Study online at https://quizlet.com/_2530x0
1. A nurse is completing a treatment on a client who has a stage 1 pressure ulcer.
Which of the following dressings should the nurse apply?
1. Transparent dressing
2. Wet-to-dry dressing
3. Dry sterile dressing
4. Antimicrobial dressing: 1. Transparent dressing
2. A client has a fractured tibia as a result of a fall. The x-ray shows that the bone
is splintered into several pieces around the shaft. The nurse knows that this
client's fracture is
1. impacted.
2. transverse.
3. comminuted.
4. oblique.: 3. comminuted.
3. A nurse caring for a client who has pelvic fractures suspects fat embolism
syndrome. Which of the following findings is a late sign of this complication?
1. Tachypnea
2. Pyrexia
3. Tachycardia
4. Pulmonary edema: 4. Pulmonary edema
4. A nurse is teaching a client who has left hemiparesis how to properly use a
cane. Which of the following should the nurse include in the teaching?
1. Rubber tips should not be used on the end of a cane.
2. Hold the cane on the right side to provide support for the weaker extremity.
3. Place the cane approximately 61 cm (24in) in front of the feet before advanc-
ing.
4. Advance the right leg and the cane together to support the weaker leg.: 2. Hold
the cane on the right side to provide support for the weaker extremity.
1/6
, Nurs 120 Week 1 Questions
Study online at https://quizlet.com/_2530x0
5. A nurse is caring for a client who has a new short-leg cast on his lower leg
to treat an ankle fracture. Which of the following findings requires immediate
notification of the provider?
1. Moderate level of pain.
2. Dependent edema distal to the cast.
3. Inability to flex the toes of the casted foot.
4. Ecchymosis of the distal foot.: 3. Inability to flex the toes of the casted foot.
6. A nurse is planning care for an older adult client who is at high risk for
developing pressure ulcers. Which of the following is an appropriate measure
for the nurse to include?
1. Use a draw sheet to move the client up in bed.
2. Apply cornstarch to keep sensitive skin areas dry.
3. Massage the skin over the client's bony prominences.
4. Elevate the head of the bed no more than 45 degrees.: 1. Use a draw sheet to move the
client up in bed.
7. A nurse is assessing the effectiveness of the elastic bandage on the stump of
a client who had a right below-the-knee amputation. Which of the following
findings should alert the nurse to a possible complication?
1. Pitting edema around the stump dressing.
2. Looseness of the stump dressing.
3. The dressing forming a cone shape over the stump.
4. Figure-eight wrapping around the stump.: 1. Pitting edema around the stump dressing.
8. Upon inspection of a client's skin, a nurse identifies a stage 3 pressure ulcer
on the sacrum. Which of the following statements by the nurse describes a
stage 3 pressure ulcer?
1. "There appears persistent reddening of the skin."
2. "There is slough on part of the wound area."
3. "There is a fluid-filled area under the skin."
2/6