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Questions 164

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Question 1 of 5

The nurse is caring for a 5 year-old child whose left leg is in skeletal traction. Which of the following activities would be an appropriate diversional activity?

Correct Answer: C

Rationale: Playing hand held games. Immobilization with traction must be maintained until bone ends are in satisfactory alignment. Activities that increase mobility interfere with the goals of treatment.

Question 2 of 5

The nurse is caring for a client who has chickenpox with open lesions. Which of the following infection control precautions should the nurse implement?

Correct Answer: A,B,C,D

Rationale: Chickenpox requires airborne and contact precautions: negative pressure room (
A), protecting pregnant staff (
B), masking during transport (
C), and gown, gloves, N95 (
D). Visitor restriction (E) is too short; it lasts until lesions crust.

Question 3 of 5

A nurse on an orthopedic unit is caring for four clients with a casted extremity. Which client does the nurse prioritize to see first?

Correct Answer: A

Rationale: Tingling (
A) suggests neurovascular compromise, requiring urgent assessment. Itching (
B), moderate pain (
C), and throbbing (
D) are less critical.

Question 4 of 5

The nurse is reinforcing teaching on self-administering ophthalmic lubricating ointment medication to a client with newly diagnosed Sjogren's syndrome. Which client statement indicates the need for further teaching?

Correct Answer: A

Rationale: Rubbing the eyes after applying ointment (
A) can cause irritation or displace the medication, indicating a need for further teaching. The other statements (B, C,
D) reflect correct administration techniques.

Question 5 of 5

The nurse is reinforcing education to a client with a venous thromboembolism who is prescribed rivaroxaban. Which statement by the client indicates the medication teaching has been effective?

Correct Answer: C

Rationale: Rivaroxaban is a direct oral anticoagulant that does not require routine monitoring of clotting levels, unlike warfarin. It also does not necessitate dietary restrictions like avoiding spinach and kale, which are relevant for warfarin due to vitamin K interactions. Avoiding aspirin is correct because it increases bleeding risk when combined with rivaroxaban. Weakness in legs is not a typical side effect of rivaroxaban.

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