Nursing Elites

1. A client has suffered from a femur fracture. What is the nurse's priority assessment?

• A. Pain
• B. Medication history
• C. Pedal pulses
• D. Socio-economic status

Correct answer: C

Rationale:

2. What are nonsurgical treatment options for carpal tunnel syndrome? (Select all that apply)

• A. Using a splint
• B. Ultrasound therapy
• C. Endoscopic carpal tunnel release
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Non-surgical treatments for carpal tunnel syndrome include using a splint, ultrasound therapy, corticosteroid injections, and NSAIDs. Choice A is correct as using a splint helps to keep the wrist in a neutral position, reducing pressure on the median nerve. Choice B is correct as ultrasound therapy can help reduce inflammation and alleviate symptoms. Choice C, 'Endoscopic carpal tunnel release,' is incorrect as it is a surgical procedure, not a nonsurgical treatment option for carpal tunnel syndrome.

3. 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.

4. Why is a client with osteoporosis prone to fractures?

• A. The client has bone spurs that lead to fractures
• B. The client has increased bone density
• C. The client has porous bones
• D. The client is not prone to fractures

Correct answer: C

Rationale: The correct answer is C. Osteoporosis is characterized by porous, weak bones due to decreased bone density. This porous nature of bones in osteoporosis makes them more prone to fractures. Choice A is incorrect because bone spurs do not lead to fractures in osteoporosis; they are bony outgrowths unrelated to osteoporosis. Choice B is incorrect as osteoporosis is associated with decreased, not increased, bone density. Choice D is incorrect as individuals with osteoporosis are indeed prone to fractures due to weakened bones.

5. What does CREST stand for?

• A. Calcinosis, Raynaud's, Esophageal dysmotility, Sclerodactyly and Telecines
• B. Calcinosis, Reverse isolation, Esophageal dysmotility, Sclerodactyly and Telangiectasia
• C. Calcinosis, Raynaud's, Everted colon, Sclerodactyly and Telangiectasia
• D. Calcinosis, Raynaud's Esophageal dysmotility, Sclerodactyly and telangiectasia

Correct answer: D

Rationale:

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