Medical-Surgical Nursing
1. The nurse cares for a client diagnosed with a superficial partial-thickness burn.
The nurse should assign the client to a room with which client?
a) A client diagnosed with Cushing's Syn
...
Medical-Surgical Nursing
1. The nurse cares for a client diagnosed with a superficial partial-thickness burn.
The nurse should assign the client to a room with which client?
a) A client diagnosed with Cushing's Syndrome
b) A client diagnosed with cellulitis of the left leg
c) A client diagnosed with acute peritonsillar abscess
d) A client diagnosed with acute pelvic inflammatory disease
Rationale: A client with a superficial partial-thickness burn is at increased risk for
infection due to compromised skin integrity. Cushing's syndrome clients are
immunosuppressed due to excess cortisol, but the priority is protecting the burn client from
infection. Clients with active infections (cellulitis, peritonsillar abscess, PID) should not be
roomed with an immunocompromised or vulnerable client .
2. The nurse observes client care on a geriatric unit. The nurse should intervene in
which situation?
a) A student nurse assists the client out of bed toward the client's strong side
b) A student nurse assists the client to sit on the side of the bed by lifting the client's
shoulders and swinging the client's legs over the edge of the bed
c) A student nurse assists the client to stand from a sitting position by grasping the
client's elbows
d) Two student nurses use a draw sheet to turn a client in the bed
Rationale: Grasping a client by the elbows to assist with standing can cause injury to the
client's arms or elbows and does not provide adequate support. The proper technique
involves supporting the client under the arms or using a gait belt .
3. The nurse evaluates the results of the client's purified protein derivative (PPD)
2½ days after the injection. The nurse notes the induration is 4 mm. Which action
by the nurse is most appropriate?
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