Nursing Elites

1. The nurse is caring for a client who develops compartment syndrome from a severely fractured arm. The client asks how this can happen. What is the best response by the nurse?

• A. . "The fascia expands with injury, causing pressure on underlying nerves and muscles."?
• B. "An injured artery causes impaired arterial perfusion through the compartment."?
• C. "Bleeding and swelling cause increased pressure in an area that cannot expand."?
• D. . "A bone fragment has injured the nerve supply in the area."?

Correct answer: C

Rationale:

2. A client has an abdominal incision. The surgical wound was closed with 10 sutures. This surgical wound is healing by what process?

• A. Primary intention
• B. Binary intention
• C. Secondary intention
• D. None of the Above

Correct answer: A

Rationale:

3. A client has AIDS. Which of these findings indicate possible infection?

• A. Respirations; 22 breaths per minute
• B. Client ambulates 20 feet
• C. Purulent drainage
• D. Oxygen saturation; 97% on room air

Correct answer: C

Rationale:

4. A client has an open wound with creamy thick yellow drainage. How would the nurse document this finding?

• A. Purulent
• B. Serosanguinous
• C. Sanguineous
• D. Serous

Correct answer: A

Rationale:

5. A wound has a blood-tinged liquid that is dripping from the surgical site. How does the nurse document this finding?

• A. Creamy pus
• B. Serous
• C. Serosanguineous
• D. Purulent exudate

Correct answer: C

Rationale:

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