How should the first flap of an envelop-wrapped sterile package be opened?

Correct Answer: A

Rationale: The correct answer is A: Away from the body. This is because opening the first flap away from the body reduces the risk of contaminating the sterile contents inside the package. By opening the flap away from the body, any potential contaminants on the outside of the envelop such as dust or germs are less likely to come in contact with the sterile items inside. Opening the flap in any other direction (B, C, or D) increases the chances of introducing contaminants into the sterile package, compromising its sterility. It is crucial to follow proper aseptic techniques to maintain the sterility of medical supplies and prevent infections.

Correct Answer: B

Rationale: The correct answer is B: Call the doctor immediately. This is the most important nursing action because severe pain after a renal biopsy could indicate a serious complication such as internal bleeding or organ damage, which requires prompt medical intervention. Calling the doctor ensures timely assessment and appropriate treatment. Rationale for other choices: A: Assess for malingering - In this context, assuming the client is faking or exaggerating pain can delay necessary medical attention. C: Assess pain scale - While important, assessing pain scale alone does not address the urgency of the situation. D: Give analgesic as ordered - Administering pain medication without consulting the doctor first could mask symptoms of a serious complication and delay proper treatment.

Correct Answer: A

Rationale: The correct answer is A because identifying symptoms and measures to prevent urinary tract infections is a key indicator of successful management of urinary incontinence. This shows understanding of potential complications and proactive steps to prevent them. Choice B does not directly address the outcome related to urinary incontinence. Choice C focuses on disposal rather than management of incontinence. Choice D is more about personal hygiene rather than addressing the specific issue of incontinence. Therefore, A is the correct choice as it directly relates to the expected outcome for a client with urinary incontinence.

Correct Answer: B

Rationale: The correct answer is B: "I need to restrict my activity while this catheter is in place." This statement is incorrect because clients with a PICC line do not need to restrict their activity. They can resume normal activities as tolerated unless otherwise instructed by their healthcare provider. Restricting activity unnecessarily can lead to deconditioning and reduced quality of life. A: "I need to wear a MedicAlert tag or bracelet." - This is a correct statement as it helps alert healthcare providers about the presence of the PICC line in case of an emergency. C: "I need to keep the insertion site protected when in the shower or bath." - This is a correct statement to prevent infection and maintain the integrity of the PICC line. D: "I need to check the markings on the catheter each time the dressing is changed." - This is a correct statement as it helps ensure the catheter is in the correct position.

Correct Answer: B

Rationale: The correct answer is B: Theresa with anemia. Anemia is a condition characterized by a decrease in red blood cells or hemoglobin levels, leading to reduced oxygen-carrying capacity. This impairs the transport of oxygen from the lungs to the tissues, affecting overall oxygen delivery and tissue oxygenation. A: Carol with a tumor in the brain - Brain tumor does not directly impact oxygen transport from the lungs to tissues. C: Sonny Boy with a fracture in the femur - Fracture does not affect oxygen transport. D: Brigette with diarrhea - Diarrhea may lead to dehydration and electrolyte imbalances but does not directly affect oxygen transport.