Nursing Elites

1. What phase of wound healing occurs at the time of injury and lasts about 3-5 days?

• A. Maturation
• B. Intentional
• C. Inflammatory
• D. Proliferative

Correct answer: C

Rationale:

2. A client is in skeletal traction. With the nurse's assessment, it is noted that the pairs appear red, swollen and there is purulent drainage. What action does the nurse take first?

• A. Collect a culture of the purulent fluid
• B. Cleanse the skin around the pins
• C. Administer an antibiotic
• D. Instruct the client to complete exercise of the affected extremity

Correct answer: A

Rationale:

3. What is the intended outcome for the treatment of glaucoma?

• A. Improve the vision of the eye
• B. Strengthen the muscles of the eye
• C. Lower the intraocular pressure
• D. Dry up excess secretions

Correct answer: C

Rationale: The correct answer is C: Lower the intraocular pressure. The primary objective of treating glaucoma is to reduce intraocular pressure to prevent further vision loss. Choice A, 'Improve the vision of the eye,' is incorrect because while treatment may prevent vision loss, it does not necessarily improve vision. Choice B, 'Strengthen the muscles of the eye,' is incorrect as glaucoma primarily involves the optic nerve and not muscle weakness. Choice D, 'Dry up excess secretions,' is not related to the treatment goal of glaucoma which is focused on managing intraocular pressure.

4. A nurse is teaching a client who has fibromyalgia about strategies that might help reduce her symptoms. What should the nurse include in the client education?

• A. Avoid exercise during flare-ups
• B. Do high impact exercises like running
• C. Establish a regular sleep pattern
• D. Increase calcium and caffeine intake

Correct answer: C

Rationale:

5. Death of bone tissue can occur when the blood supply to the bone is disrupted. What is this complication called?

• A. Reflex sympathetic dystrophy
• B. Avascular necrosis
• C. Delayed union
• D. Complex regional pain syndrome

Correct answer: B

Rationale: The correct answer is B, avascular necrosis. Avascular necrosis is the condition where bone tissue dies due to the disruption of blood supply to the bone. Reflex sympathetic dystrophy (Choice A) is a chronic pain condition, delayed union (Choice C) refers to a delayed healing of a fracture, and complex regional pain syndrome (Choice D) is a chronic pain condition typically affecting an arm or leg.

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