a client has a new arm cast what is incorrect teaching by the nurse

ATI RN

Multi Dimensional Care | Final Exam

1. A client has a new arm cast. What is incorrect teaching by the nurse?

A. Use a sling to alleviate fatigue
B. Elevate the arm above the heart to reduce swelling
C. Report ‘hot spots’ felt under the cast
D. Sudden increase in drainage is expected

Correct answer: D

Rationale: Sudden increase in drainage is not expected and should be reported as it may indicate an infection or other complication.

2. What is a classic symptom assessed in clients with lupus?

A. Butterfly rash
B. Chvostek's sign
C. Ovid's sign
D. Heberden's nodes

Correct answer: A

Rationale:

3. A client sustains an injury to his heel while the unlicensed assistive personnel and the nurse are moving him up in bed. What force caused the injury?

A. Shearing or friction
B. Twisting and bending
C. Pressure or gravity
D. Chemical or pressure

Correct answer: A

Rationale:

4. What steps are NOT included in preparing a sterile field?

A. Do not turn away from the sterile field
B. Obtain PAPR mask
C. Prepare the client before setting up the sterile field
D. Cover the sterile field once it is set up

Correct answer: B

Rationale:

5. A client has sustained an open fracture. What nursing intervention will best prevent osteomyelitis in this client?

A. Delegate all client personal care to specific unlicensed assistive personnel
B. Place the client in contact precautions
C. Proper hand hygiene
D. Administer pain medication

Correct answer: C

Rationale: Proper hand hygiene is crucial in preventing infections such as osteomyelitis in clients with open fractures. Keeping the hands clean helps reduce the risk of introducing harmful pathogens to the wound site. Delegating all client personal care to specific unlicensed assistive personnel (Choice A) is not appropriate as direct involvement in wound care is essential in preventing infections. Placing the client in contact precautions (Choice B) is not directly related to preventing osteomyelitis in this context. Administering pain medication (Choice D) is important for managing the client's pain but does not directly address the prevention of osteomyelitis.