ANCC-RN-BC-Medical-Surgical-Nursing-(ANCC-MSN).pdf - Medical ANCC-MSN ANCC(RN-BC Medical-Surgical Nursing http\/killexams.com\/exam-detail\/ANCC-MSN

ANCC-RN-BC-Medical-Surgical-Nursing-(ANCC-MSN).pdf -...

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ANCC-MSN Medical ANCC (RN-BC) Medical-Surgical Nursing
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Question: 60 The nurse includes the important measures for stump care in the teaching plan for a client with an amputation. Which measure would be excluded from the teaching plan? A. Wash, dry, and inspect the stump daily B. Treat superficial abrasions and blisters promptly C. Apply a “shrinker” bandage with tighter arms around the proximal end of the affected limb D. Toughen the stump by pushing it against a progressively harder substance (e.g., pillow on a foot-stool) Answer: C Apply a "shrinker" bandage with tighter arms around the proximal end of the affected limb. The “shrinker” bandage is applied to prevent swelling of the stump. It should be applied at the distal end with the tighter arms. Applying the tighter arms at the proximal end will impair circulation and cause swelling by reducing venous flow. Question: 61 Which nursing action is the first priority during a generalized tonic-clonic seizure episode? A. Observe and record all events that occur before, during, and after the seizure B. Maintain a patent airway by turning the head to the side
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C. Protect the client from injury D. Monitor vital signs, with special attention directed to respiratory status Answer: C The first priority is to protect the client from injury. Do not restrain the client’s arms or legs, but make sure he or she does not hit anything. Protect the head with the nurse’s hand, a towel, or a jacket. During the initial tonic phase, the client
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  • Fall '20
  • Nursing, Seizure, Electroencephalography, Tonic–clonic seizure

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