Nursing Elites

1. Sergio is brought to Emergency Room after the barbecue grill accident. Based on the assessment of the physician, Sergio sustained superficial partial thickness burns on his trunk, right upper extremities and right lower extremities. His wife asks what that means? Your most accurate response would be:

• A. Structures beneath the skin are damage
• B. Dermis is partially damaged
• C. Epidermis and dermis are both damaged
• D. Epidermis is damaged

Correct answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

2. What is the term for the act of performing beneficial services rather than harmful ones?

• A. Beneficence
• B. Disclosure
• C. Maleficence
• D. Justice

Correct answer: A

Rationale: The term for the act of performing beneficial services rather than harmful ones is 'Beneficence'. Beneficence refers to actions that enhance the well-being of others. In the healthcare context, beneficence ensures that health services are advantageous and beneficial to patients. 'Disclosure' (choice B) is the act of revealing information, not directly related to whether actions are beneficial or harmful. 'Maleficence' (choice C) is the opposite of beneficence, involving actions that can cause damage or harm. 'Justice' (choice D) denotes fairness and equality, important in various contexts but not specifically related to performing beneficial services.

3. In taking the client’s blood pressure, the nurse should position the client’s arm:

• A. At the level of the heart
• B. Slightly above the level of the heart
• C. At the 5th intercostals space midclavicular line
• D. Below the level of the heart

Correct answer: A

Rationale: Proper patient positioning is essential for maximizing lung expansion and promoting the drainage of secretions. Postural drainage techniques rely on gravity to help clear different lung segments, which is critical in preventing complications such as atelectasis or pneumonia in immobilized patients.

4. A healthcare provider is assessing a client who has a stage III pressure ulcer that is healing poorly. The provider should identify that which of the following vitamin deficiencies increases the client’s risk for delayed wound healing?

• A. Vitamin C
• B. Vitamin D
• C. Vitamin E
• D. Vitamin B6

Correct answer: A

Rationale: Corrected Rationale: Vitamin C deficiency can impair collagen synthesis and delay wound healing, making it crucial for recovery from pressure ulcers. Incorrect Rationales: - Vitamin D deficiency is associated with bone health, not specifically wound healing. - Vitamin E deficiency can lead to neurological and immune system issues but is not directly linked to delayed wound healing. - Vitamin B6 deficiency can cause skin rashes and neurological symptoms but is not a primary factor in delayed wound healing.

5. Each of the following describes the physiologic roles of water, except one. Which is the exception?

• A. Acts as a solvent for chemical reactions.
• B. Maintains stability of body fluids.
• C. Enables transport of nutrients and excretion of waste.
• D. Regulates temperature by pooling as perspiration on skin.

Correct answer: D

Rationale: The correct answer is D. Water regulates body temperature by evaporating as perspiration from the skin, not by pooling. When sweat evaporates from the skin, it takes away heat, which helps cool the body. Choices A, B, and C are correct because water acts as a solvent for chemical reactions, maintains the stability of body fluids, and enables the transport of nutrients and excretion of waste, respectively.

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