Nursing Elites

1. Which among the following is NOT the cause of pressure ulcers?

• A. Immobility
• B. Poor nutrition
• C. Moisture
• D. Adequate perfusion

Correct answer: D

Rationale:

2. What nursing interventions increase the risk the pressure injuries?

• A. Padding hard surfaces
• B. Have client sit in wheelchair as much as possible
• C. Place pillows between bony surfaces
• D. Keep head of bed (HOB) at or less than 3

Correct answer: B

Rationale:

3. Which of the following clients are at an increased risk for deep vein thrombosis following a reduction and internal fixation of the hip? (Select all that apply)

• A. A client on birth control pills
• B. A client who is immobile
• C. A client on an anticoagulant
• D. A client with dementia who has been wandering

Correct answer: a

Rationale: Clients on birth control pills, immobile, and smokers are at increased risk of DVT after hip surgery.

4. A client on bed rest complains of pain and burning in the right calf area. What is the nurse's action?

• A. Deeply palpate the area for rebound tenderness
• B. Medicate the client for pain and reassess in 60 minutes
• C. Percuss over the area for a change in tone
• D. Compare the circumference to the left calf

Correct answer: D

Rationale:

5. The client with RA complains of intensely dry eyes. What does the nurse suspect?

• A. Systemic sclerosis
• B. Sjogren's syndrome
• C. Chron's disease
• D. Discoid lupus

Correct answer: B

Rationale:

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