Nursing Elites

1. What is the most appropriate action for handling hazardous drugs?

• A. Wear gloves and wash hands after handling.
• B. Store the drugs according to manufacturer instructions.
• C. Discard unused drugs in regular trash.
• D. Wear personal protective equipment (PPE) when handling hazardous drugs.

Correct answer: D

Rationale: The most appropriate action when handling hazardous drugs is to wear personal protective equipment (PPE) to protect oneself from exposure to the harmful substances. Gloves and handwashing are important but may not provide sufficient protection from hazardous drugs. Storing drugs correctly and disposing of unused drugs properly are also essential, but the primary focus should be on using PPE to prevent exposure.

2. What is the most appropriate intervention for a client experiencing acute alcohol withdrawal?

• A. Encourage physical activity to reduce withdrawal symptoms
• B. Administer diazepam to prevent seizures
• C. Monitor for signs of dehydration
• D. Encourage the client to verbalize their feelings

Correct answer: B

Rationale: The most appropriate intervention for a client experiencing acute alcohol withdrawal is to administer diazepam. Diazepam is a benzodiazepine commonly used to prevent seizures and manage the symptoms of alcohol withdrawal. Encouraging physical activity may not be safe during acute withdrawal as the client may be at risk for seizures and other complications. Monitoring for signs of dehydration is important but not the most immediate intervention needed in acute alcohol withdrawal. While encouraging the client to verbalize their feelings is beneficial for therapeutic communication, it is not the priority intervention when managing acute alcohol withdrawal.

3. The healthcare provider is assessing an immobile patient for deep vein thrombosis (DVT). What should the healthcare provider do?

• A. Lightly rub the lower leg to check for redness and tenderness.
• B. Apply elastic stockings every 4 hours.
• C. Measure the calf circumference of both legs.
• D. Flex the foot while assessing for patient discomfort.

Correct answer: C

Rationale: Measuring the calf circumference of both legs is crucial when assessing for DVT in an immobile patient. A significant increase in the circumference of one calf compared to the other suggests the presence of a deep vein thrombosis. Option A is incorrect because rubbing the lower leg may dislodge a clot if present. Option B is incorrect as elastic stockings should not be removed frequently as this can increase the risk of clot formation. Option D is incorrect as dorsiflexing the foot can lead to pain and should not be done to assess for DVT.

4. A healthcare professional is reviewing the notes written by a previous shift. Which documentation reflects proper guidelines?

• A. Incomplete entries are acceptable as long as they are justified
• B. Documentation should include objective observations only
• C. Corrections in documentation should be signed and dated
• D. Entries should be modified by another healthcare professional if necessary

Correct answer: B

Rationale: The correct answer is B. Proper documentation should include objective observations and detailed notes to ensure continuity of care. Choice A is incorrect because incomplete entries can lead to gaps in information and compromise patient care. Choice C is not completely accurate as corrections should be made in a manner that does not obscure the original entry but does not necessarily require a signature. Choice D is incorrect as entries should ideally be corrected by the original author to maintain accountability and accuracy.

5. A healthcare professional is assessing a client who has a hip fracture. Which of the following findings should the healthcare professional expect?

• A. Hip pallor
• B. Leg abduction
• C. Muscle spasms
• D. Leg lengthening

Correct answer: C

Rationale: Muscle spasms are a common finding in clients with hip fractures. The muscle spasms occur due to the body's natural response to the injury, causing involuntary contractions. Hip pallor (Choice A) is not typically associated with hip fractures. Leg abduction (Choice B) and leg lengthening (Choice D) are not typical findings in clients with hip fractures, as the fracture usually results in limited range of motion and shortening of the affected limb.

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