NCSBN ONLINE REVIEW 2023l2024

NCSBN ON-LINE REVIEW 1.A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. The most important reason for the nurse to elevate the casted leg is to Promote the client's comfort Reduce the drying time Decrease irritation to the skin Improve venous return D: Improve venous return. Elevating the leg both improves venous return and reduces swelling. Client comfort will be improved as well. The nurse is reviewing with a client how to collect a clean catch urine specimen. What is the appropriate sequence to teach the client? Clean the meatus, begin voiding, then catch urine stream Void a little, clean the meatus, then collect specimen Clean the meatus, then urinate into container Void continuously and catch some of the urine A: Clean the meatus, begin voiding, then catch urine stream. A clean catch urine is difficult to obtain and requires clear directions. Instructing the client to carefully clean the meatus, then void naturally with a steady stream prevents surface bacteria from contaminating the urine specimen. As starting and stopping flow can be difficult, once the client begins voiding it’s best to just slip the container into the stream. Other responses do not reflect correct technique Following change-of-shift report on an orthopedic unit, which client should the nurse see first? 16 year-old who had an open reduction of a fractured wrist 10 hours ago 20 year-old in skeletal traction for 2 weeks since a motor cycle accident 72 year-old recovering from surgery after a hip replacement 2 hours ago 75 year-old who is in skin traction prior to planned hip pinning surgery. C: Look for the client who has the most imminent risks and acute vulnerability. The client who returned from surgery 2 hours ago is at risk for life threatening hemorrhage and should be seen first. The 16 year- old should be seen next because it is still the first post-op day. The 75 year- old is potentially vulnerable to age-related physical and cognitive consequences in skin traction should be seen next. The client who can safely be seen last is the 20 year-old who is 2 weeks post-injury. A client with Guillain Barre is in a nonresponsive state, yet vital signs are stable and breathing is independent.