Nursing Elites

1. The nurse will be using the Braden Scale with each admit to the long-term care center. Which of these will NOT be utilized in a Braden Scale Assessment?

• A. Mental state
• B. Friction and shear
• C. Nutrition
• D. Sensory perception

Correct answer: A

Rationale:

2. A client just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?

• A. "This must be hard news to hear. Tell me more about it."?
• B. "I believe you can overcome this because I have seen how strong you are."?
• C. "Tomorrow will be better."
• D. "What is your biggest fear about this diagnosis?"?

Correct answer: A

Rationale:

3. Which nonpharmacological intervention does not help reduce edema?

• A. Heat therapy
• B. Passive range of motion (PROM)
• C. Elevation of the extremity
• D. Cold therapy

Correct answer: A

Rationale: The correct answer is A: Heat therapy. Heat therapy can vasodilate blood vessels, increasing blood flow to the area and potentially exacerbating edema. Passive range of motion (PROM), elevation of the extremity, and cold therapy are all beneficial interventions for reducing edema. PROM helps with circulation, elevation assists in reducing fluid accumulation, and cold therapy can help constrict blood vessels and decrease swelling.

4. 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:

5. A nurse is teaching a client who has a new prescription for ibuprofen to treat rheumatoid arthritis. The nurse should teach the client to monitor for what adverse effect of this medication?

• A. Bleeding
• B. Insomnia
• C. Blurred vision
• D. Constipation

Correct answer: C

Rationale:

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