Nursing Elites

1. What is the priority intervention for the nurse to enhance meeting the psychosocial needs of a client on transmission-based precautions?

• A. Allow the client sleep to build stamina
• B. Provide the client with diversional activities
• C. Maintain a six-foot distance from the client
• D. Provide a timeframe for the isolation

Correct answer: B

Rationale:

2. What is an infectious disease that can be transmitted directly from one person to another?

• A. A communicable disease
• B. A portal of exit from the reservoir
• C. A susceptible host
• D. A portal of entry to a host

Correct answer: A

Rationale:

3. Which nonpharmacological intervention does not help reduce edema?

• A. Heat therapy
• B. Passive range of motion (PROM)
• C. Elevation of the extremity
• D. Cold therapy

Correct answer: A

Rationale: The correct answer is A: Heat therapy. Heat therapy can vasodilate blood vessels, increasing blood flow to the area and potentially exacerbating edema. Passive range of motion (PROM), elevation of the extremity, and cold therapy are all beneficial interventions for reducing edema. PROM helps with circulation, elevation assists in reducing fluid accumulation, and cold therapy can help constrict blood vessels and decrease swelling.

4. A client with a bone cancer states that he is in too much pain to walk today. What should the nurse do first?

• A. Inquire about the frequency, quality and location of the pain
• B. Get the client pain medication
• C. Ensure the client knows he will have negative effects from immobility
• D. Review the client’s medication administration record

Correct answer: A

Rationale: Assessing the pain characteristics helps in managing the client’s pain effectively.

5. The following client come to the ophthalmology clinic. Which client needs to be seen first?

• A. Client who had recent cataract surgery and has worsening vision
• B. Client with an absent red reflex on ophthalmic examination
• C. Client with an intraocular pressure of 24 mm Hg
• D. Client with a tearing, reddened eye with exudate

Correct answer: A

Rationale: Worsening vision after cataract surgery requires immediate attention to prevent complications.

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