LATEST COMPLETE QUESTION AND ANSWER GRADED
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The nurse is teaching a child and family about firearm safety. The nurse should
instruct the child to take which step first if he sees a gun at a friend's house?
1) Leave the area.
2) Do not touch the gun.
3) Stop where he is.
4) Tell an adult.
Answer:
3) Stop where he is.
Rationale:
The child should be instructed to stop where he is. This allows him to think about the
next steps he has memorized. Next, he should avoid touching the gun, leave the area,
and immediately go tell an adult.
A patient is agitated and continues to try to get out of bed. The nurse tries
unsuccessfully to reorient him. What should the nurse do next?
1) Apply a vest restraint.
2) Move the patient to a quieter room.
3) Ask another nurse to care for the patient.
4) Provide comfort measures.
Answer:
4) Provide comfort measures.
Rationale:
,Patients sometimes become agitated because they are uncomfortable or in pain.
Providing comfort measures may decrease agitation. If the patient continues to be
agitated, the nurse should encourage a family member or friend to sit with the patient.
Applying a physical restraint should be kept as a last resort for use only when less
restrictive measures fail. The patient should be placed in a room near the nurses'
station so he can be checked frequently if there is no one available to provide one-on-
one supervision. A quieter room would probably not help.
.
While teaching a health promotion group of adults, the nurse notices one person who
is clutching his throat with both hands. What should the nurse do first?
1) Call 9-1-1.
2) Encourage the person to cough vigorously.
3) Ask, "Are you choking?"
4) Give five back blows.
Answer:
3) Ask, "Are you choking?"
Rationale:
Clutching the throat is the universal sign of choking. The first action when you
suspect airway obstruction is to ask, "Are you choking?" If the person indicates "yes,"
or if the person cannot cough, speak, or breathe, that indicates choking. You must
first be certain the person is choking because you can cause harm when you perform
the choking maneuver. You would not call 9-1-1, encourage coughing, or give five back
blows until you first establish that the person is choking. The client appears to be
giving the universal sign for choking, but the nurse must validate the client's meaning
before acting.
.
What should parents do to promote child safety in the home?
1) Attach the baby's pacifier to a ribbon so that it does not fall on the floor.
,2) Give a 2-year-old whole grapes instead of popcorn for a snack.
3) Store firearms unloaded and out of sight in a location too high for the child to
reach.
4) Install window guards; never leave a window wide open.
Answer:
4) Install window guards; never leave a window wide open.
Rationale:
To prevent falls, install window guards and never leave a window wide open. A ribbon
can become entangled around a small child's neck, causing asphyxiation. Young
children can easily choke on a grape. Firearms should be unloaded, but stored in a
locked cabinet. Children are curious and like to explore and climb. It would not be too
difficult for a child to find a firearm stored, for example, on a high closet shelf.
.
What is the leading cause of unintentional death for the entire U.S. population?
1) Motor vehicle accidents
2) Poisoning
3) Choking
4) Falls
Answer:
1) Motor vehicle accidents
Rationale:
The leading causes of unintentional death for the total population, in this order, are
automobile accidents, poisoning, falls, and drowning.
Which change in hygiene practices may be necessary as the patient ages?
1) Brushing teeth twice a day
, 2) Bathing every other day
3) Decreasing moisturizer use
4) Increasing soap use
Answer:
2) Bathing every other day
Rationale:
As a person ages, sebaceous glands become less active, causing skin to dry. Older
people may find it necessary to bathe every 2 days, increase the use of moisturizers,
and decrease soap use to prevent further drying of skin. Older adults should brush
their teeth after every meal and at bedtime to prevent tooth decay. It is recommended
that people of all ages brush their teeth at least twice a day, so that option does not
represent a change in an older adult's hygiene practices.
.
A woman of Orthodox Jewish faith who underwent a hysterectomy for cancer is being
cared for on the surgical floor. Which healthcare team member(s) could be assigned to
bathe this patient? Choose all correct answers.
1) Male nursing assistant
2) Male licensed practical nurse
3) Female graduate nurse
4) Female registered nurse
Answer:
3) Female graduate nurse
4) Female registered nurse
Rationale:
Orthodox Judaism prohibits personal care being provided by a member of the opposite
sex. The patient who underwent a hysterectomy is female; therefore, out of respect for
her religious beliefs, she should not be bathed by the male licensed practical nurse or
nursing assistant.