The older patient presents to the emergency department after stepping in front of a car at a crosswalk. After the patient has been triaged, the nurse interviews the patient. Which of the following comments would require follow-up by the nurse?

"I try to exercise, so I walk that block almost every.”

“I waited and stepped out when the traffic sign said go.”

"The car was going too fast, the speed limit is 20."

I was so surprised; I didn't see or hear the car coming."

Answer and Explanation

The Correct Answer is D

A.   Regular exercise is positive and does not require follow-up.
B.   Following traffic signals indicates the patient was being cautious.
C.   Complaining about the car's speed is relevant but does not indicate an issue needing follow-up.
D.   Being surprised and not seeing the car suggests a potential cognitive issue that warrants further investigation.

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Correct Answer is A

Explanation

A. Touching protective eyewear can contaminate the sterile field, as it is considered a break in sterile technique.
B. Standing with hands folded does not break sterility if the hands remain within the sterile field.
C. Accepting sterile supplies from the surgeon is appropriate and does not break sterility.
D. Staying with the sterile table helps maintain the integrity of the sterile field.

A. Speak clearly and loudly B. Turn off the television C. Chew gum D. Use at least 14-point print

Correct Answer is B

Explanation

A. While clarity is important, speaking loudly can be perceived as shouting; speaking clearly is more effective.
B. Reducing background noise, such as turning off the television, helps the patient focus on the conversation, which is crucial for effective communication.
C. Chewing gum can distract from the conversation and hinder clear speech.
D. Using large print may not directly assist in verbal communication for a hearing aid user.

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The older patient presents to the emergency department after stepping in front of a car at a crosswalk. After the patient has been triaged, the nurse interviews the patient. Which of the following comments would require follow-up by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is dressed and is preparing to care for a patient in the peri-operative area. The nurse has scrubbed her hands and has donned a sterile gown and gloves. Which action would indicate a break in sterile technique?

Correct Answer is A

Explanation

An elderly patient is wearing a hearing aid. Which technique should the nurse use to facilitate communication?

Correct Answer is B

Explanation

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