A nurse is assessing a client who is 1 day postoperative following a total knee arthroplasty. The client is scheduled for physical therapy in 45 min. Which of the following questions should the nurse ask first?

“Have you used an incentive spirometer today?"

"What is your current pain level on a scale of 0 to 10?"

"Have you informed your family of your physical therapy schedule?"

"Would you like to bathe before or after physical therapy?"

Answer and Explanation

The Correct Answer is B

A.   While the use of an incentive spirometer is crucial for preventing respiratory complications such as atelectasis, this question is less urgent in the context of preparing for physical therapy. The immediate priority should be to assess the client’s readiness for physical therapy, including their pain level and comfort, rather than focusing on the spirometer use.
B.   Assessing the client's current pain level is crucial because pain management directly impacts the
client’s ability to participate in physical therapy effectively. Ensuring that the client’s pain is adequately controlled will help in achieving a more successful therapy session and in preventing discomfort or additional complications during the therapy.
C.   While informing family members about the physical therapy schedule might be important for planning family support and involvement, it is not as urgent as ensuring the client is physically ready for the therapy session.
D.   This question addresses personal preference regarding bathing but is not as critical as assessing the client’s pain level or immediate readiness for physical therapy. While personal hygiene is important, it should not take precedence over addressing pain management and ensuring the client is prepared for physical therapy.

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Correct Answer is C

Explanation

A. Cutaneous anthrax is caused by a bacterium, not a virus, so antiviral medications are not effective for treating it. The treatment for cutaneous anthrax involves antibiotics, not antiviral drugs. Thus, planning to administer antiviral medication is not appropriate for this condition.
B. While N95 respirators are used for airborne precautions, cutaneous anthrax is not typically transmitted via airborne routes. The primary mode of transmission is through direct contact with infected animal products or contaminated materials. Standard precautions are usually sufficient for cutaneous anthrax, but in certain settings, additional precautions might be considered based on specific facility protocols.
C. The treatment of cutaneous anthrax involves the administration of antibiotics. The recommended antibiotics include ciprofloxacin, doxycycline, or a combination of these. Early and effective antibiotic treatment is crucial to manage the infection and prevent complications.
D. A surgical mask is typically used to prevent the spread of respiratory droplets and is more relevant for infections that are spread through the respiratory route. Since cutaneous anthrax is not transmitted through respiratory droplets, placing a surgical mask on the client during transfer is not required.

A. Report of photophobia B. Increased temperature C. Decreased level of consciousness D. Generalized rash over trunk

Correct Answer is C

Explanation

A. Photophobia (sensitivity to light) is a common symptom in meningitis due to irritation of the meninges. While it is an important symptom to note and manage, it does not typically represent an immediate life-threatening condition.
B. An increased temperature (fever) is a common finding in meningitis and indicates an inflammatory response. While fever is important to manage, it is not as urgent as changes in consciousness or neurological status.
C. A decreased level of consciousness is a critical finding in a client with meningitis. This can indicate a worsening of the condition, such as increased intracranial pressure, brain herniation, or severe complications. Changes in consciousness are potentially life-threatening and require prompt evaluation and intervention by the healthcare provider to address any emergent issues and prevent further deterioration.
D. A generalized rash could indicate a specific type of meningitis, such as meningococcal meningitis, which can present with a characteristic petechial or purpuric rash. While a rash is a significant finding and should be reported, it is not as immediately critical as changes in consciousness.

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A nurse is assessing a client who is 1 day postoperative following a total knee arthroplasty. The client is scheduled for physical therapy in 45 min. Which of the following questions should the nurse ask first?

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Naxlex Comprehensive Predictor Exams

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