Nursing Elites

1. What statement by the client with plantar fasciitis indicates a need for further teaching?

• A. I will use warm packs on my feet.
• B. I will use nonsteroidal anti-inflammatory drugs (NSAIDS) for comfort.
• C. I will rest and stretch my feet.
• D. I will wear supportive shoes.

Correct answer: A

Rationale: The correct answer is A. Using warm packs can exacerbate inflammation in plantar fasciitis. Choices B, C, and D are all appropriate interventions for managing plantar fasciitis. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Resting and stretching the feet can promote healing and reduce symptoms. Wearing supportive shoes can provide stability and reduce strain on the plantar fascia. Therefore, the client's statement about using warm packs indicates a need for further teaching as it can worsen the condition.

2. What nursing intervention is appropriate for a client with systemic lupus erythematous (SLE)?

• A. Intense cold therapy to the extremities
• B. Encourage ultraviolet (UV) light exposure
• C. Administer topical hydrocortisone
• D. Administer antibiotics

Correct answer: C

Rationale:

3. A nurse enters the hospital room of a client with reduced immunity. What observation requires further action by the nurse?

• A. The client is in a private room.
• B. The client has a vase of fresh flowers on the table
• C. The client has a dedicated vital signs machine
• D. There is hand sanitizer by the door

Correct answer: B

Rationale:

4. A client arrives speaking only Spanish. What is the priority nursing intervention?

• A. Give the client a tour of the unit
• B. Verify the reason for admission
• C. Request a medical interpreter
• D. Call the chaplain for support

Correct answer: C

Rationale:

5. A client with systemic sclerosis has been in bed for 2 weeks due to fatigue and abdominal pain. Today, the client came into the clinic complaining of her leg being hot, red and painful. What does the nurse suspect?

• A. Amputation
• B. Deep vein thrombosis
• C. Internal bleeding
• D. Kidney failure

Correct answer: B

Rationale:

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