Safe and Effective Care Environment Nclex PN Questions - Nurselytic

Correct Answer: D

Rationale: The correct answer is 'urine.' Urine output is routinely measured to assess renal function and fluid balance.

Choices A, B, and C are types of fluid output that are typically measured in a clinical setting. Chest tube drainage is monitored to evaluate drainage from the chest cavity, emesis refers to vomitus which can indicate gastrointestinal issues, and evaporative water from the respiratory tract is considered insensible loss and is not directly measured but estimated in overall fluid balance assessments.

Correct Answer: B

Rationale: The correct answer is B. Resting the axilla on the top padding can cause nerve damage; instead, the client should place the top padding 1-2 inches below the axilla with a firm grip on the handles for proper support and stability while using crutches. Having a slight bend in the elbow when using the handles (choice
C) is a correct technique to ensure proper weight distribution. Leading with the uninjured leg when going down the stairs (choice
D) is the correct way to maintain balance and prevent further injury to the injured leg.
Therefore, choice B indicates a need for more education to prevent potential nerve damage and ensure safe crutch use.

Correct Answer: B

Rationale: A client room environment should include a made bed to provide a sense of neatness and comfort, ensuring the client's safety at all times. It is important to maintain a clutter-free area to prevent accidents and promote a relaxing environment. Having hygiene articles nearby allows the client easy access to personal care items.
Choice A is incorrect because while fresh water and thermostat regulation are important, they are not essential components of a client room environment.
Choice C is incorrect as it emphasizes more on cleaning procedures rather than creating a comfortable and safe environment for the client.
Choice D is incorrect as it emphasizes odor control and storage rather than the client's comfort and safety.

Correct Answer: B

Rationale: Mammography is a diagnostic imaging technique specifically designed to detect tumors, cysts, or other abnormalities in breast tissue. It is not used to detect pain, edema, or epilepsy. Pain is a symptom, not a condition that mammography can detect. Edema refers to swelling and is not detectable through mammography. Epilepsy is a neurological disorder, not a condition detected by mammography.

Correct Answer: D

Rationale: The proper hand position for performing chest percussion is to cup the hands. Cupping the hands helps produce a vibration that aids in loosening respiratory secretions effectively. This technique is essential for therapeutic chest physiotherapy. Using the side of the hands, flattening the hands, or spreading the fingers of both hands do not generate the necessary vibration required for chest percussion. These hand positions are not considered proper techniques in this context and may not provide the desired therapeutic effect.