ECPI UNIVERSITY || COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS \VERIFIED
100% ALREADY GRADED A+
On removing a dressing from a client on the third postoperative day, the nurse
notes thin, pink-colored drainage and documents this as?
A. Serous
B. Sanguineous
C. Serosanguineous
D. Purulent
C. Serosanguineous
The nurse learns that most important function of inflammation and immunity is
which purpose?
A. Destroying bacteria before damage occurs
B. Preventing any entry of foreign material
C. Providing maximum protection against infection
D. Regulating the process of self-tolerance
C. Providing maximum protection against infection
,The nurse is discharging home a client at risk for venous thromboembolism
(VTE) on low-molecular-weight heparin. What instruction does the nurse
provide to this
client?
A. "You must have your aPTT checked every 2 weeks."
B. "Massage the injection site after the heparin is injected."
C. "Notify your health care provider if your stools appear tarry."
D. "An IV catheter will be placed to administer your heparin."
C. "Notify your health care provider if your stools appear tarry."
A client has been transferred to the postanesthesia care unit (PACU). Which
action does the receiving nurse perform first?
A. Complete a nursing assessment sheet
B. Change the client's arm band
C. Enter client data into the computer
D. Participate in a hand-off report
D. Participate in a hand-off report
A client had surgical repair of a fractured ankle under local anesthesia and is
being transferred from the postanesthesia care unit (PACU) to the surgical
floor. Once
admitted, what is the nurse's priority action?
A. Assess pressure points for breakdown
B. Assess the client's pain
C. Insert an IV for antibiotic therapy
D. Assess a full set of vital signs
D. Assess a full set of vital signs
,The older client's adult child questions the nurse as to why the client is at
higher risk for infection when the client's white cell count is within the
normal range. What response by the nurse is best?
A. "The white cell count does not tell us everything about immunity."
B. "White blood cells are less active in older people so they are not as
efficient."
C. "Older people typically have poor nutrition which makes the prone to
infection."
D. "As one ages, immunoglobulins cease to be produced in response to
illness."
B. "White blood cells are less active in older people so they are not as
efficient."
The health care provider is prescribing medication to treat a client's severe
GERD. Which medication does the nurse anticipate teaching the client
about?
A. Magnesium hydroxide (Gaviscon)
B. Ranitidine (Zantac)
C. Nizatidine (Axid)
D. Omeprazole (Prilosec)
D. Omeprazole (Prilosec)
, In the emergent care of a client with a pelvic fracture, the nurse must be
especially alert for indications of the complication of?
A. deep vein thrombosis
B. hyperthermia
C. hypovolemic shock
D. infection
A. deep vein thrombosis
An obese client has reflux and asks how being overweight could cause this
condition. Which by the nurse is best?
A. "You eat more food, more often, than non-obese people do."
B. "The weight adds extra pressure, which helps push stomach contents up."
C. "Obese people tend to eat more high-fat food, which presents a risk."
D. "Obesity is not related to reflux, but losing weight would be healthy."
B. "The weight adds extra pressure, which helps push stomach contents up."
A client in the oncology clinic reports her family is frustrated at her
ongoing fatigue 4 months after radiation therapy for breast cancer. What
response by the nurse is most appropriate?
A. "Are you getting adequate rest and sleep each day?"
B. "It is normal to be fatigued even for months afterward."
C. "This is not normal and I'll let the provider know."
D. "Try adding more vitamins B and C to your diet."
B. "It is normal to be fatigued even for months afterward."