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Questions 227

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Extract:


Question 1 of 5

The intent of the Patient Self Determination Act (PSDA) of 1990 is to:

Correct Answer: B

Rationale: The PSDA promotes advance decision-making for medical care, encouraging clients to plan before a crisis. It does not set a federal standard or focus solely on legal control or education. Coordinated Care

Question 2 of 5

The nurse observes a LPN/LVN perform a wet-to-dry dressing change on a 2-inch abdominal incision. Which of the following behaviors, if performed by the LPN/LVN, would indicate an understanding of proper technique?

Correct Answer: C

Rationale: Wet-to-dry dressings should have wet gauze packed into the incision without overlapping onto the skin to prevent skin breakdown. Cleansing (
A) should be from the center outward, dressings (
B) are soaked before packing, and old dressings (
D) are removed dry to debride the wound.

Extract:

A client has been on antibiotics for 72 hours for cystitis.


Question 3 of 5

Which report from the client requires priority attention by the nurse?

Correct Answer: C

Rationale: Rashes and breathing problems are signs of a delayed allergic reaction to antibiotics, requiring urgent attention.

Extract:

B.C underwent skin grafting. Vital signs are BP 124/68; HR 100 bpm; RR 24; T 37.7 °C.


Question 4 of 5

Potential complication that can be possibly developed will be:

Correct Answer: A

Rationale: Infection, such as sepsis, is a serious complication of skin grafting due to the risk of microbial invasion at the graft site.

Extract:


Question 5 of 5

A client who had a total thyroidectomy this morning is to be admitted to the surgical floor. What should the nurse have readily available when the client arrives?

Correct Answer: A

Rationale: Thyroidectomy risks airway obstruction from swelling or hematoma; a tracheostomy set is essential for emergency airway management.

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