Question

A nurse is caring for a client whose hysterectomy wound has eviscerated. Which of the following actions should the nurse take?

Answer 1

Correct Answers:

Cover the wound with a moist sterile dressing.

Rationale :

🔹 Maintains moisture and prevents the exposed organs from drying out.

🔹 Reduces infection risk by providing a barrier to external pathogens.

🔹 Stabilizes the wound and prevents further protrusion of organs.

🔹 Prepares the patient for immediate surgical intervention safely.

🔹 Supports patient comfort and safety while awaiting surgical team.

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Answer 2

Correct Answers:

"Keep your back straight."

Rationale :

🔹 Maintains spinal alignment and reduces risk of back injury.

🔹 Optimizes leverage when lifting or assisting a patient.

🔹 Prevents strain on intervertebral discs.

🔹 Facilitates safe transfer techniques with proper body mechanics.

🔹 Promotes long-term musculoskeletal health for healthcare providers.

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Answer 3

Correct Answers:

Cracks in oral mucous membranes

Rationale :

🔹 Indicates dryness from prolonged oxygen exposure.

🔹 Can lead to discomfort or pain for the patient.

🔹 Signals potential for secondary infection in the mucosa.

🔹 May require humidification adjustment in oxygen delivery.

🔹 Monitors early adverse effects to prevent more severe complications.

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Answer 4

Correct Answers:

“Use the provided towelette to cleanse the area by moving in a back-and-forth motion."

Rationale :

🔹 Incorrect technique — proper method is front-to-back to prevent contamination.

🔹 Ensures accurate culture results by reducing microbial contamination.

🔹 Critical for infection prevention in urine specimens.

🔹 Educational intervention needed for the newly licensed nurse.

🔹 Maintains quality standards in specimen collection.

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Answer 5

Correct Answers:

Irrigate the wound until the solution that Is draining is clear.

Rationale :

🔹 Ensures complete removal of debris and exudate from the wound.

🔹 Reduces infection risk by cleansing contaminants thoroughly.

🔹 Helps assess wound status based on clarity of returned solution.

🔹 Promotes optimal healing environment.

🔹 Follows proper procedural guidelines for wound care.

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Answer 6

Correct Answers:

Hold the cane on the right side.

Rationale :

🔹 Provides support for the weaker leg opposite to the cane.

🔹 Maintains proper body mechanics during ambulation.

🔹 Reduces fall risk for musculoskeletal injury recovery.

🔹 Ensures even weight distribution between legs and cane.

🔹 Supports mobility and independence safely.

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Answer 7

Correct Answers:

Place the client supine with the knees flexed.

Rationale :

🔹 Reduces tension on the wound edges.

🔹 Prevents further separation of the incision.

🔹 Promotes comfort while awaiting surgical assessment.

🔹 Facilitates monitoring of the wound for drainage or protrusion.

🔹 Supports safe positioning in postoperative care.

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Answer 8

Correct Answers:

Replace sharps containers when they are full.

Rationale :

🔹 Prevents needle sticks and injuries from overfilled containers.

🔹 Maintains safe disposal practices in the clinical setting.

🔹 Reduces risk of occupational exposure to bloodborne pathogens.

🔹 Supports infection control and safety standards.

🔹 Encourages compliance with OSHA and hospital regulations.

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Answer 9

Correct Answers:

“It helps eliminate the barium."

Rationale :

🔹 Barium is radiopaque and can cause constipation if retained.

🔹 Laxatives prevent bowel obstruction from hardened barium.

🔹 Promotes normal gastrointestinal function post-procedure.

🔹 Ensures accurate imaging follow-up if needed.

🔹 Supports patient safety and comfort after diagnostic testing.

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Answer 10

Correct Answers:

Monitor peripheral pulses in the affected extremity.
Assess the temperature of the affected extremity.
Examine the skin under the traction splint.

Rationale :

🔹 Ensures adequate circulation in the affected limb and detects early neurovascular compromise.

🔹 Monitors temperature changes that may indicate infection or impaired perfusion.

🔹 Allows assessment for skin breakdown, irritation, or pressure areas under the splint.

🔹 Promotes patient safety by early recognition of complications.

🔹 Supports proper traction function without interfering with prescribed weights.

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QLexNursing

1 :
A nurse is caring for a client whose hysterectomy wound has eviscerated. Which of the following actions should the nurse take?

2 :
A nurse is assisting with teaching a newly licensed nurse about maintaining correct posture when transferring clients. Which of the following statements should the nurse make?

3 :
A nurse is caring for a client who has pneumonia and has been receiving oxygen therapy for several days. When collecting data from the client. The nurse should identify which of the following findings as an indication of an adverse effect of oxygen therapy?

4 :
A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?

5 :
A nurse is preparing to assist with irrigating a wound for a client. Which of the following actions should the nurse plan to take?

6 :
Which of the following instruction should a nurse provide to promote the safe use of a cane as an assistive device for a client who is recovering from a musculoskeletal injury of the left lower extremity?

7 :
A nurse is caring for a client who has wound dehiscence one week postoperative. Which of the following actions should the nurse take?

8 :
A nurse is assisting with teaching a newly licensed nurse about preventing puncture injuries. Which of the following instructions should the nurse include?

9 :
A client who is scheduled for a barium swallow asks a nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse make?

10 :
A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? (Select all that apply.)

QLexNursing

1 : A nurse is caring for a client whose hysterectomy wound has eviscerated. Which of the following actions should the nurse take?

2 : A nurse is assisting with teaching a newly licensed nurse about maintaining correct posture when transferring clients. Which of the following statements should the nurse make?

3 : A nurse is caring for a client who has pneumonia and has been receiving oxygen therapy for several days. When collecting data from the client. The nurse should identify which of the following findings as an indication of an adverse effect of oxygen therapy?

4 : A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?

5 : A nurse is preparing to assist with irrigating a wound for a client. Which of the following actions should the nurse plan to take?

6 : Which of the following instruction should a nurse provide to promote the safe use of a cane as an assistive device for a client who is recovering from a musculoskeletal injury of the left lower extremity?

7 : A nurse is caring for a client who has wound dehiscence one week postoperative. Which of the following actions should the nurse take?

8 : A nurse is assisting with teaching a newly licensed nurse about preventing puncture injuries. Which of the following instructions should the nurse include?

9 : A client who is scheduled for a barium swallow asks a nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse make?

10 : A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? (Select all that apply.)

1 :
A nurse is caring for a client whose hysterectomy wound has eviscerated. Which of the following actions should the nurse take?

2 :
A nurse is assisting with teaching a newly licensed nurse about maintaining correct posture when transferring clients. Which of the following statements should the nurse make?

3 :
A nurse is caring for a client who has pneumonia and has been receiving oxygen therapy for several days. When collecting data from the client. The nurse should identify which of the following findings as an indication of an adverse effect of oxygen therapy?

4 :
A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?

5 :
A nurse is preparing to assist with irrigating a wound for a client. Which of the following actions should the nurse plan to take?

6 :
Which of the following instruction should a nurse provide to promote the safe use of a cane as an assistive device for a client who is recovering from a musculoskeletal injury of the left lower extremity?

7 :
A nurse is caring for a client who has wound dehiscence one week postoperative. Which of the following actions should the nurse take?

8 :
A nurse is assisting with teaching a newly licensed nurse about preventing puncture injuries. Which of the following instructions should the nurse include?

9 :
A client who is scheduled for a barium swallow asks a nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse make?

10 :
A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? (Select all that apply.)