A nurse is providing teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching?

Use three-pronged grounded plugs.

Check for a tingling sensation around the cord.

Cover extension cords with a rug.

Remove a plug from the socket by pulling the cord.

Answer and Explanation

The Correct Answer is A

Choice A reason: Using three-pronged grounded plugs ensures proper grounding, reducing the risk of electrical fires by safely dissipating excess current. This prevents shocks and short circuits, aligning with National Fire Protection Association (NFPA) standards. Grounded plugs are essential for safe appliance use, making this a critical recommendation for fire prevention education.
Choice B reason: Checking for a tingling sensation around a cord is not a reliable or safe method for fire prevention. Tingling may indicate electrical faults, but proactive measures like inspecting cords for fraying or overheating are more effective. This approach is reactive and risky, as it does not prevent fires, making it inappropriate.
Choice C reason: Covering extension cords with a rug traps heat and increases wear, raising the risk of electrical fires. Cords should be exposed to air and placed to avoid damage or tripping hazards. This practice violates safety guidelines, as it conceals potential issues, making it an incorrect recommendation for fire prevention.
Choice D reason: Removing a plug by pulling the cord can damage insulation or wiring, increasing fire risk due to exposed conductors or short circuits. Plugs should be grasped firmly at the base to remove safely. This action is unsafe and contradicts electrical safety standards, making it an incorrect teaching point.

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Correct Answer is B

Explanation

Choice A reason: Decreased BUN is not typical in preeclampsia, where renal impairment often elevates BUN due to reduced glomerular filtration. Normal or increased BUN is expected, so this finding does not align with preeclampsia’s pathophysiology, making it an incorrect expectation.
Choice B reason: Increased protein in urine (proteinuria) is a hallmark of preeclampsia, resulting from glomerular damage due to hypertension and endothelial dysfunction. This diagnostic criterion, often >300 mg/24 hours, is critical for identifying preeclampsia, making it the correct finding the nurse should expect.
Choice C reason: Increased platelet count is not associated with preeclampsia, which often causes thrombocytopenia due to endothelial activation and platelet consumption. A decreased count (<100,000/mm³) is more likely, making this finding incorrect for preeclampsia’s clinical presentation.
Choice D reason: Decreased serum uric acid is not expected in preeclampsia, where elevated uric acid occurs due to reduced renal clearance from glomerular dysfunction. Increased levels are a marker, so this finding is opposite to preeclampsia’s effects, making it incorrect.

A. Place the client upright on a donut-shaped cushion. B. Turn and reposition the client every 15 minutes while sitting. C. Apply a moisture-barrier cream to the affected area. D. Turn and reposition the client every 3 hours while in bed.

Correct Answer is C

Explanation

Choice A reason: Using a donut-shaped cushion is not recommended, as it can increase pressure on surrounding tissues, worsening ischemia in the ischial area. Nonblanchable erythema indicates early pressure injury, requiring pressure relief and skin protection. This intervention risks further tissue damage, making it inappropriate for managing the client’s condition.
Choice B reason: Repositioning every 15 minutes while sitting is excessive and impractical, potentially causing discomfort or skin shear. For paraplegic clients, repositioning every 1-2 hours while sitting, combined with pressure-relieving cushions, prevents progression of nonblanchable erythema. This frequency is not evidence-based for pressure injury prevention, making it incorrect.
Choice C reason: Applying moisture-barrier cream protects the skin from breakdown in the presence of nonblanchable erythema, an early stage of pressure injury. For paraplegic clients, who are at high risk due to immobility, this intervention reduces moisture-related damage and supports skin integrity, aligning with evidence-based pressure injury prevention strategies.
Choice D reason: Repositioning every 3 hours in bed is insufficient for a paraplegic client with nonblanchable erythema, as guidelines recommend every 2 hours to relieve pressure. Prolonged pressure risks advancing tissue damage, especially in high-risk areas like the ischium. This intervention is inadequate for preventing pressure injury progression.

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A nurse is providing teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for an adolescent client who is at 24 weeks of gestation and showing signs of preeclampsia. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse working on a surgical unit is developing a care plan for a client who has paraplegia. The client has an area of nonblanchable erythema over his ischium. Which of the following interventions should the nurse include in the care plan?

Correct Answer is C

Explanation

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