention. Serosanguineous wound drainage is a normal finding in the early postoperative period and does not typically warrant immediate concern. A heart rate of 90/min is within the normal range and may be expected in a postoperative client due to the stress response. A temperature of 37.3°C (99.1°F) is slightly elevated but not a concerning finding in isolation postoperatively.

2. When preparing education materials for a client, what technique should be used to make the information accessible?

• A. Emphasize important information using bold lettering.
• B. Use a 7th-grade reading level.
• C. Avoid using cartoons in the material.
• D. Use words with three or four syllables.

Correct answer: B

Rationale: The correct answer is to use a 7th-grade reading level. This technique ensures that the information provided is accessible and easily understandable for most clients. Using simple language helps to avoid confusion and ensures that the message is conveyed clearly. Emphasizing important information using bold lettering (Choice A) can be helpful but may not improve overall accessibility. Avoiding cartoons in the material (Choice C) is not directly related to making information accessible. Using words with three or four syllables (Choice D) can complicate the material and hinder understanding, making it less accessible.

3. A client who has glaucoma and a new prescription for timolol eyedrops is receiving teaching from a nurse. Which of the following statements indicates an understanding of the teaching?

• A. I will place the eye drops in the center of my eye.
• B. I will place pressure on the corner of my eye after using the drops.
• C. I should expect my tears to turn red after using the drops.
• D. I should expect the drops to appear cloudy.

Correct answer: B

Rationale: The correct answer is B because placing pressure on the corner of the eye after using the drops helps in better absorption. Option A is incorrect because eye drops should be placed in the conjunctival sac, not the center of the eye. Option C is incorrect because tears turning red is not an expected outcome of using timolol eyedrops. Option D is incorrect because timolol eyedrops should not appear cloudy.

4. A client who has a new prescription for prednisone is being taught by a nurse. Which of the following statements by the client indicates an understanding of the teaching?

• A. I will avoid taking this medication with food.
• B. I will need to take this medication for the rest of my life.
• C. I will take this medication for 2 weeks and then stop.
• D. I will take this medication with a high-protein snack.

Correct answer: B

Rationale: The correct answer is B because prednisone is usually prescribed for long-term use. Stopping it abruptly can lead to adrenal insufficiency. Choice A is incorrect because prednisone should be taken with food to prevent stomach upset. Choice C is incorrect as prednisone is typically tapered off gradually to avoid adverse effects. Choice D is incorrect as there is no specific requirement to take prednisone with a high-protein snack.

5. A nurse is caring for a client who has anemia and a hemoglobin level of 8 g/dL. Which of the following findings should the nurse expect?

• A. Jaundice.
• B. Bradycardia.
• C. Tachypnea.
• D. Hypertension.

Correct answer: C

Rationale: The correct answer is C: Tachypnea. Anemia leads to decreased oxygen-carrying capacity due to low hemoglobin levels, prompting the body to increase respiratory rate to enhance oxygen uptake. Jaundice (choice A) is associated with liver issues, not anemia. Bradycardia (choice B) and Hypertension (choice D) are not typically expected findings in clients with anemia; instead, tachycardia may occur as the body compensates for the decreased oxygen delivery.

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