A client comes to the emergency department complaining of localized pain and swelling of his lower leg. Ecchymotic areas are noted. History reveals that the client got bit in the leg with a baseball bat. Which of the following would the nurse suspect as most likely?

Strain.

Sprain.

Contusion.

Fracture.

Answer and Explanation

The Correct Answer is C

Contusion. The nurse would suspect a contusion as the client was hit by a baseball bat and has localized pain and swelling with ecchymosis (bruising).

Option A, Strain, is unlikely as a strain is a stretching or tearing of a muscle or tendon, and it is not usually caused by blunt force trauma.

Option B, Sprain, is unlikely as a sprain is a stretching or tearing of a ligament, and it is not usually caused by blunt force trauma.

Option D, Fracture, is unlikely as a fracture is a break in the bone and usually involves more severe pain and may be accompanied by deformity.

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Correct Answer is C

Explanation

Allow the client to follow your lead. This technique would be most beneficial for the ambulation of a visually impaired client. The nurse should allow the client to follow their lead because they are more familiar with their surroundings and can navigate better.

Option A, speaking before touching the client, is appropriate but not as effective as allowing the client to follow the nurse's lead.

Option B, providing a see-eye guide dog, may not always be feasible.

Option D, providing a detailed description of the room and walkway, may be helpful but not as effective as allowing the client to follow the nurse's lead.

A. Pode the client with non-prescription laxatives. B. Measure abdominal girth according to a set routine. C. Ask the client about food intake. D. Check for signs of hepatic encephalopathy.

Correct Answer is A

Explanation

Giving non-prescription laxatives to a client with cirrhosis can cause severe dehydration and electrolyte imbalances, which can be life-threatening. The nurse should report this intervention immediately to the physician.

Choice B is incorrect because measuring abdominal girth is a standard nursing intervention for clients with cirrhosis to assess for ascites.

Choice C is incorrect because asking the client about food intake is a standard nursing intervention for assessing nutritional status.

Choice D is incorrect because checking for signs of hepatic encephalopathy is a standard nursing intervention for clients with cirrhosis.

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A client comes to the emergency department complaining of localized pain and swelling of his lower leg. Ecchymotic areas are noted. History reveals that the client got bit in the leg with a baseball bat. Which of the following would the nurse suspect as most likely?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which technique would be most beneficial for ambulation of a client who is visually impaired?

Correct Answer is C

Explanation

While performing a physical examination on a client with cirrhosis, which of the following interventions should the nurse report immediately to the physician?

Correct Answer is A

Explanation

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A client comes to the emergency department complaining of localized pain and swelling of his lower leg. Ecchymotic areas are noted. History reveals that the client got bit in the leg with a baseball bat. Which of the following would the nurse suspect as most likely?

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