Nursing Elites

1. A postoperative client is reporting pain at a level of 2 on a scale of 0 to 10. What is an indication that the client understands pain management?

• A. It might help me to listen to music while lying in bed.
• B. I should try to sleep as much as possible to avoid pain.
• C. I don’t need pain medication if my pain is only at a 2.
• D. I will try to use the pain management techniques suggested by the nurse.

Correct answer: A

Rationale: The correct answer is A because understanding pain management involves considering non-pharmacological approaches, such as listening to music for relaxation and comfort. Choice B is incorrect as excessive sleep may not be an effective pain management strategy. Choice C is incorrect because pain medication may still be necessary even if pain levels are low. Choice D is not the best answer, as it simply states following the nurse’s suggestions without demonstrating an understanding of personalized pain management techniques.

2. How can self-injury be prevented when lifting a bedside cabinet?

• A. Standing close to the cabinet when lifting.
• B. Bending at the waist when lifting.
• C. Twisting while lifting to balance the load.
• D. Lifting with a quick motion.

Correct answer: A

Rationale: The correct way to prevent self-injury when lifting a bedside cabinet is by standing close to the cabinet. By standing close, the individual can maintain better control and balance while lifting, reducing the risk of injury. Bending at the waist when lifting (choice B) can strain the back and lead to injury. Twisting while lifting (choice C) can also cause strain and imbalance. Lifting with a quick motion (choice D) can increase the risk of injury due to lack of control and improper body mechanics.

3. A client with brain cancer is transferring to hospice care. The client's son tells the nurse, 'I don’t know what to tell my dad if he asks how he is going to die.' Which of the following is an appropriate response by the nurse?

• A. “Let’s talk more about your dad’s condition.”
• B. “The social worker will help you answer those questions.”
• C. “I think that you should discuss this with the hospice nurse.”
• D. “Try to help your dad enjoy this time as much as he can.”

Correct answer: D

Rationale: Choosing option D, 'Try to help your dad enjoy this time as much as he can,' is the most appropriate response by the nurse. This response shows empathy and compassion towards the client and their family during this difficult transition. The focus on supporting the client in enjoying their remaining time reflects a holistic approach to care. Options A, B, and C are not the best responses in this situation. Option A could lead to unnecessary details that might be overwhelming for the family. Option B shifts the responsibility to the social worker without providing immediate support. Option C deflects the son's concerns to another healthcare professional when emotional support is needed.

4. A nurse in a provider's office is obtaining the health and medication history of a client who has a respiratory infection. The client tells the nurse that she is not aware of any allergies, but that she did develop a rash the last time she was taking an antibiotic. Which of the following information should the nurse give the client?

• A. "Rashes are very common, especially if you have dry skin. Did it go away on its own?"
• B. "Virtually all medications have adverse effects. It sounds like this could have been an adverse effect of the antibiotic."
• C. "It's unlikely that your doctor will prescribe an antibiotic for what seems to be a minor viral infection, so we shouldn't be concerned about that rash."
• D. "We need to document the exact medication you were taking because you might be allergic to it."

Correct answer: D

Rationale: The correct answer is D. If a client reports developing a rash when taking a specific medication, even if they are not aware of any allergies, it is crucial to document this information. This is necessary to prevent future allergic reactions. Identifying the exact medication that caused the rash is essential as the client could have an allergy to it. Providing this information allows healthcare providers to avoid prescribing the same medication again, which could potentially lead to more severe allergic reactions or life-threatening situations. Choices A, B, and C are incorrect because they do not address the importance of documenting the specific medication that caused the adverse reaction or the potential risks of repeating the medication. Simply attributing the rash to common occurrences, adverse effects of medications in general, or assuming the rash is insignificant in the current context can overlook the critical aspect of identifying and avoiding allergens.

5. The nurse is working on an orthopedic rehabilitation unit that requires lifting and positioning of patients. Which personal injury will the nurse most likely try to prevent?

• A. Arm
• B. Hip
• C. Back
• D. Ankle

Correct answer: C

Rationale: The correct answer is C: Back. Back injuries are common among healthcare workers, especially nurses, due to improper lifting techniques and bending. Working on an orthopedic rehabilitation unit involves frequent lifting and positioning of patients, putting the nurse at risk of back injuries. Preventing back injuries is crucial for maintaining the nurse's health and ability to provide care effectively. Choices A, B, and D are incorrect because while lifting and positioning patients may involve these body parts, back injuries are most likely to occur due to the strain and stress placed on the back during such activities.

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