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Questions 149

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Extract:


Question 1 of 5

Nurses are expected to understand the principles of triage when caring for multiple clients. The ICU charge nurse is reviewing assignments. Based on the principles of triage, to which client would the charge nurse give priority for treatment? Select all that apply.

Correct Answer: A,D,E

Rationale: A ventilator alarm, unresponsiveness, and tingling (possible anaphylaxis) indicate life-threatening conditions requiring immediate attention. Other clients are stable or less urgent.

Question 2 of 5

The nurse is caring for a 10-year-old client who states, 'I am really good at soccer because I practice every day.' According to Erikson's eight stages of development, which psychosocial crisis does this statement reflect?

Correct Answer: B

Rationale: A 10-year-old’s pride in skill development reflects industry vs. inferiority, typical of school-age children striving for competence.

Question 3 of 5

A client has had a long leg cast removed after eight weeks. Which of the following actions is the correct method of cleansing the skin after cast removal?

Correct Answer: B

Rationale: Soaking in a tub and washing with a washcloth (
B) gently removes dead skin and debris without irritation. A bath brush (
A) or hot water (
D) may be too harsh, and enzyme wash (
C) is unnecessary.

Question 4 of 5

The nurse is assisting the health care provider to perform a renal biopsy. Which position should the nurse place the client in?

Correct Answer: D

Rationale: The prone position with a pillow under the shoulders and abdomen provides optimal access to the kidney for a renal biopsy.

Question 5 of 5

A 62-year-old female with osteoarthritis asks the nurse how she can ease her pain and discomfort. The nurse should include which of the following in the discharge plan for the client? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Healthy weight, aspirin, warm compresses, and moderate exercise (e.g., walking) reduce osteoarthritis pain and stiffness. High-impact exercise (
C) can worsen joint damage.

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