1. Jenna is a nurse from the medical-surgical unit of a tertiary hospital. She was
asked to float on the orthopedic in which she has no prior experience on working
on. Which client should be assigned to her?
A. A client with a cast for a fractured femur and who has numbness and discoloration of the toes.
B. A client with balanced skeletal traction and needs assistance with morning care.
C. A client who had an above-the-knee amputation yesterday and has currently has a temperature
of 101.49F.
D. A client who had a total hip replacement two days ago and needs blood glucose monitoring.
The rationale for choosing A was because the cast was probably cutting off circulation causing
the numbness and discoloration.
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2. Sally is a nurse working in an emergency department and receives a client after a
co
radiological incident. Which task is utmost priority for the nurse to do first?
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A. Decontaminate the client's clothing.
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B. Decontaminate the open wound on the client's thigh.
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C. Decontaminate the examination room the client is placed in.
D. Save the client's vomitus for analysis by the radiation safety staff.
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The rationale for choosing A was due to getting the patient decontaminated as soon as possible to
stop the process of the radiation.
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3. The nurse plans care for a client in the post anesthesia care unit. The nurse should
assess first the client's:
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A. respiratory status.
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B. level of consciousness.
C. level of pain.
D. reflexes and movement of extremities.
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The nurse should asses the ABC’s first. That is why I chose A.
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4. Nurse Jackie is reviewing the diet of a 28-year-old female who reports several
months of intermittent abdominal pain, abdominal bloating, and flatulence. The
nurse should tell the client to avoid:
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A. fiber.
B. broccoli,
C. yogurt.
D. simple carbohydrates
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