Nursing Elites

1. How should a healthcare professional manage a patient with suspected infection?

• A. Monitor vital signs and administer antibiotics
• B. Check for fever and monitor white blood cell count
• C. Assess for pain and check for localized swelling
• D. Monitor for chills and administer fluids

Correct answer: A

Rationale: Correct answer: When managing a patient with suspected infection, it is crucial to monitor vital signs like temperature, heart rate, blood pressure, and respiratory rate to assess the severity of the infection. Administering antibiotics is also essential to treat the infection. Choice B is incorrect because while checking for fever and monitoring white blood cell count are important, they alone are not sufficient to manage the patient. Choice C focuses on assessing pain and localized swelling, which are important but not primary in managing suspected infection. Choice D mentions monitoring for chills and administering fluids, which are not the primary interventions for managing a suspected infection.

2. What are common signs of hypoglycemia?

• A. Shakiness or Tremors
• B. Sweating
• C. Hunger
• D. Confusion or Irritability

Correct answer: A

Rationale: The correct signs of hypoglycemia include shakiness or tremors, sweating, and hunger. These symptoms indicate low blood sugar levels. Confusion or irritability are more associated with severe hypoglycemia, while the immediate treatment for hypoglycemia involves providing a source of glucose to raise blood sugar levels quickly.

3. A nurse is assisting with the admission of a client who has major depressive disorder. Which of the following communication techniques should the nurse use to establish a trusting relationship with the client?

• A. Offer medical advice
• B. Offer general leads
• C. Ask open-ended questions
• D. Use assertive communication

Correct answer: B

Rationale: In the context of establishing a trusting relationship with a client who has major depressive disorder, offering general leads is the most appropriate communication technique. General leads encourage clients to express themselves by providing subtle prompts or cues, which can help build rapport and trust. Offering medical advice (Choice A) is not suitable as it may come across as imposing and could hinder the establishment of trust. Asking open-ended questions (Choice C) is beneficial for eliciting detailed responses but may not be as effective at initially establishing trust as general leads. Using assertive communication (Choice D) can be perceived as aggressive and intimidating, which is not conducive to building a trusting relationship with a client who has major depressive disorder.

4. A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take?

• A. Wear sterile gloves when removing the old dressing
• B. Warm the irrigation solution to 40.5°C (105°F)
• C. Cleanse the wound from the center outwards
• D. Use a 20 mL syringe to irrigate the wound

Correct answer: C

Rationale: The correct action for the nurse to take when caring for a client with a prescription for wound irrigation is to cleanse the wound from the center outwards. This technique helps prevent contamination by pushing debris away from the wound rather than into it. Choice A is incorrect because wearing sterile gloves is important during wound care but not specifically mentioned for wound irrigation. Choice B is incorrect because warming the irrigation solution to a specific temperature is not a standard recommendation and can potentially harm the client. Choice D is incorrect because the size of the syringe may vary based on the wound size and depth, so using a 20 mL syringe is not a universal guideline.

5. What is the most important action when providing wound care to a client with a pressure ulcer?

• A. Apply a dry, sterile dressing to the wound
• B. Cleanse the wound with normal saline
• C. Perform a wound culture before applying ointment
• D. Cover the wound with a wet-to-dry dressing

Correct answer: C

Rationale: Performing a wound culture before applying ointment is crucial when providing wound care to a client with a pressure ulcer. This action helps identify any underlying infections, allowing healthcare providers to select the most appropriate treatment. Options A, B, and D are not as critical as performing a wound culture, as they focus on wound dressing and cleansing rather than identifying potential infections.

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