A client being cared for by a nurse in a home care setting suddenly stops breathing. What role should the nurse play in such a situation? - Answer-Call 911 and begin cardiopulmonary resuscitation immediately.
A client has been prescribed moist heat compresses. What is the purpose of moist heat c...
Applied Nursing Exam 1 - Ch 41-43, 53-
54, 57 Questions and Answers
A client being cared for by a nurse in a home care setting suddenly stops breathing.
What role should the nurse play in such a situation? - Answer-Call 911 and begin
cardiopulmonary resuscitation immediately.
A client has been prescribed moist heat compresses. What is the purpose of moist heat
compresses? - Answer-Relieving local pain
A client with a dog bite is admitted to a local healthcare facility for treatment. What
immediate intervention should the nurse perform to treat the client's dog bite? - Answer-
Cleanse the wound with warm, soapy water.
A client with a draining wound in the leg and has been prescribed a warm soak. What is
the purpose of a warm soak? - Answer-Loosens scabs and crusts
After applying an antiembolism stocking to a client, the nurse observes paleness and
cyanotic appearance of the client's toes. What could have been the reason for the
change in color? - Answer-Restriction of circulation to the extremities
A nurse is asked to apply antiembolism stockings to a client following surgery. What
important criteria should the nurse keep in mind before applying antiembolism
stockings? - Answer-The leg length and thigh or calf needs to be measured.
A nurse is caring for a client with a sprained ankle. What should the nurse teach the
client regarding the purpose of a cold compress? - Answer-Relaxes muscles
Following a postoperative procedure, a nurse is asked to apply antiembolism stockings
to the client. Which does the application of antiembolism stockings prevent? - Answer-
Clot formation within the blood vessels
Psychiatric emergencies affect people of all ages and can occur at any time. The nurse
is educating a group of student nurses completing their psychiatric rotation on when
clients should be instructed to call for medical assistance. Based on this information, the
student nurses properly identified when to call for medical assistance when which
factors are present in an individual?
1. Threat to harm self or others
2. Suicidal thoughts
3. Willingness to talk when a psychiatric emergency is suspected
4. History of prior suicide attempts - Answer-1, 2, 4
The nurse has applied a bandage to a lower extremity on a client. The nurse has to
evaluate the status of the extremity encased in the bandage by completing a peripheral
, neurovascular assessment with the RN. What observations and assessment have to be
completed as part of the peripheral neurovascular assessment?
1. Skin color
2. Toe motion
3. Sensation in toes
4. Proximal pulses - Answer-1, 2, 3
The nurse is reviewing with a group of nursing students the concept of triage. What are
accurate responses by the student nurses about triage?
1. Process of sorting and classifying to determine priority of needs
2. Involves determining non-life-threatening situations and assisting those clients first
3. Important to identify victims and their next of kin whenever possible
4. A disaster plan is initiated in the emergency department when a motor vehicle
accident involves more than one victim. - Answer-1, 3
The nurse is reviewing with a group of student nurses about the use of ice bags. What
is the best response by a student nurse about the uses for an ice bag?
1. Headache
2. Sprain
3. Nosebleed
4. Concussion - Answer-1, 2, 3
The nurse is using Montgomery straps on a client following abdominal surgery. What is
the rationale for using Montgomery straps for the client? - Answer-To enable frequent
dressing changes
The nurse knows that the peripheral vascular status must be checked frequently when
bandages or binders are applied. What is the best recommended frequency that the
peripheral vascular status has to be completed on a client? - Answer-At least every 2
hours
The nurse suspects that a neighbor has had a heart attack and calls for an ambulance.
Which symptoms alerted the nurse to a suspected heart attack?
1. Chest pain with radiation to the left arm
2. Rest relieves the chest pain
3. Pain radiating to the back
4. Restlessness - Answer-1, 3, 4
Which position would a client be placed in when the client is being treated for shock? -
Answer-on the back (supine) with the legs elevated (Trendelenburg)
A nurse caring for a client needs to take droplet precautions when transporting the client
to an area outside the client's room. Which precaution should the nurse take? - Answer-
Have the client wear a mask.
Match the injury on the left with the treatment on the right.
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