A nurse is reinforcing teaching with a newly licensed nurse about causative risk factors for deep vein thrombosis (DVT). Which of the following should be included in the teaching? (Select All that Apply.)

Immobility

Fracture

Atrial fibrillation

Anticoagulant therapy

Answer and Explanation

Correct Answer : A,B,E

A. Immobility is a significant risk factor for DVT because it can lead to blood stasis in the veins, increasing the risk of clot formation.

B. Fractures, particularly of the lower limbs, can lead to immobilization and contribute to the development of DVT.

C. Atrial fibrillation is associated with an increased risk of clot formation, but these clots typically form in the atria of the heart, not the deep veins. While these clots can embolize to other parts of the body, atrial fibrillation itself is not a direct cause of DVT.

D. Anticoagulant therapy is typically used to prevent DVT, not as a risk factor.

E. Estrogen therapy is associated with an increased risk of clot formation, making it a risk factor for DVT.

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Correct Answer is B

Explanation

A. Sexual activity is known to increase endorphin levels, contributing to feelings of pleasure and relaxation.

B. Morphine does not increase endorphin levels; it mimics endorphins by binding to opioid receptors, but it does not cause the body to produce more endorphins.

C. Exercise, particularly intense physical activity, stimulates endorphin production, leading to the "runner's high."

D. Laughter is a natural way to boost endorphin levels, contributing to a sense of well-being.

A. Keep artificial nails trimmed short. B. Change gloves between tasks on the same client. C. Use alcohol-based hand rubs before administering eye drops for a client D. Wash hands with alcohol-based hand rubs when caring for a client who has Clostridium difficile.

Correct Answer is B

Explanation

A. Artificial nails, even if trimmed short, are discouraged in healthcare settings because they can harbor bacteria and increase the risk of infection.

B. Changing gloves between tasks on the same client is crucial to prevent cross-contamination and reduce the risk of spreading pathogens between different areas of the client’s body or different tasks.

C. Alcohol-based hand rubs are appropriate before administering eye drops; however, the correct answer is more focused on direct infection control practices like changing gloves.

D. When caring for a client with Clostridium difficile, hand washing with soap and water is required, not alcohol-based hand rubs, as alcohol is not effective against C. difficile spores.

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A nurse is reinforcing teaching with a newly licensed nurse about causative risk factors for deep vein thrombosis (DVT). Which of the following should be included in the teaching? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

All of the following increase endorphin levels except

Correct Answer is B

Explanation

A nurse is reinforcing infection control practices for hand hygiene with a group of unit nurses. Which of the following information should the nurse reinforce in the teaching?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about causative risk factors for deep vein thrombosis (DVT). Which of the following should be included in the teaching? (Select All that Apply.)

A nurse is measuring the vital signs of a client he suspects has hypovolemic shock. Which of the following findings should the nurse expect?

A nurse is assisting in explaining the pathophysiology of systemic inflammatory response syndrome (SIRS) to a group of newly licensed nurses. Which of the following statements by the nurse is accurate?

The nurse is caring for a client on the third day following abdominal surgery and assesses the absence of bowel sounds, abdominal distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications?

A nurse is reviewing the client's medical record and notices a family history of malignant hyperthermia. In which of the following sections of the SBAR communication tool should the nurse include this information when completing handoff to the surgical team?

A nurse is caring for a client who experiences anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

A nurse is caring for client who is 5 days postoperative after abdominal surgery. The client reports a sudden pulling sensation and pain in his surgical incision. The nurse checks the client's surgical wound and finds an evisceration. Which of the following interventions is appropriate?

A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?