Promote movement - Rapid continuous rewarming of a frostbite prima...

Question 1

Promote movement

Question 1 Explanation:

Rapid continuous rewarming of a frostbite primarily lessens cellular damage. Options B, C, and D: Rewarming of a frosbite does not prevent the formation of blisters. It does promote movement, but this is not the primary reason for rapid rewarming. It might increase pain for a short period of time as the feeling comes back into the extremity.Question 2

Lowering the pH by removing nonvolatile acids

Question 2 Explanation:

Hemodialysis works by using a dialyzing membrane to filter waste that has accumulated in the blood.Options A, B, and C: Hemodialysis does not pass water through a dialyzing membrane nor does it eliminate plasma proteins or lower the pH.

2022 - 2023 NCLEX Practce Exam 4 (50 Q and A) Questions and Answers Actual Latest Grade A +

The primary reason for rapid continuous rewarming of the area affected by frostbite is to:

Prevent the formation of blisters

Prevent pain and discomfort

A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys.

The nurse’s response is based on the knowledge that hemodialysis works by:

Eliminating plasma proteins from the blood

Filtering waste through a dialyzing membrane

Passing water through a dialyzing membrane

Lessen the amount of cellular damage 1 / 3

Administer an antiviral

Question 3 Explanation:

The client who is immunosuppressed and is exposed to measles should be treated with medications to boost his immunity to the virus. Options A, C, and D: An antibiotic or antiviral will not protect the client and it is too late to place the client in isolation.Question 4

Transmission is highly likely, so the client should wear a mask at all times.

Question 4 Explanation:

The client with MRSA should be placed in isolation. Gloves, a gown, and a mask should be used when caring for the client and hand washing is very important. Options A and B: The door should remain closed, but a negative-pressure room is not necessary. Option C: MRSA is spread by contact with blood or body fluid or by touching the skin of the client. It is cultured from the nasal passages of the client, so the client should be instructed to cover his nose and mouth when he sneezes or coughs. It is not necessary for the client to wear the mask at all times; the nurse should wear the mask.Question 5 During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?

Contact the physician for an order for immune globulin

Tell the client that he should remain in isolation for 2 weeks

A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions.Which statement is true regarding precautions for infections spread by contact?

Infection requires close contact; therefore, the door may remain open.

Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.

The client should be placed in a room with negative pressure.

Administer an antibiotic 2 / 3

“The pain is psychological because your foot is no longer there.”

Question 5 Explanation:

Pain related to phantom limb syndrome is due to peripheral nervous system interruption. Option A is incorrect because phantom limb pain can last several months or indefinitely. Option C is incorrect

because it is not psychological. Option D: It is also not due to infections.

Question 6

Stomach and duodenum

Question 6 Explanation:

During a Whipple procedure the head of the pancreas, which is a part of the stomach, the jejunum, and a portion of the stomach are removed and anastomosed. Answer B is incorrect because the proximal third of the small intestine is not removed. The entire stomach is not removed, as in answer C, and in answer D, the esophagus is not removed.Question 7 A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches.Which response by the nurse indicates understanding of phantom limb pain?

“The pain is due to peripheral nervous system interruptions. I will get you some pain medication.”

“The pain and itching are due to the infection you had before the surgery.”

A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during

the Whipple procedure, the doctor will remove the:

Proximal third section of the small intestines

Esophagus and jejunum

The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be

taught to avoid eating:

Head of the pancreas

“The pain will go away in a few days.”

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