Fundamentals EAQ Questions

1. The nurse teaching a health awareness class identifies which situation as being the highest risk factor for the development of a deep vein thrombosis (DVT)? - Pregnancy - Inactivity - Aerobic Exercise - Tight Clothing - Inactivity 2. A DVT, or thrombus, may form as a result of venous stasis. It may lodge in a vein and can cause venous occlusion. Inactivity is a major cause of venous stasis leading to DVT. Pregnancy and tight clothing are also risk factors for DVT secondary to inactivity. Aerobic exercise is not a risk factor for DVT. 3. A nurse has provided discharge instructions to a client who received a prescription for a walker to use for assistance with ambulation. The nurse determines that the teaching has been effective when the client does what? - Picks up the walker and carries it for short distances - Uses the walker only when someone else is present - Moves the walker no more than 12 inches (30.5 cm) 4. in front of client during use - States that the walker will be purchased on the way 5. home from the hospital - Moves the walker no more than 12 inches (30.5 cm) in front of client during use 6. Following a surgery on the neck, the client asks the nurse why the head of the bed is up so high. The nurse should tell the client that the high-Fowler position is preferred for what reason? - To avoid strain on incision - To promote drainage of wound - To provide stimulation for the client - To reduce edema at the operative site - To reduce edema at the operative site 7. This position prevents fluid accumulation in the tissue, thereby minimizing edema. This position will neither increase nor decrease strain on the suture line. Drainage from the wound will not be affected by this position. This position will not affect the degree of stimulation. 8. What does the nurse recognize as the reason the faucet handles on the sinks in a client's room are considered contaminated?- They are not in sterile areas - They are touched by dirty hands when turning the 9. water on - There are a large number of people who use them day - Water encourages bacterial growth - They are touched by dirty hands when turning the water on 11.Unwashed hands are considered contaminated and are used to turn on sink faucets. Recontamination of washed hands may be prevented by using foot pedals or a paper towel barrier when closing the faucets. They are not considered contaminated because they are not in sterile areas; areas cannot be sterile. It is unrelated to the number of people, but rather to being touched by contaminated hands. Although bacterial growth is facilitated in moist environments, this is not why sink faucets are considered contaminated