Question

A nurse is providing skin care for a 14 year- old adolescent client who is in skeletal traction for a fractured femur. Which of the following actions should the nurse take? (Select all that apply.) a.Check the clients skin every 2hours. b.Elevate the head of the bed to 90’ angle c.Cleanse the skin with soap-free agents. d.Use a draw sheet to move the client in bed e.Massage reddened bony prominences. A nurse is reinforcing teaching about sterile technique with a newly licensed nurse. The nurse should include in the teaching that which of the following procedures requires sterile technique? a.Suctioning a tracheostomy b.Removing an NG tube c.Administering an enema d.Applying an external urinary device A nurse is reinforcing discharge teaching with a parent of a newborn about umbilical cord care. Which of the following statements by the parent indicates an understanding of teaching? a. I will fold the diaper below my baby’s cord b. I will wash the cord with warm, soapy water c. I will use hydrogen peroxide on the cord during each diaper change d. I will apply petroleum jelly daily to my baby’s cord. A nurse is preparing to administer acetaminophen 50 mg PO to an infant, Available is acetaminophen liquid 80 mg / 0.8 ml. How many ml should the nurse administer? (Round the answer to the nearest tenth.) Use a leading zero if it applies. Do not use a trailing zero.) ------------------------------------------------------- A nurse is caring for a client who delivered by cesarean birth 1 day ago. The client requests non-pharmacological interventions to manage pain. When changing positions. Which of the following responses should the nurse make? a. You should change positions as little as possible. b. You can apply counter pressure to your back with each position change c. You should splint the incision with a pillow when changing position. d. You should use breathing technique when changing position. A nurse is assisting with the care of client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. Which of the following findings should the nurse immediately report to the provider? a. The client passes small clots in the drainage bag. b. The nurse observes continuous bright red urinary output c. The client suddenly develops bladder spasms d. The nurse note the drainage flow rate has slowed A nurse manager is seeking ways to increase cost effectiveness on the unit. In which of the following client care situations should the nurse manager intervene? a. An assistive personnel is wearing gloves when feeding a client who has hepatitis B b. An assistive personnel dons a mask when providing oral care for a client who has a staphylococcal infection. c. A nurse discards a bottle of sterile saline after it has been open for 24 hours. d. A nurse uses sterile gauze pads to replace a dressing on a surgical wound

Answer 1

Q. No 1. Answer : is " a "

Check the clients skin is every second hourly, for any damage and irritation and frictions.

Because damage and irritation may avoid during skeletal traction.

And also there is a immobilization so chance to develop ulcers so that 2 nd hourly checking must be there, if any problem seen provide treatment.

So that the answer is " a "

Q. No 2. Answer : is " a "

Because tracheotomy suction means in to the trachea we are inserting the suction tube and doing suction, so there is a chance to enter microorganisms directly into the respiratory tract if we are not follow aseptic techniques, it may complecate for further effects.

So the answer is " a ".

Q. No 3. Answer : is " a "

Because the umbilical card should be keep dry always, after 5- 7 days it may fall and cures well.

By covering it with diaper there is a chance to entry of microorganisms which are in diaper and as well as there is no fresh ness to umbilicus by covering with diaper, so it leads to poor healing.

So the answer is " a "

Q. No 5. Answer : is "d "

Because due to breathing techniques there will be a more oxygen supply to the cells which may used to reduce pain in the site.

So the answer is " d ".