Nursing Elites

1. A nurse is caring for a 25-year-old male quadriplegic client. Which of the following treatments would the nurse perform to decrease the risk of joint contracture and promote joint mobility?

• A. Administer glucosamine supplements
• B. Turn the client every 2 hours
• C. Provide active range of motion (ROM)
• D. Provide passive range of motion (ROM)

Correct answer: D

Rationale: The correct answer is to provide passive range of motion (ROM). In quadriplegic clients, who have limited or no movement of their limbs, passive ROM exercises are crucial to maintain joint mobility and prevent joint contractures. Administering glucosamine supplements (choice A) is not directly related to promoting joint mobility. Turning the client every 2 hours (choice B) is essential for preventing pressure ulcers but does not directly address joint contracture and mobility. Providing active ROM exercises (choice C) may not be suitable for quadriplegic clients as they are unable to perform these movements on their own.

2. The nurse is providing medication for a client with osteomyelitis. What teaching should the nurse indicate in the education?

• A. The most common adverse e effect for nonsteroidal anti-inflammatory drugs (NSAIDS)are liver failure and tinnitus
• B. The main side effect of acetaminophen is gastrointestinal GI bleeding
• C. You should not take more than 4000 mg of acetaminophen a day
• D. Nonsteroidal anti-inflammatory drugs (NSAIDS) are very safe and are known to have no side effects

Correct answer: A

Rationale:

3. What is not an inappropriate nursing intervention for psoriasis?

• A. Teach the client how to utilize UV radiation
• B. Apply rubbing alcohol to plaques
• C. Apply corticosteroids as ordered
• D. Urge the client to consider participating in support groups

Correct answer: B

Rationale:

4. Which of the following is NOT a risk factor for osteoarthritis?

• A. Older age
• B. Sports injuries
• C. Obesity
• D. Vegan diet

Correct answer: D

Rationale:

5. When providing a routine bed bath, what action does the nurse complete first?

• A. Cleanse the client's feet
• B. Cleanse the client's hands
• C. Cleanse the client's perineal area
• D. Cleanse the client's face

Correct answer: D

Rationale:

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