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Tkonrye Tkonrye
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6 years ago
A nurse assesses an older client who is scratching and rubbing white ridges on the skin between the fingers and on the wrists. Which action should the nurse take?
 
  a. Place the client in a single room.
  b. Administer an antihistamine.
  c. Assess the client's airway.
  d. Apply gloves to minimize friction.

Question 2

A nurse assesses a client who has a chronic wound. The client states, I do not clean the wound and change the dressing every day because it costs too much for supplies. How should the nurse respond?
 
  a. You can use tap water instead of sterile saline to clean your wound.
  b. If you don't clean the wound properly, you could end up in the hospital.
  c. Sterile procedure is necessary to keep this wound from getting infected.
  d. Good hand hygiene is the only thing that really matters with wound care.

Question 3

A nurse assesses clients on a medical-surgical unit. Which client should the nurse evaluate for a wound infection?
 
  a. Client with blood cultures pending
  b. Client who has thin, serous wound drainage
  c. Client with a white blood cell count of 23,000/mm3
  d. Client whose wound has decreased in size

Question 4

A nurse who manages client placements prepares to place four clients on a medical-surgical unit. Which client should be placed in isolation awaiting possible diagnosis of infection with methicillin-resistant Staphylococcus aureus (MRSA)?
 
  a. Client admitted from a nursing home with furuncles and folliculitis
  b. Client with a leg cut and other trauma from a motorcycle crash
  c. Client with a rash noticed after participating in sporting events
  d. Client transferred from intensive care with an elevated white blood cell count

Question 5

After teaching a client how to care for a furuncle in the axilla, a nurse assesses the client's understanding. Which statement indicates the client correctly understands the teaching?
 
  a. I'll apply cortisone cream to reduce the inflammation.
  b. I'll apply a clean dressing after squeezing out the pus.
  c. I'll keep my arm down at my side to prevent spread.
  d. I'll cleanse the area prior to applying antibiotic cream.

Question 6

After teaching a client who is at risk for the formation of pressure ulcers, a nurse assesses the client's understanding. Which dietary choice by the client indicates a good understanding of the teaching?
 
  a. Low-fat diet with whole grains and cereals and vitamin supplements
  b. High-protein diet with vitamins and mineral supplements
  c. Vegetarian diet with nutritional supplements and fish oil capsules
  d. Low-fat, low-cholesterol, high-fiber, low-carbohydrate diet
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itsmealvinyitsmealviny
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6 years ago
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Tkonrye Author
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6 years ago
Appreciate this a lot, answers were right.
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