EXAM 3 NUR 152 QUESTIONS WITH COMPLETE
SOLUTIONS
A cleansing enema has been ordered for the client to draw water
into the bowel. Which type of solution does the nurse gather?
Correct Answers hypertonic saline
A client has a Fiberglass cast on the right arm. Which action
should the nurse include in the care plan? Correct Answers
Assessing movement and sensation in the fingers of the right
hand
reason:The nurse should assess a casted arm every 2 hours for
finger movement and sensation to make sure the cast isn't
restricting circulation. To reduce the risk of skin breakdown, the
nurse should leave a casted arm uncovered, which allows air to
circulate through the cast pores to the skin below. Unlike a
plaster cast, a Fiberglass cast dries quickly and can be handled
without damage soon after application. The nurse should assess
the brachial and radial pulses distal to the cast — not the pedal
and posterior tibial pulses, which are found in the legs.
A client has just had abdominal surgery, and the nurse is
consulting with him about his diet now that he is allowed to eat.
Which nutrient is most important for wound healing?
a) Vitamins
b) Fats
c) Carbohydrates
d) Protein Correct Answers D
,A client is diagnosed with frequent urinary tract infections.
Which of the following would be an appropriate question for the
nurse to ask the client? Correct Answers how frequently do you
urinate each day?
A client is prescribed warfarin, an anticoagulant. When
educating this client about potential diet and drug interactions,
the nurse would caution the client about foods containing which
nutrient?a) Potassium b) Vitamin C c) Vitamin K d) Calcium
Correct Answers C
A client presents at the emergency department with a compound
fracture of the right femur. Skeletal traction is applied to align
the bones. What type of traction would be used? Correct
Answers Steinmann traction
Reason:Skeletal traction is applied directly to a bone by using a
wire (Kirschner), pin (Steinmann), or cranial tongs
(Crutchfield). General or local anesthesia may be used when
inserting these devices.
A client was playing softball and dislocated four of his fingers
when diving for a ball. The physician manipulated the fingers
into alignment and applied a splint to maintain alignment. What
type of procedure does the nurse document this as? Correct
Answers Closed reduction
reason:In a closed reduction, the bone is restored to its normal
position by external manipulation. A bandage, cast, or traction
then immobilizes the area. In an open reduction, the bone is
surgically exposed in the operating room and realigned. If
, internal fixation is needed to stabilize a reduced fracture, the
surgeon secures the bone with metal screws, plates, rods, nails,
or pins. In external fixation, the surgeon inserts metal pins into
the bone or bones from outside the skin surface and then
attaches a compression device to the pin.
A client with a short arm cast is suspected to have compartment
syndrome. What actions should the nurse include in the plan of
care? Select all that apply. Correct Answers 1. provide support
2. prepare to removecast
Reason:A client with a short arm cast is suspected to have
compartment syndrome. What actions should the nurse include
in the plan of care? Select all that apply.
A client with influenza is prescribed a diet that is rich in fiber
and carbohydrates. Which would the nurse incorporate into the
education plan as a major reason for the high fiber diet?
a) regulation of osmotic pressure in the blood
b) maintenance of normal bowel elimination
c) production of hemoglobin to carry oxygen to tissues
d) promotion of energy storage in adipose tissue Correct
Answers B
A female client is diagnosed with a urinary tract infection (UTI)
and states this is her second one in the last 6 months. In teaching
the client about health promotion, the nurse would include
which statement? Correct Answers Try to urinate immediately
after sexual intercourse."
SOLUTIONS
A cleansing enema has been ordered for the client to draw water
into the bowel. Which type of solution does the nurse gather?
Correct Answers hypertonic saline
A client has a Fiberglass cast on the right arm. Which action
should the nurse include in the care plan? Correct Answers
Assessing movement and sensation in the fingers of the right
hand
reason:The nurse should assess a casted arm every 2 hours for
finger movement and sensation to make sure the cast isn't
restricting circulation. To reduce the risk of skin breakdown, the
nurse should leave a casted arm uncovered, which allows air to
circulate through the cast pores to the skin below. Unlike a
plaster cast, a Fiberglass cast dries quickly and can be handled
without damage soon after application. The nurse should assess
the brachial and radial pulses distal to the cast — not the pedal
and posterior tibial pulses, which are found in the legs.
A client has just had abdominal surgery, and the nurse is
consulting with him about his diet now that he is allowed to eat.
Which nutrient is most important for wound healing?
a) Vitamins
b) Fats
c) Carbohydrates
d) Protein Correct Answers D
,A client is diagnosed with frequent urinary tract infections.
Which of the following would be an appropriate question for the
nurse to ask the client? Correct Answers how frequently do you
urinate each day?
A client is prescribed warfarin, an anticoagulant. When
educating this client about potential diet and drug interactions,
the nurse would caution the client about foods containing which
nutrient?a) Potassium b) Vitamin C c) Vitamin K d) Calcium
Correct Answers C
A client presents at the emergency department with a compound
fracture of the right femur. Skeletal traction is applied to align
the bones. What type of traction would be used? Correct
Answers Steinmann traction
Reason:Skeletal traction is applied directly to a bone by using a
wire (Kirschner), pin (Steinmann), or cranial tongs
(Crutchfield). General or local anesthesia may be used when
inserting these devices.
A client was playing softball and dislocated four of his fingers
when diving for a ball. The physician manipulated the fingers
into alignment and applied a splint to maintain alignment. What
type of procedure does the nurse document this as? Correct
Answers Closed reduction
reason:In a closed reduction, the bone is restored to its normal
position by external manipulation. A bandage, cast, or traction
then immobilizes the area. In an open reduction, the bone is
surgically exposed in the operating room and realigned. If
, internal fixation is needed to stabilize a reduced fracture, the
surgeon secures the bone with metal screws, plates, rods, nails,
or pins. In external fixation, the surgeon inserts metal pins into
the bone or bones from outside the skin surface and then
attaches a compression device to the pin.
A client with a short arm cast is suspected to have compartment
syndrome. What actions should the nurse include in the plan of
care? Select all that apply. Correct Answers 1. provide support
2. prepare to removecast
Reason:A client with a short arm cast is suspected to have
compartment syndrome. What actions should the nurse include
in the plan of care? Select all that apply.
A client with influenza is prescribed a diet that is rich in fiber
and carbohydrates. Which would the nurse incorporate into the
education plan as a major reason for the high fiber diet?
a) regulation of osmotic pressure in the blood
b) maintenance of normal bowel elimination
c) production of hemoglobin to carry oxygen to tissues
d) promotion of energy storage in adipose tissue Correct
Answers B
A female client is diagnosed with a urinary tract infection (UTI)
and states this is her second one in the last 6 months. In teaching
the client about health promotion, the nurse would include
which statement? Correct Answers Try to urinate immediately
after sexual intercourse."
