Nursing Elites

1. A wound has a blood-tinged liquid that is dripping from the surgical site. How does the nurse document this finding?

• A. Creamy pus
• B. Serous
• C. Serosanguineous
• D. Purulent exudate

Correct answer: C

Rationale:

2. What is a priority intervention when caring for a client in Buck’s traction?

• A. Adjust the size of the traction weights PRN as needed
• B. Discontinue the traction once the client has pain relief
• C. Ensure the traction weights rest on the floor
• D. Assess skin integrity

Correct answer: D

Rationale: The correct answer is to assess skin integrity when caring for a client in Buck’s traction. This is crucial as it helps prevent pressure ulcers and other skin-related complications. Choice A is incorrect because changing the size of the traction weights should be done based on healthcare provider orders, not as needed. Choice B is incorrect because discontinuing traction should be done only under healthcare provider direction, not solely based on pain relief. Choice C is incorrect as allowing the traction weights to rest on the floor is not a priority intervention compared to assessing skin integrity.

3. What is true about antiretroviral drugs used to treat human immunodeficiency virus (HIV)?

• A. A few missed doses per month are acceptable
• B. Only specific licensed drugs are effective
• C. These drugs inhibit viral replication
• D. These drugs eradicate the virus

Correct answer: C

Rationale: The correct answer is that antiretroviral drugs inhibit viral replication. These medications work by interfering with the ability of the HIV virus to multiply in the body, helping to control the infection. Choice A is incorrect because consistency in taking antiretroviral drugs is crucial to their effectiveness. Missing doses can lead to treatment failure and the development of drug-resistant strains of HIV. Choice B is incorrect as there are multiple licensed drugs that are effective in treating HIV. Choice D is also incorrect as antiretroviral drugs do not kill the virus but rather suppress its replication.

4. What nursing intervention is appropriate for a client with systemic lupus erythematous (SLE)?

• A. Intense cold therapy to the extremities
• B. Encourage ultraviolet (UV) light exposure
• C. Administer topical hydrocortisone
• D. Administer antibiotics

Correct answer: C

Rationale:

5. What statement by the client indicates a correct understanding of the timing of progression of human immunodefiency virus (HIV) to acquired immunodeficiency syndrome?

• A. "Sexually transmitted infections will not make AIDS develop faster"?
• B. "My diet does not influence the progression of HIV to AIDS"?
• C. "If I practice medication, I may develop AIDS faster."?
• D. "IF I am re-exposed to HIV, the progression to AIDS may be faster,"?

Correct answer: D

Rationale:

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