Accurate Answers
A community health nurse is reinforcing teaching about melanoma with a group
of clients. Which of the following characteristics of lesions associated with
melanoma should the nurse include in the teaching? correct answer An irregular
border.
A home health nurse enters a client's home and finds a used insulin syringe,
without a cap, on the table. Which of the following actions should the nurse take?
correct answer Place the syringe in a puncture-proof disposal container.
A nurse in a provider's office is caring for a client who has blepharitis. Which of
the following actions should the nurse take first? correct answer Inspect the eyes
for drainage or redness.
( blepharitis-inflammation of the eyelid)
a nurse in an emergency department is caring for a client who reports developing
severe right eye pain with a gritty sensation while sawing wood. Whats priority?
correct answer Ask the client about first aid performed at the scene
A nurse in an urgent care clinic is collecting data from a client who has extensive
burns, including on her face. Which of the following data should the nurse collect
first? correct answer Characteristics o cough and sputum
A nurse in an urgent care clinic is collecting data from a client who sustained a fall.
Which of the following findings should the nurse identify as an indication of a skull
fracture? correct answer Clear fluid coming from the nares.
(cerebrospinal fluid)
, A nurse is assisting with the care of a client who has a chest tube in place
following a thoracotomy. Which of the following actions should the nurse take?
correct answer Place the drainage unit below the client's chest level.
A nurse is assisting with the care of a client who is to receive a transfusion of
packed red blood cells (RBCs). Which of the following actions should the nurse
take? (Select all that apply.) correct answer 1) Check and document the client's
vital signs is correct.
2) Verify that the blood type and Rh of the packed RBCs are checked by two
nurses is correct.
3) Provide the RN with IV tubing that has a filter is correct.
A nurse is caring for a client following a hip arthroplasty. The nurse should place
an abduction pillow on the client for which of the following purposes? correct
answer Preventing dislocation of the hip during position changes or movement.
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting
in a chair at the bedside. Which of the following actions should the nurse take
first? correct answer Lower the client to the floor.
A nurse is caring for a client who has a stage III pressure ulcer on his heel. When
preparing to irrigate the wound, which of the following actions should the nurse
take rst? correct answer Check the client's pain level
A nurse is caring for a client who has continuous bladder irrigation following a
transurethral resection of the prostate (TURP). Which of the following actions
should the nurse take? correct answer Report viscous drainage with clots to the
provider.