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Question 1 of 5

The physician has ordered that a client recovering from back surgery be logrolled. The client has a draw sheet in place, and the nurse and an assistant are positioned with one on each side of the bed. Place the steps to logrolling (Roman numerals) in the correct sequence from first to last.

Correct Answer: D,B,A,C

Rationale: Logrolling sequence: Cross arms (IV) to secure them, place pillow between knees (II) for alignment, roll patient (I), then place pillows along back (III) for support.

Question 2 of 5

The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?

Correct Answer: B

Rationale: Coolness and discoloration of reimplanted digits indicate compromised blood flow, requiring immediate reporting to prevent tissue loss.

Question 3 of 5

The client who is 2 weeks post-burn with a 40% deep partial-thickness injury still has open wounds. The nurse's assessment reveals the following findings: temperature 96.5°F, BP 87/40, and severe diarrhea stools. What problem does the nurse most likely suspect?

Correct Answer: C

Rationale: Hypothermia, hypotension, and diarrhea suggest systemic gram-negative infection, likely sepsis, due to bacterial translocation from open wounds or the gut in a burn patient.

Question 4 of 5

The nurse is discharging a client with a prescription of eyedrops. Which observation by the nurse would indicate a need for further client teaching?

Correct Answer: B

Rationale: Administering a second eyedrop immediately washes out the first. A 5-minute wait is needed, indicating a need for further teaching.

Question 5 of 5

The physician has ordered that a client recovering from back surgery be logrolled. The client has a draw sheet in place, and the nurse and an assistant are positioned with one on each side of the bed. Place the steps to logrolling (Roman numerals) in the correct sequence from first to last.

Order the Items

Source Container

Grasping draw sheet at shoulder and lower hips, roll patient on count of three.
Place a small pillow between client's knees.
Place pillows along length of client's back.
Cross client's arms across chest.

Correct Answer: D,B,A,C

Rationale: Logrolling sequence: Cross arms (IV) to secure them, place pillow between knees (II) for alignment, roll patient (I), then place pillows along back (III) for support.

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