Nursing Elites

1. A client with lupus experience Raynaud's phenomenon. What should the nurse include when providing client education about this?

• A. In order to avoid flare-ups of Raynaud's, ensure you wear gloves in winter.'
• B. In order to avoid flare-ups of Raynaud's, ensure you brush your teeth for 2 minutes.'
• C. In order to avoid flare-ups of Raynaud's, ensure to keep cool.'
• D. In order to avoid flare-ups of Raynaud's, ensure you wear sunscreen.'

Correct answer: A

Rationale:

2. 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:

3. 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.

4. What phase of wound healing occurs at the time of injury and lasts about 3-5 days?

• A. Maturation
• B. Intentional
• C. Inflammatory
• D. Proliferative

Correct answer: C

Rationale:

5. The nurses assess the client's pain prior to completing a dressing change. The client says his current pain is 5/10, but he has pain of 10/10 when his dressing is changed. What is the priority intervention for this client?

• A. Offer the client protein with meals to promote healing
• B. Remove the old dressing with clean gloves
• C. Teach the client about nonpharmacological pain control methods
• D. Check medication administration record (MAR)for as needed orders (PRN)

Correct answer: C

Rationale:

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