The client has stage 3 pressure ulcers

The client has stage 3 pressure ulcers. The wound nurse recommends which of the

following dressings for these wounds?

 

A)Foam dressing (Mepilex)

B)Transparent film (Opsite)

c)Silicone (Mepitel)

D)Hydrocolloid(DuoDERM)

 

You found a patient on the floor. Patient is responsive and reported that he slipped

when trying to grab her cellphone. What should you be doing first?

 

A) Assist the patient to get up

Call for help

Take vital signs

Turn the patient to a prone position.

 

The fire alarm was activated and it was announced that a fire was on the east wing of

the hospital. The nurse is working on the west wing of the hospital. What should the

nurse do?

 

Start to evacuate the clients.

Open the doors of the clients’ rooms

Open the windows of the clients’ rooms

Close the doors of the clients’ rooms

 

A nurse understands that factors affecting pain include the following except one

ethnic and cultural background

previous pain experience

age

fatigue

 

A patient is 6 ft. and weighs 100 pounds. She has a poor appetite and does not

move her extremities to reposition self. What should be the nurse’s priority intervention?

 

Place the patient in semi fowler position

Check vital signs frequently

Assess her pain level

Reposition patient every 2 hours

 

A client recovering from an amputation asks why the toot that was removed is still causing pain. Which type of pain should the nurse explain that the client is experiencing?

 

Cutaneous

Deep somatic

Neuropathic

Sort tissue

 

The nurse administered the flu vaccine using a passive needle safety device. After

injection, which of the following actions should the nurse take?

 

Pull the plastic sheath over the needle

Remove the safety device before discarding

Discard the needle into the trash

Ensure that, the needle retracts into the barrel

 

The nurse is preparing to apply a warm pack to a client experiencing back spasms. Which should the nurse do before application?

Warm the towel in the microwave

Check peripheral pulses for a baseline

Assess the skin for edema and color

Prepare the warm pack using sterile technique

 

A nurse checked a blood pressure of a patient and was 140/90 when sleeping,

and was 110/70 when sitting. How should the nurse interpret this?

 

I Patient has hypertension

Patient has hypotension

Patient has

musculoskeletal problem

Patient has respiratory distress

 

The nurse knows that eating cold or hot food can mildly affect temperature during

Which of the following time ranges?

 

15-30 mins

0 15 -20 mins

5-10 mins

2-5 mins

 

You found a patient on the floor. Patient is responsive and reported that he slipped

when trying to grab her cellphone. What should you be doing first?

 

Assist the patient to get up

Call for help

Take vital signs

Turn the patient in a prone position.

 

A nurse checked the blood pressure of a patient and was 140/90 when sleeping, and 110/70 when sitting. How should the nurse interpret this?

 

Patient has hypertension

Patient has hypotension

Patient has musculoskeletal problem

Patient has respiratory distress

 

client recovering from an amputation asks why the foot that was removed is still causing pain. Which type of pain should the nurse explain that the client is experiencing?

 

Cutaneous

Deep somatic

I Neuropathic

Soft tissue

 

A resident in long term care has had a fall two times in the last week alone. What

intervention should the nurse institute to prevent a fall?

Place a floor matt

Place a call light in his reach

Put the bed in the lowest position

Put the bed alarm on