What is the most important action for the nurse to take when caring for a client with a recent amputation?

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Question 1 of 5

What is the most important action for the nurse to take when caring for a client with a recent amputation?

Correct Answer: B

Rationale: Monitoring for infection is crucial to prevent complications and promote healing at the amputation site.

Question 2 of 5

You're working as a triage nurse during a disaster situation. Based on the triage color code tags placed on each of the wounded, which tag color represents the wounded who have the highest priority of being treated first?

Correct Answer: C

Rationale: The red tag indicates the patient must be seen first because they have lifethreatening injuries, but could survive if treated quickly. The patient is still alive but there is a severe alteration in their breathing, circulation, or mental status that requires immediate medical attention.

Question 3 of 5

Which of the following nursing statements regarding the release of a clients medical record to another institution requires immediate follow-up by the nurses manager?

Correct Answer: C

Rationale: Each institution has policies to control the manner for sharing records. In most situations, clients are required to give written permission for release of medical information.

Question 4 of 5

Which of the following is NOT a common cause of falls in healthcare settings?

Correct Answer: D

Rationale: Excessive exercise is not typically identified as a direct cause of falls in healthcare settings compared to environmental factors or medication effects.

Question 5 of 5

In aseptic handwashing, special attention should be paid to this area because it can harbor multiple microorganisms.

Correct Answer: C

Rationale: Under the fingernails is a common area for microorganisms to accumulate, requiring special attention during aseptic handwashing.

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