Nursing Elites

1. A client is recovering from a fractured radius that occurred 7weeks ago. Which state of bone healing occurs at this time as the callus is restored and transformed into bone?

• A. Stage 3
• B. Stage 5
• C. Stage 1
• D. Stage 4

Correct answer: D

Rationale:

2. What medication class can decrease tissue inflammation but delays bone healing?

• A. Anticoagulants
• B. Nonsteroidal anti-inflammatory drugs (NSAIDs)
• C. Opioids
• D. Narcotics

Correct answer: B

Rationale: The correct answer is B: Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs are known to decrease tissue inflammation but may delay bone healing. Anticoagulants (Choice A) are used to prevent blood clotting, opioids (Choice C) are pain relievers, and narcotics (Choice D) are drugs that affect the central nervous system. While all the choices may have their own indications and uses in healthcare, NSAIDs are specifically associated with delaying bone healing despite their anti-inflammatory properties.

3. A client is in skeletal traction. With the nurse's assessment, it is noted that the pairs appear red, swollen and there is purulent drainage. What action does the nurse take first?

• A. Collect a culture of the purulent fluid
• B. Cleanse the skin around the pins
• C. Administer an antibiotic
• D. Instruct the client to complete exercise of the affected extremity

Correct answer: A

Rationale:

4. What is an example of a client's primary defense to infection?

• A. Intact skin
• B. Inflammation
• C. Phagocytosis
• D. Fever

Correct answer: A

Rationale:

5. By providing measures to reduce skin breakdown, how does the nurse break the chain of infection?

• A. Sterilizing the area to reduce the reservoir risk
• B. Maintaining the integrity of a portal of entry
• C. Creating a reservoir to decrease the risk of infection
• D. Creating a susceptible host

Correct answer: B

Rationale:

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