A child is injured on the school playground and appears to have a fractured leg. The first action the school nurse should take is

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Chapter 14 Organizing Patient Care Questions Questions

Question 1 of 5

A child is injured on the school playground and appears to have a fractured leg. The first action the school nurse should take is

Correct Answer: C

Rationale: Assessing the child and injury is the first action. It determines severity, guiding care, per nursing process. Calling , immobilizing , or compresses follow. C ensures informed response, making it priority.

Question 2 of 5

The nurse is assessing a client who reports drinking a quart of vodka daily. The client says, 'I think I have a little bit of a drinking problem.' Which response by the nurse is most therapeutic?

Correct Answer: B

Rationale: Tell me what you mean by a drinking problem' is most therapeutic. It encourages exploration, building trust, per communication standards. Judging , agreeing , or reporting hinder openness. B supports assessment, making it the best response.

Question 3 of 5

The nurse is caring for a client who had a total hip replacement yesterday. Which action should the nurse take to prevent dislocation of the prosthesis?

Correct Answer: A

Rationale: Keeping legs abducted with a pillow prevents dislocation post-hip replacement. It maintains alignment, reducing adduction risk, per protocol. Early ambulation is later, flexion risks dislocation, and instruction is secondary. A ensures stability, making it best.

Question 4 of 5

A 7 month pregnant woman is admitted with complaints of painless vaginal bleeding over several hours. The nurse should prepare the client for an immediate

Correct Answer: B

Rationale: An abdominal ultrasound is the priority for painless vaginal bleeding in a 7-month pregnant woman, likely indicating placenta previa or abruption, per obstetric protocols. It safely visualizes placental position and fetal status without radiation risk. A non-stress test monitors fetal heart rate but doesn't locate bleeding, pelvic exam risks exacerbating hemorrhage, and X-ray poses fetal radiation danger. B provides critical diagnostic data swiftly, ensuring maternal-fetal safety.

Question 5 of 5

Following surgery for placement of a ventriculoperitoneal (VP) shunt as treatment for hydrocephalus, the parents question why the infant has a small abdominal incision. The best response by the nurse would be to explain that the incision was made in order to

Correct Answer: A

Rationale: Pass the catheter into the abdominal cavity' is correct. A VP shunt drains cerebrospinal fluid from the brain to the peritoneal cavity for absorption, requiring an abdominal incision, per neurosurgical standards. Bladder , visualization , and stomach are incorrect shunt endpoints. A clarifies the procedure accurately.

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