EXAM COMPLETE 70 QUESTIONS
WITH DETAILED VERIFIED ANSWERS
(100% CORRECT
ANSWERS)/ALREADY GRADED A+
A nurse is assessing a client who sustained
superficial partial-thickness and deep partial-
thickness burns 72 hr ago. Which of the following
findings should the nurse report to the provider?
A. Edema in the burned extremities
B. Severe pain at the burn sites
C. Urine output of 30 mL/hr
D. Temperature of 39.1°C (102.4°F) - ....ANSWER...D.
Temperature of 39.1°C (102.4°F)
An elevated temperature is an indication of infection,
and the nurse should report this finding to the
,provider. Sepsis is a critical finding following a
major burn injury. Initially, burn wounds are
relatively pathogen-free. On approximately the third
day following the injury, early colonization of the
wound surface by gram-negative organisms
changes to predominantly gram-positive
opportunistic organisms.
An emergency room nurse is assessing a client who
has a new traumatic brain injury. The nurse
observes extension of the client's arms and legs,
pronation of the arms, and plantar flexion of the feet.
Which of the following actions is the nurse's priority?
A. Monitor urinary output
B. Administer an osmotic diuretic
C. Provide supplemental oxygen
D. Initiate seizure precautions - ....ANSWER...C.
Provide supplemental oxygen
The first action the nurse should take when using
the airway, breathing, and circulation (ABC)
approach to client care is to provide supplemental
oxygen. The client might require an artificial airway
,and mechanical ventilation because these findings
indicate decerebrate positioning, which is associated
with brainstem injury and can lead to brain
herniation and death.
A nurse is teaching a client who has persistent
cancer pain about the adverse effects of opioids.
Which of the following statements should the nurse
include in the teaching?
A. "Opioids do not relieve pain without causing
severe adverse effects."
B. "Physical dependence is not the same as
addiction."
C. "Tolerance typically means that the medication
will no longer be effective."
D. "The most common adverse effect is respiratory
depression with prolonged use." - ....ANSWER...B.
"Physical dependence is not the same as addiction."
The nurse should explain that physical dependence
can occur in all clients who take opioids, and the
client may develop abstinence syndrome if the opioid
is abruptly withdrawn. Physical dependence is not
, the same as addiction, but it can result in addiction.
Addiction results when the opioid is continued
despite physical or psychological harm.
A nurse is preparing a client who is scheduled to
have an arthroscopy the following day. Which of the
following statements indicates that the client
understands the pre-procedure teaching?
A. "I have to keep my leg straight throughout the
whole procedure."
B. "The doctor will be able to see if I have signs of
rheumatoid arthritis."
C. "I should expect to stay overnight until I can walk
around."
D. "I'll have a scar that will be about an inch long." -
....ANSWER...B. "The doctor will be able to see if I
have signs of rheumatoid arthritis."
An arthroscopy helps with diagnosing
musculoskeletal disorders such as rheumatoid
arthritis, osteoarthritis, and internal joint injuries.