, 5/101
EAQ Fundamental Skills
Due May 7
Final Score
100%
100 out of 166 questions answered correctly
Incorrect (66)
The nurse is caring for a child who has an external fixation device on the
leg. Which is the nurse’s priority goal when providing pin care?
Easing pain
Minimizing scarring
Preventing skin breakdown
,Rationale
Pin sites provide a direct avenue for organisms into the bone. Pin care will not ease
pain. Some scarring will occur at the pin insertion site regardless of pin site care. Skin
has a tendency to grow around the pin, rather than break down, as long as infection is
prevented.
A client who is in the advanced stages of illness asks the nurse to
contact pastoral services for support. According to the Macmillan
model, which is the correct nursing intervention in this situation?
Involve the family member in the client’s care instead of pastoral support.
Listen to the client’s request for support and then carry on with the clinical
work.
Falsely promise that pastoral services has been contacted and plan to see the
client.
Rationale
The Macmillan nurse usually has the knowledge of advanced practice and possesses
specialty training. This practice enhances the nurse to gain an in-depth knowledge
about spiritual, social, and psychological needs and the pathophysiology of clients
living with advanced diseases. The nurse involves pastoral services while caring for the
client. Involving a family member may decrease anxiety in the client but may not fulfill
the wishes of the client. Just listening to the client’s request without implementation
or giving false promises can cause loss of trust by the client.
The nurse applies a cold pack to relieve musculoskeletal pain. Which
rationale explains the analgesic properties of cold therapy?
Promoting analgesia and circulation
Numbing the nerves and dilating the blood vessels
, Elsevier Adaptive Quizzing - Quiz performance
Promoting circulation and reducing muscle spasms
Rationale
Cold causes the blood vessels to constrict, which reduces the leakage of fluid into the
tissues and prevents swelling and muscle spasms. Cold does promote analgesia but
not circulation. It may numb nerves but does not dilate blood vessels. Cold therapy
also may numb the nerves and surrounding tissues, thus reducing pain.
Which cation regulates intracellular osmolarity?
Sodium
Calcium
Calcitonin
Rationale
A decrease in serum potassium causes a decrease in the cell wall pressure gradient and
results in water moving out of the cell. Besides intracellular osmolarity regulation,
potassium also regulates metabolic activities, transmission and conduction of nerve
impulses, cardiac conduction, and smooth and skeletal muscle contraction. Sodium is
the most abundant extracellular cation that regulates serum osmolarity as well as
nerve impulse transmission and acid–base balance. Calcium is an extracellular cation
necessary for bone and teeth formation, blood clotting, hormone secretion, cardiac
conduction, transmission of nerve impulses, and muscle contraction. Calcitonin is a
hormone secreted by the thyroid gland and works opposite of parathormone to reduce
serum calcium and keep calcium in the bones. Calcitonin does not have a direct effect
on intracellular osmolarity.
Which potential health problem would the nurse include in the young
3/101
EAQ Fundamental Skills
Due May 7
Final Score
100%
100 out of 166 questions answered correctly
Incorrect (66)
The nurse is caring for a child who has an external fixation device on the
leg. Which is the nurse’s priority goal when providing pin care?
Easing pain
Minimizing scarring
Preventing skin breakdown
,Rationale
Pin sites provide a direct avenue for organisms into the bone. Pin care will not ease
pain. Some scarring will occur at the pin insertion site regardless of pin site care. Skin
has a tendency to grow around the pin, rather than break down, as long as infection is
prevented.
A client who is in the advanced stages of illness asks the nurse to
contact pastoral services for support. According to the Macmillan
model, which is the correct nursing intervention in this situation?
Involve the family member in the client’s care instead of pastoral support.
Listen to the client’s request for support and then carry on with the clinical
work.
Falsely promise that pastoral services has been contacted and plan to see the
client.
Rationale
The Macmillan nurse usually has the knowledge of advanced practice and possesses
specialty training. This practice enhances the nurse to gain an in-depth knowledge
about spiritual, social, and psychological needs and the pathophysiology of clients
living with advanced diseases. The nurse involves pastoral services while caring for the
client. Involving a family member may decrease anxiety in the client but may not fulfill
the wishes of the client. Just listening to the client’s request without implementation
or giving false promises can cause loss of trust by the client.
The nurse applies a cold pack to relieve musculoskeletal pain. Which
rationale explains the analgesic properties of cold therapy?
Promoting analgesia and circulation
Numbing the nerves and dilating the blood vessels
, Elsevier Adaptive Quizzing - Quiz performance
Promoting circulation and reducing muscle spasms
Rationale
Cold causes the blood vessels to constrict, which reduces the leakage of fluid into the
tissues and prevents swelling and muscle spasms. Cold does promote analgesia but
not circulation. It may numb nerves but does not dilate blood vessels. Cold therapy
also may numb the nerves and surrounding tissues, thus reducing pain.
Which cation regulates intracellular osmolarity?
Sodium
Calcium
Calcitonin
Rationale
A decrease in serum potassium causes a decrease in the cell wall pressure gradient and
results in water moving out of the cell. Besides intracellular osmolarity regulation,
potassium also regulates metabolic activities, transmission and conduction of nerve
impulses, cardiac conduction, and smooth and skeletal muscle contraction. Sodium is
the most abundant extracellular cation that regulates serum osmolarity as well as
nerve impulse transmission and acid–base balance. Calcium is an extracellular cation
necessary for bone and teeth formation, blood clotting, hormone secretion, cardiac
conduction, transmission of nerve impulses, and muscle contraction. Calcitonin is a
hormone secreted by the thyroid gland and works opposite of parathormone to reduce
serum calcium and keep calcium in the bones. Calcitonin does not have a direct effect
on intracellular osmolarity.
Which potential health problem would the nurse include in the young
3/101
