A client is admitted to the Emergency Department after a motorcycle accident that resulted in the client's skidding across a cement parking lot. Since the client was wearing shorts, there are large areas on the legs where the skin is ripped off. This wound is best described as:

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Introduction to Nursing Final Exam Quizlet Questions

Question 1 of 5

A client is admitted to the Emergency Department after a motorcycle accident that resulted in the client's skidding across a cement parking lot. Since the client was wearing shorts, there are large areas on the legs where the skin is ripped off. This wound is best described as:

Correct Answer: A

Rationale: The correct answer is A: Abrasion. An abrasion is a wound caused by friction, resulting in the removal of the superficial layers of skin. In this scenario, the client skidding across a cement parking lot caused the skin to be ripped off, which aligns with the definition of an abrasion. Choice B: Unapproximated, is incorrect because it refers to wound edges that are not brought together for healing, which is not the primary characteristic of the described wound. Choice C: Laceration, is incorrect as lacerations are typically caused by sharp objects cutting through the skin, rather than by friction as in the case of the motorcycle accident. Choice D: Eschar, is incorrect as eschar refers to a thick, hard, blackened crust that forms over a burn or necrotic tissue, which is not the case in this scenario.

Question 2 of 5

A client is dehydrated and requires 0.5 L of dextrose 5% in water to infuse at 50 ml/hour. If the solution is hung at 1:00 pm, what time will the solution be completed?

Correct Answer: C

Rationale: The solution requires 0.5 L to be infused at 50 ml/hour. To determine the time it will be completed, first calculate the total infusion time: 0.5 L / 50 ml/hour = 10 hours. Since the solution is hung at 1:00 pm, add 10 hours to get the completion time, which is 11:00 pm (Choice C). Choice A (6:00 PM) is incorrect because it does not account for the full 10-hour infusion time. Choice B (9:00 PM) is incorrect as it also does not consider the complete infusion duration. Choice D (12:00 mn) is incorrect since it overlooks the 1-hour difference between 11:00 pm and midnight.

Question 3 of 5

A client with diarrhea is for low residue diet. Which among the following is not included in the low fiber diet for diarrhea?

Correct Answer: A

Rationale: The correct answer is A: Bread. Low residue diet for diarrhea aims to reduce fiber intake to ease digestion. Bread, especially whole grain, contains high fiber which can worsen diarrhea. Chicken without skin, rice, and tea are low in fiber and suitable for a low residue diet. Bread is the only option that is high in fiber among the choices.

Question 4 of 5

The client has just had a liver biopsy. Which of the following nursing actions would be the priority after the biopsy?

Correct Answer: A

Rationale: The correct answer is A because after a liver biopsy, the priority is to position the patient on the right side to apply pressure and prevent bleeding from the biopsy site on the liver's right lobe. This position helps compress the liver against the diaphragm, reducing the risk of bleeding. Choice B is incorrect as monitoring vital signs is important, but positioning the patient takes precedence immediately post-biopsy. Choice C is incorrect as ambulation may increase the risk of bleeding and should be avoided initially. Choice D is incorrect as measuring urine specific gravity is not directly related to post-liver biopsy care.

Question 5 of 5

The barium enema should be done before the upper gastrointestinal series because of which of the following?

Correct Answer: A

Rationale: The correct answer is A because retained barium from the barium enema procedure may cloud the colon and interfere with the visualization of the upper gastrointestinal series. This can lead to inaccurate results and potential misdiagnosis. This sequence ensures a clear view of the upper gastrointestinal tract. Choices B, C, and D are incorrect because lower gastrointestinal bleeding is not a direct concern, physician orders can be adjusted based on medical necessity, and barium is not absorbed in the small intestine in significant amounts to impact the sequence of procedures.

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