Nursing Elites

1. A client with chronic osteomyelitis is being discharged from the hospital. What is the nurse’s priority discharge intervention?

• A. Teaching adherence to an exercise program
• B. Teaching about a healthy dietary intake
• C. Teaching adherence to the antibiotic regimen
• D. Scheduling daily dressing changes

Correct answer: C

Rationale: The correct answer is C: Teaching adherence to the antibiotic regimen. In chronic osteomyelitis, the priority is to ensure proper treatment of the infection, which heavily relies on consistent adherence to the prescribed antibiotic regimen. This helps in eradicating the infectious organisms and preventing recurrence. Choices A, B, and D are important aspects of care but teaching adherence to the antibiotic regimen takes precedence as it directly impacts the successful management of chronic osteomyelitis.

2. 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:

3. What soft tissue musculoskeletal injury is excessive stretching of a ligament?

• A. Sprain
• B. Ligament tear
• C. Strain
• D. Tendon rupture

Correct answer: A

Rationale: A sprain is an injury involving excessive stretching of a ligament.

4. A client does not understand why vision loss due to glaucoma is irreversible. What is the best explanation?

• A. Once bacterial infection has caused damage, the tissue does not regenerate.
• B. Once retinal detachment occurs, it does not return to its normal state.
• C. Too many nerve fibers have become ischemic and died, so vision loss is permanent.
• D. Glaucoma always leads to permanent blindness.

Correct answer: C

Rationale: The correct answer is C. In glaucoma, the optic nerve damage due to high intraocular pressure leads to permanent vision loss because the nerve fibers do not regenerate. Choice A is incorrect as it discusses bacterial infection, not relevant to glaucoma. Choice B is incorrect because it refers to retinal detachment, not glaucoma. Choice D is incorrect because not all glaucoma cases lead to permanent blindness; vision loss can be prevented or slowed with treatment.

5. What is the intended outcome for the treatment of glaucoma?

• A. Improve the vision of the eye
• B. Strengthen the muscles of the eye
• C. Lower the intraocular pressure
• D. Dry up excess secretions

Correct answer: C

Rationale: The correct answer is C: Lower the intraocular pressure. The primary objective of treating glaucoma is to reduce intraocular pressure to prevent further vision loss. Choice A, 'Improve the vision of the eye,' is incorrect because while treatment may prevent vision loss, it does not necessarily improve vision. Choice B, 'Strengthen the muscles of the eye,' is incorrect as glaucoma primarily involves the optic nerve and not muscle weakness. Choice D, 'Dry up excess secretions,' is not related to the treatment goal of glaucoma which is focused on managing intraocular pressure.

Similar Questions