Safe and Effective Care Environment Nclex PN Questions - Nurselytic

Correct Answer: C

Rationale: The correct answer is 'Lordosis.' During pregnancy, the enlarging uterus places increased weight on the spine, causing an exaggerated inward curvature known as lordosis. This change alters mobility by shifting the center of gravity forward, leading to a compensatory change in posture. Scoliosis (choice
A) is a sideways curvature of the spine, not typically associated with pregnancy. Kyphosis (choice
B) is an exaggerated outward curvature of the spine, while ankylosing spondylitis (choice
D) is a chronic inflammatory condition affecting the spine, neither of which are directly related to the spinal changes seen in pregnancy.

Correct Answer: D

Rationale: The correct order for placing a Foley catheter in a female client is as follows: E. Place the client in a supine position with flexed knees, A. Prepare the sterile field, F. Place lubricant on the catheter, B. Separate labia with the non-dominant hand, C. Clean the urinary meatus using cleansing solutions and forceps, G. Place the catheter in the meatus with the dominant (sterile) hand, and D. Inflate the catheter balloon. This sequence ensures proper hygiene, patient comfort, and reduces the risk of infection. Incorrect sequences could compromise sterility, cause discomfort, and increase the risk of infection.
Therefore, the correct answer is E, A, F, B, C, G, D.

Correct Answer: B

Rationale: For a bedridden patient with potential venous insufficiency, sequential compression devices (SCDs) and compression stockings are appropriate choices. SCDs help improve venous return from the lower extremities by applying sequential pressure, aiding circulation. Compression stockings also assist in preventing blood from pooling in the legs by applying pressure to support venous return. Shear-reducing mattresses are not directly related to managing venous insufficiency, as they are designed to reduce friction and shear forces on the skin to prevent pressure ulcers. Non-skid socks are primarily used for fall prevention and have no direct impact on venous insufficiency.

Correct Answer: B

Rationale: The purpose of the hydraulic lift, also known as the Hoyer lift, is to facilitate safe transfers for clients who cannot stand or are extremely obese. It is specifically designed for assisting clients who are unable to stand and for those who are too heavy for healthcare workers to lift safely.
Choice A is incorrect because the primary purpose of a hydraulic lift is not related to orthopedic surgery.
Choice C is incorrect because it is too broad and does not capture the specific use of the hydraulic lift.
Choice D is incorrect because the lift is not solely for clients with special needs but rather for those who cannot stand or are extremely obese.

Correct Answer: C

Rationale: The scenario describes classic impetigo, which typically presents with maculopapular lesions around the mouth with honey-colored drainage, worsening with scratching. It is important to advise the caregiver that the history and presentation are indicative of impetigo, an infectious skin condition caused by bacteria. Treatment usually involves antibiotic therapy.
Choice A is incorrect because chickenpox typically presents with a vesicular rash following a history of high fever.
Choice B is incorrect as impetigo is contagious and requires precautions to prevent the spread of infection.
Choice D is incorrect as impetigo is contagious irrespective of open wounds or lesions in others.