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A 13 year old girl who was diagnosed with structural scoliosis
after a routine screening at school is being fitted with a brace.
Which of the following statements made by the pt indicates
effective use of the brace?
A. I sure am glad that I only have to wear this awful thing at
night.
B Ill look forward to taking this thing off to take my
bath everyday. C. I wonder if I can take my brace off
when I go out and party.
D. I'm really glad that I can take this thing off whenever I get
tired. - ANSWERB, the brace should be removed for only 1 hour
a day for hygiene and skin care.
The nurse is creating a care plan for a pt with idiopathic
thrombocytopenia purpura (ITP), an autoimmune
condition. Which of the following nursing interventions
should be included? Select all that apply. A. Administer
stool softeners to prevent straining.
B. Administer aspirin to reduce inflammation and pain.
C. Encourage coughing and deep breathing.
D. Monitor blood glucose during treatment.
,E. Administer a platelet transfusion. - ANSWER-A, D.
A man in a psych unit, experiencing a state if mania, is
walking the halls completely naked. How should the
nurse initially respond? A. quietly escort the pt. to his
room and help him dress.
B. ask the other pts. to go to their rooms.
C.Confront the pt and demand he gets dressed.
D. Confront the pt. and threaten him with seclusion. - ANSWER-
A, the nurse should take control of the situation without
causing and more anxiety in the pt.
A Dr. not involved in the care of your clients asks you, the LPN,
to see your pt's
HbA1C. How should you
respond?
A. Ask the clerk that
information.
B. It is
8.5
C. You can look it up in the
computer.
D.I can't give you that information. - ANSWER-D. I can't
give you that
,information.
HIPPA.
A 15 year old male's left leg is placed in skeletal traction. The
primary purpose
of this measure is for
him to:
A. Reduce
pain.
B. Align the ends of the
fractured bone.
C. Promote bone
healing.
D. Control bleeding into tissues. -
ANSWER-B.
A nurse received an order to initiate early ambulation with a
patient post appendectomy. The nurse recognizes this activity
to be helpful in preventing possible complications associated
with prolonged bed rest. To assist her to start walking after
surgery, the nurse will:
A. Tell the pt. to pull herself up and start walking.
B. Assist the pt. to sit at the edge of the bed, then instruct her to
stand at the bedside and then walk around the room.
, C. With 15 min intervals, begin to position the pt in semi
fowlers, then dangles her feet over the edge of the bed, then
assists her to move from the bed to the chair and then she
starts walking with the pt around the room. - ANSWER-C.
When planning care for a 10 month old infant with dehydration,
which of the following interventions would be most accurate for
monitoring hydration status? A. Checking electrolyte status.
B. Assessing skin turgor.
C. Monitoring daily weight.
D. Measuring Intake & Output. - ANSWER-C.
changes in weight is the most objective method to measure
volume depletion. An acute loss or gain or weight indicates
fluid loss or gain. 1 kg in weight loss reflects 1 liter of weight
loss.
The nurse is providing care for an adult pt. with ALS. The pt
understands the nature of the disease if he or she asks
which of the following questions? A. How do I execute an
advanced directive?
B. How do I halt worsening of the disease?
C. How do I prevent contamination of other people with the
virus?
D. How many pts achieve remission with chemotherapy? -
ANSWER-A. Asking