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Questions 158

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Extract:


Question 1 of 5

An 11-year-old boy has received a partial-thickness burn to both legs. He presents to the emergency room approximately 15 minutes after the accident in excruciating pain with charred clothing to both legs. What is the first nursing action?

Correct Answer: D

Rationale: Emergency care of a thermal burn is immersing both legs in cool water. Cool water permits gradual temperature change and prevents further thermal damage.

Question 2 of 5

The nurse is assisting in the care of a patient who is two days post-operative from a hemorrhoidectomy. The nurse would be correct in instructing the patient to:

Correct Answer: D

Rationale: Sitz baths after bowel movements promote healing and relieve pain post-hemorrhoidectomy by keeping the area clean and reducing inflammation. High-fiber diets are encouraged, ice packs are typically used earlier, and laxatives may be prescribed but are not the priority.

Question 3 of 5

The nurse is caring for a client with a diagnosis of placenta accreta. Which intervention is most appropriate?

Correct Answer: A

Rationale: Placenta accreta often prevents placental separation leading to severe hemorrhage during delivery which may necessitate hysterectomy.
Tocolytics fetal monitoring and antibiotics are not primary interventions for this condition.

Question 4 of 5

A client had abdominal surgery this morning. The nurse notices that there is a small amount of bloody drainage on his surgical dressing. The nurse would document this as what type of drainage?

Correct Answer: C

Rationale: Drainage from a surgical incision is initially sanguinous, proceeding to serosanguinous, and then to serous.

Question 5 of 5

Parents of young children often need anticipatory guidance from the nurse. Parents may have little knowledge regarding growth and development. Which of the following toys and activities would the nurse suggest as appropriate for a toddler?

Correct Answer: C

Rationale: These activities provide the toddler (1-3 years old) with a variety of physical activities for play, suitable for their developmental stage.

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