Community Health Nursing Quiz 5

A client with cast on the forearm is complaining of skin irritation from the edges of a cast. The nurse observes that the skin edges are pink and irritated. The nurse plans to do which of the following as a corrective action?

A family member wishes to donate a blood for the upcoming surgery of the client and asks the nurse, “How will I know if our blood type will match?”. In formulating an appropriate response, the nurse incorporates that which test will be used to test compatibility?

A nurse has conducted preoperative teaching for a client scheduled for endoscopic retrograde cholangiospancreatography (ERCP) procedure. The nurse determines that the client needs additional teaching if he states that:

After surgery, the client asks a nurse what is the significance of deep breathing and coughing. In formulating a response the nurse incorporates the understanding that retained pulmonary secretion in a post operative client can lead to:

A nurse is performing tracheostomy care to the client and replaced the tracheostomy tube holder. The nurse ensures that the tube holder is not too tight by checking if:

A nurse is conducting a preoperative teaching with a client for radical neck dissection.

Initially, the nurse would focus on which piece of information?

A female client arrives at the emergency room and scheduled for emergency surgery because of perforated gastric ulcer. A narcotic analgesic was administered and the client was sedated and cannot sign the operative consent form. What appropriate nursing action should be taken in the care of this client?

 A nurse is developing a plan of care to a postoperative client. The nurse assesses the client for the presence of Homan’s sign and determines that this sign is positive or which of the following is observed?

A nurse is formulating a plan of care for a client scheduled for surgery. On the day of the operation, the nurse would do which of the following activities in the nursing care plan for client?

A physician ordered to transfuse a unit of packed RBC for an assigned client. In planning coverage for the client, the nurse just looked for another available nurse to check the blood to be transfused. Once the blood was double checked, how long will the assigned nurse stay with the client?