When performing pin care, which of the following would be most appropriate? Select all that apply.

Use aseptic technique.

Use an applicator only once.

Gently remove crusts around pin sites.

Clean the site, working toward the pin.

Obtain culture if purulent drainage.

Answer and Explanation

Correct Answer : A,B,D,E

When performing pin care, the nurse should use aseptic technique and obtain a culture if purulent drainage is present. The applicator should be used only once, and the site should be cleaned, working toward the pin. Crusts around the pin site should not be removed as this can cause trauma to the site and increase the risk of infection.

Choice C, Gently remove crusts around pin sites is not appropriate as this can cause trauma to the site and increase the risk of infection.

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Correct Answer is B

Explanation

Provide the client with warm fluids. The shivering can occur due to the anesthesia, the effect of the surgery, or cold temperature in the operating room. The shivering increases the client's oxygen consumption and carbon dioxide production, which can cause hypoxia, hypercapnia, and acidosis. The nurse should provide warm fluids to prevent hypothermia and warm blankets to reduce shivering.

Option A, placing the client on a hypothermia blanket, is incorrect because it is used to lower body temperature, not raise it.

Option C, covering the client with a light blanket, is incorrect because it is not enough to keep the client warm.

Option D, ensuring that the room temperature is below 70°F, is incorrect because it is too cold for the client and can increase shivering.

A. Eustachian tube. B. The malleus. C. The pinna. D. The meatus.

Correct Answer is A

Explanation

Eustachian tube. The Eustachian tube is a narrow tube that connects the middle ear to the back of the nose and equalizes air pressure in the middle ear.

B. The malleus is a bone in the middle ear that transmits sound vibrations.

C. The pinna is the visible part of the ear that collects and directs sound waves.

D. The meatus is a passage or opening leading to the ear or nose.

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When performing pin care, which of the following would be most appropriate? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following interventions would be appropriate for a client who has undergone surgery for a liver disorder and has started shivering?

Correct Answer is B

Explanation

The nursing student is taking an anatomy and physiology class. What anatomical structure equalizes air pressure in the middle ear?

Correct Answer is A

Explanation

A client calls the clinic and tells the nurse that he was bitten by a tick and is afraid he has Lyme disease. How long does the nurse understand that the tick must be attached to Lyme disease?

Which assessment finding is most important in determining which client has a higher risk for testicular cancer?

The nurse is caring for a client experiencing autonomic dysreflexia. Which of the following does the nurse recognize as the source of symptoms?

The nurse is providing client education on growth and development throughout the lifespan. When stating periods of most rapid bone growth, which period is the nurse most correct to state?

An older adult male client is participating in a bladder retraining program as part of the treatment for urinary incontinence. The nurse advises him to wear barrier garments, such as liners and protective pants. Which suggestion would be most appropriate to help the client maintain skin integrity?

Examination of a client's bladder stones reveals that they are primarily composed of uric acid. The nurse would expect to provide the client with which type of diet?

A young client has just completed the 6-month series of Gardasil vaccine. Which comment by the client would alert the nurse that further teaching is needed?

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