The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first level priority problem?

Individual with a small laceration on the left forearm.

Individual with hypoactive bowel sounds and last bowel movement 6 days ago

Newly diagnosed patient with diabetes who needs diabetic teaching

Patient with 5/10 postoperative pain

Answer and Explanation

The Correct Answer is B

A.   A small laceration is typically a second-level priority, as it requires wound care but is not lifethreatening.
B.   This suggests a risk for bowel obstruction or other serious gastrointestinal issues that require immediate attention, making it a first-level priority.
C.   While important, this is not an urgent, life-threatening situation and is not considered a first-level priority.
D.   This is a second-level priority, as it requires pain management but is not as urgent as more critical issues.

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Correct Answer is C

Explanation

A. Flexion involves decreasing the angle between two body parts, such as bending the knee or elbow, not moving the leg laterally.
B. Abduction is the movement of a body part away from the midline of the body. In this case, moving the leg laterally fits this description.
C. Adduction refers to movement toward the body's midline, the opposite of abduction.
D. Extension involves straightening a body part, such as straightening the knee, which does not match the description of moving the leg laterally and medially.

A. Request a sign language interpreter before meeting the client B. Determine the communication method that he prefers C. Speak loudly and exaggerate facial movement when talking with him D. Avoid using facial and hand gestures because its degrading

Correct Answer is B

Explanation

A. While this is useful for clients who know sign language, it's important to first determine the communication method that the client prefers.
B. Each client may have different preferences or needs when it comes to communication, so it’s important to assess their preferred method before taking any further steps.
C. Speaking loudly is not effective and can distort words for those with hearing impairments. The focus should be on clear communication, such as lip-reading or using writing.
D. Facial and hand gestures can be helpful for communication, especially for individuals with hearing impairments. Avoiding them is unnecessary and could hinder understanding.

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The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first level priority problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The movement of the leg laterally then medially, with knee straight is referred to as:

Correct Answer is C

Explanation

A nurse is interviewing a male client who has a hearing impairment. What techniques would be most beneficial in communicating with this client?

Correct Answer is B

Explanation

Which assessment finding(s) for a client with hypothyroidism should the nurse document as abnormal? Select all that apply.

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve 11?

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A 92-year-old patient has had a stroke. The right side of his face is drooping. The nurse might also suspect which of these assessment findings?

To enhance muscle relaxation prior to an abdominal examination the nurse would

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The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women. Which of these actions is the best way to prevent or delay bone loss in this group?