A nurse who stops a blood transfusion when a patient develops a reaction is said to be:

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Question 1 of 5

A nurse who stops a blood transfusion when a patient develops a reaction is said to be:

Correct Answer: B

Rationale: The correct answer is B: A rule-oriented thinker. This is because stopping a blood transfusion when a patient develops a reaction aligns with following established protocols and guidelines, which are rules in place to ensure patient safety. By adhering to these rules, the nurse demonstrates a commitment to patient well-being and follows specific steps based on evidence-based practices. Summary: A: A complex critical thinker - This choice is incorrect as stopping the blood transfusion in this context does not necessarily involve analyzing multiple perspectives or considering various factors beyond established rules. C: A basic critical thinker - This choice is incorrect as it implies a simplistic approach, whereas stopping a blood transfusion requires adherence to specific protocols and guidelines. D: A committed thinker - This choice is incorrect as it does not specifically emphasize the importance of following rules and guidelines in making decisions related to patient care.

Question 2 of 5

What procedure requires logrolling a client after surgery?

Correct Answer: A

Rationale: The correct answer is A: Laminectomy. After a laminectomy, the client may experience back pain and limited mobility, requiring them to be logrolled to prevent injury to the surgical site. Logrolling involves moving the client as a single unit to maintain proper alignment and minimize stress on the spine. B: Thoracotomy is incorrect because logrolling is not typically required after this procedure, which involves accessing the chest cavity. C: Hemorrhoidectomy is incorrect because logrolling is not necessary after surgery on the anal area. D: Cystectomy is incorrect because logrolling is not typically performed after this procedure, which involves removing the bladder.

Question 3 of 5

Which client entering the clinic is most likely to have tuberculosis (TB)?

Correct Answer: C

Rationale: The correct answer is C, the 43-year-old homeless man with a history of alcoholism. This population is at higher risk for TB due to weakened immune systems from alcoholism and living conditions. Homelessness increases exposure risk. The other choices are less likely - A, a young student, is less likely due to age and environment; B, a day-care worker, is less likely as TB transmission in day-care settings is rare; D, a businessman, is less likely unless there are specific risk factors.

Question 4 of 5

What assessment finding would concern the nurse most in a client with crepitus and decreased breath sounds after a motor vehicle accident?

Correct Answer: C

Rationale: The correct answer is C: Trachea deviating to the right. This finding indicates a tension pneumothorax, a life-threatening condition that requires immediate intervention. Crepitus and decreased breath sounds suggest air in the pleural space, causing the lung to collapse. Tracheal deviation to the unaffected side is a critical sign of tension pneumothorax, indicating a shift of mediastinal structures. Choices A, B, and D do not address the immediate concern of tracheal deviation and the potential for a tension pneumothorax in this scenario.

Question 5 of 5

What is not done to assess the scrotum?

Correct Answer: B

Rationale: The correct answer is B: Auscultation. Auscultation is not typically done to assess the scrotum as it involves listening for sounds within the body using a stethoscope, which is not relevant for evaluating the scrotum. Palpation is the primary method used to feel for abnormalities in the scrotum. Inspection involves visually examining the scrotum for any visible signs of issues. Percussion is a technique where the area is tapped to assess the density of underlying structures, but it is not commonly used for scrotum assessment. Therefore, auscultation is the odd one out in this context.

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