Nursing Elites

1. The client states, "Why am I getting protein supplements while I am healing from a bed sore?"? What is the best response by the nurse?

• A. Because it is easy to digest.'
• B. Protein has amin acid that promotes wound healing.'
• C. If you do not like it, you do not have to take it.'
• D. These supplements have nothing to do with your wound,'

Correct answer: B

Rationale:

2. A client is immobile and requires mechanical ventilation with a tracheostomy. She has a pressure injury on her coccyx measuring 5 cm by 3 cm. the nurse observes bone and tendon at the base of the wound. How would the nurse document this wound?

• A. Stage III pressure injury
• B. A stage II pressure injury
• C. A non-staging pressure injury
• D. Stage IV pressure injury

Correct answer: D

Rationale:

3. A nurse is preparing a community presentation about repetitive motion injuries. Which of the following occupations should the nurse identify as increasing a client's risk for carpal tunnel syndrome?

• A. Elementary school teacher
• B. Nursing assistant
• C. Assembly line worker
• D. Truck driver

Correct answer: A

Rationale:

4. A client sustains an injury to his heel while the unlicensed assistive personnel and the nurse are moving him up in bed. What force caused the injury?

• A. Shearing or friction
• B. Twisting and bending
• C. Pressure or gravity
• D. Chemical or pressure

Correct answer: A

Rationale:

5. What complication of wound healing is an abnormal passage that connects two body cavities or a cavity and the skin?

• A. Fistula
• B. Hemorrhage
• C. Evisceration
• D. infection

Correct answer: A

Rationale:

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