100% CORRECT ANSWERS
skeletal traction - Answer-topical antibiotic
/.manifestation of syphillis - Answer-chancre
/.tertiary prevention - Answer-teaching measure to prevent joint deformities in RA
/.Appropriate response about daughter listening to music while studying - Answer-
consider letting her make her own decision
/.phenytoin can decrease effectiveness of - Answer-ethinyl estradiol/desogestrel
/.bereavement counseling referral - Answer-parent has not returned to work
/.indwelling urinary catheter in school age child - Answer-allow child to see the
equipment
/.nurse sees staff members looking at celebrity's chart - Answer-tell staff members that
it's a breach of confidentiality
/.older adult decides to stop hemodialysis - Answer-support the client's decision
/.placenta previa - Answer-painless vaginal bleeding
/.who should nurse see first - Answer-patient admitted for fractured hip who has
developed slurred speech
/.nursing interventions for suicidal patient - Answer-replace glass and metal tableware
with paper or plastic
/.fetal heart tones for left occipital anterior - Answer-left lower quadrant
/.discharge instructions for patient with active tuberculosis - Answer-sputum specimens
necessary every 2-4 weeks until 3 negative cultures
/.appropriate documentation for 1L IV fluid given over 4 hours instead of 8 - Answer-
0.9% sodium chloride 1 L IV infused over 4 hours, vital signs stable
/.complete proteins, which food choice needs further teaching - Answer-pinto beans
, /.pastor asks about the patient's condition - Answer-suggest that the pastor contact the
family for information
/.monitor to detect thrombocytopenia - Answer-occult blood in stools
/.appropriate foods for tranylcypromine (MAOI) - Answer-blueberries
/.stable to discharge in event of massive community disaster - Answer-MS with ataxia
/.population focused practice to address increase in suicide attempts - Answer-
implement educational program for high-risk clients
/.postpartum hemorrhage due to uterine hypotonicity - Answer-massage the fundus
/.student at a local high school diagnosed with syphillis - Answer-report the case to state
health department
/.promote comfort during end-of-life care - Answer-provide oral care frequently
/.bipolar patient in room with depressive patient, keeps depressive patient from sleeping
- Answer-move bipolar patient to a private room
/.recording quality of a client's pain - Answer-dull ache in my stomache
/.what should the nurse anticipate in 14-month-old with spastic cerebral palsy - Answer-
fine and gross motor skill challenges
/.charge nurse suspects that a staff nurse is chemically impaired - Answer-remove the
nurse from the work environment
/.education program for African-American males ages 40-75 - Answer-prostate cancer
screening
/.hospice nurse recognizes that collaborative process begins in the hospital with -
Answer-discharge planner
/.ask client with depression her goal for the day, doesn't respond, what should you do -
Answer-allow the client time to collect her thoughts
/.adverse effect of fluoxetine - Answer-sexual dysfunction
/.example of secondary prevention - Answer-testicular self-exam classes
/.intervention for client with leakage and irritation around ileostomy stoma - Answer-skin
barrier when refitting the pouch system