Your postoperative patient develops a cellulitis in her leg. Your nursing treatments would include

Correct Answer: A

Rationale: The correct nursing treatment for a postoperative patient developing cellulitis in her leg is to keep both her legs elevated as much as possible (Option A). This is essential in managing cellulitis as elevation helps reduce swelling and promotes venous return, aiding in the resolution of inflammation and infection. Encouraging ambulation (Option B) may not be appropriate in this case as excessive movement can worsen the cellulitis and spread the infection. Application of ice (Option C) is contraindicated as it can constrict blood vessels and potentially worsen circulation, which is detrimental in cellulitis treatment. Similarly, applying moisturizing lotion (Option D) is not indicated as it does not address the underlying infection and may even promote bacterial growth due to the moisture. In an educational context, it is crucial for nurses to understand the rationale behind each intervention to provide effective and evidence-based care to their patients. Cellulitis requires a comprehensive approach that focuses on reducing inflammation, promoting proper circulation, and preventing the spread of infection. By selecting the appropriate intervention of leg elevation, nurses can contribute to the successful management of cellulitis and promote optimal patient outcomes.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Heavy menses or an inadequate intake of iron. Iron deficiency anemia is commonly caused by chronic blood loss, such as heavy menstrual periods, which leads to a decreased iron supply for the body. Option A) Insomnia is unrelated to the development of iron deficiency anemia. Option B) An increase in iron intake would actually be beneficial in preventing iron deficiency anemia, so this option is incorrect. Option D) Low salt intake is not a common cause of iron deficiency anemia. From an educational standpoint, it is important for students to understand the etiology of iron deficiency anemia to provide appropriate care and education to patients. By knowing the causes, nurses can implement interventions such as iron supplementation or dietary changes to help manage and prevent iron deficiency anemia in patients like Anne. This question also reinforces the importance of recognizing common risk factors for iron deficiency anemia in clinical practice.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) The left side of your heart is weakened and is losing the capability to pump blood to your lungs. This is because congestive heart failure typically involves the left side of the heart being unable to effectively pump blood to the rest of the body, causing fluid to back up into the lungs. Option A is incorrect because fluid accumulation in the lungs is not primarily due to the volume of IV fluid administered but rather to the heart's inability to pump effectively. Option B is incorrect as it mentions the right side of the heart, which is not typically associated with fluid accumulation in the lungs in congestive heart failure. Option C is unrelated to the pathophysiology of congestive heart failure and is therefore incorrect. Educationally, understanding the underlying pathophysiology of congestive heart failure is crucial for providing appropriate care and education to patients. By knowing why fluid accumulates in the lungs, healthcare providers can better explain the condition to patients like Tom and help them manage their symptoms effectively. This knowledge also aids in delivering patient-centered care and promoting patient compliance with treatment plans.

Correct Answer: B

Rationale: In a patient with peritonitis, the correct assessment findings would include rebound tenderness and guarding. Rebound tenderness refers to pain felt upon the sudden release of pressure on the abdomen, indicating peritoneal irritation. Guarding is the involuntary contraction of the abdominal muscles in response to pain, which is a protective mechanism. These signs suggest inflammation of the peritoneum, a key feature of peritonitis. Option A is incorrect because a soft abdomen with normal bowel sounds is not indicative of peritonitis. Option C is incorrect because hyperactive bowel sounds are not typically associated with peritonitis; instead, bowel sounds may be diminished. Option D is incorrect as ascites and increased vascular pattern on the skin are not specific to peritonitis. Educationally, understanding these assessment findings is crucial for nurses and healthcare providers to recognize peritonitis promptly and initiate appropriate interventions. This knowledge is vital for patient safety and optimal outcomes, highlighting the importance of clinical assessment skills in the medical-surgical setting.

Correct Answer: B

Rationale: The correct answer is option B: "Symptoms usually appear between the ages of 30 and 50; however, you may want to ask your physician about genetic testing that can detect if your son has the gene that is associated with Huntington's disease." This response is correct because it provides accurate information about the typical age range for the onset of Huntington's disease symptoms and suggests genetic testing for the son to determine if he carries the gene associated with the disease. This proactive approach aligns with best practices in managing genetic conditions and seeking early intervention if necessary. Option A is incorrect because it inaccurately states that symptoms usually appear before the age of 30, which is not always the case with Huntington's disease. Option C is also incorrect as it provides a generalization that symptoms usually appear before the age of 30 without considering the variability in age of onset for the disease. Option D is incorrect as it simply states a fact about the genetic transmission of Huntington's disease without providing concrete guidance or information to address Bob's specific concern about his son. In an educational context, it is crucial for healthcare professionals to have a deep understanding of genetic conditions like Huntington's disease and be able to offer accurate information and guidance to individuals and families affected by such conditions. By recommending genetic testing and providing relevant information, healthcare providers can support informed decision-making and early intervention strategies for individuals at risk of genetic diseases.