. a nurse is caring for a child who is in a plaster spica cast. which
of the following actions should the nurse take?
a. use a heat lamp to facilitate drying
b. avoid turning the child until the cast is dry.
c. assist the client with crutch walking after the cast is dry
d. apply moleskin to the edges of the cast Correct Answer d
a nurse in a clinic is preparing to obtain a skin specimen from a
client who has a suspected herpes infection. which of the
following actions should the nurse take? select all that apply
A. scrape site with a wooden tongue depressor
B. use razor to cut the scabbed area to obtain the specimen
C. use a cotton tipped application to obtain fluid from the lesion
C. place specimen in a potassium hydroxide solution tube
E. place specimen tube on ice after obtaining sample Correct
Answer C and E
a nurse in a provider's office is obtaining a history from a client
who is undergoing an evaluation for benign prostatic
hyperplasia. the nurse should identify that which of the
following findings are indicative of this condition? select all that
apply
a. backache
b. frequent uti
c. weight loss
d. hematuria
e. urinary incontinence Correct Answer b, d, e
,a nurse in the emergency department is completing an
assessment of a client who has suspected stomach perforation
due to a peptic ulcer. which of the following findings should the
nurses expect. select all that apply.
A. rigid abdomen
B. tachycardia
C. elevated blood pressure
D. circumoral cyanosis
E. rebound tenderness Correct Answer a, b, e
a nurse in the ER is panning care for a client who has a right hip
fracture. which of the following immobilization devices should
the nurse anticipate in the plan of care?
a. skeletal traction
b. buck's traction
c. halo traction
d. Bryant's traction Correct Answer b
a nurse is assessing a child who has a urinary tract infection.
which of the following are manifestations of a UTI? select all
that apply
a. night sweats
b. swelling of the face
c. pallor
d. pale colored urine
e. fatigue Correct Answer b, c, e
a nurse is assessing a client in an extended care facility. the
nurse should recognize which of the following findings is a
manifestation of an obstruction of the large intestine due to a
fecal impaction?
, a. the client reports one bowel movement yesterday
b. the client is having small, frequent liquid stools
c. the client is flatulent
d. the client indicates vomiting once this morning Correct
Answer b
a nurse is assessing a client who had an external fixation device
applied 2 hr ago for a fracture of the left tibia and fibula. which
of the following findings is a manifestation of compartment
syndrome?
a. intense pain when the client's left foot is passively moved
b. capillary refill of 3 sec on the client's left leg
c. hard, swollen muscle in the client's left leg
d. burning and tingling of the client's left foot
e. client report of minimal pain relief following a second dose of
opioid meds Correct Answer a, c, d, e
a nurse is assessing a client who has a casted compound fracture
of the femur. which of the following findings is a manifestation
of a fat embolus?
a. altered mental status
b. reduced bowel sounds
c. swelling of the toes distal to the injury
d. pain with passive movement of the foot distal to the injury
Correct Answer a
a nurse is assessing a client who has osteoarthritis of the knees
and fingers. which of the following manifestations should the
nurse expect to find?
a. heberden's nodes
b. swelling of all joints