A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission and again in 2 hours. Which of the following changes in assessment should indicate to the nurse that the client could be developing a serious complication?

Increased oral temperature from 36.6° C (97.8° F) to 37° C (98.6° F).

Increased blood pressure from 112/68 to 120/72 mm Hg.

Increased heart rate from 68 to 72/min.

Increased respiratory rate from 18 to 44/min.

Answer and Explanation

The Correct Answer is D

A. Increased oral temperature from 36.6° C (97.8° F) to 37° C (98.6° F): This change is within the normal range and not indicative of a serious complication.

B. Increased blood pressure from 112/68 to 120/72 mm Hg: A slight increase in blood pressure is normal and not a sign of a serious complication.

C. Increased heart rate from 68 to 72/min: A minor increase in heart rate is not significant in this context.

D. Increased respiratory rate from 18 to 44/min: A sudden increase in respiratory rate may indicate fat embolism syndrome, a serious complication associated with long bone fractures.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Suction saliva from the client’s mouth: Maintaining airway patency and preventing aspiration are the highest priorities in unconscious clients.

B. Monitor the client’s electrolyte levels: While important, this is not the immediate priority compared to airway management.

C. Record the client’s intake and output: Monitoring fluid balance is significant but less urgent than ensuring a patent airway.

D. Perform passive range of motion on each extremity: Preventing contractures is necessary but secondary to airway management.

A. Provide relief from pain and discomfort. B. Maintain immobilization and alignment. C. Provide optimal nutrition and hydration. D. Promote independence in activities of daily living.

Correct Answer is B

Explanation

A. Provide relief from pain and discomfort: While pain management is important, maintaining immobilization and alignment is more critical for proper bone healing.

B. Maintain immobilization and alignment: Proper alignment and immobilization prevent further injury, promote healing, and support functional recovery.

C. Provide optimal nutrition and hydration: Good nutrition is essential for healing but is not the highest priority compared to ensuring immobilization and alignment.

D. Promote independence in activities of daily living: This is a long-term goal but not an immediate priority during the healing process.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission and again in 2 hours. Which of the following changes in assessment should indicate to the nurse that the client could be developing a serious complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is unconscious following a cerebral hemorrhage stroke. Which of the following nursing interventions is of highest priority?

Correct Answer is A

Explanation

A nurse is developing a plan of care for a client who has a fracture to achieve the outcome of functional healing. To assist in meeting this goal, which of the following nursing interventions is the highest priority?

Correct Answer is B

Explanation

A nurse is caring for a client who has acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention?

A nurse is teaching a client and his son about how to position when administering enteral feedings at home. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?

A nurse is caring for a client who is postoperative following an open reduction internal fixation (ORIF) of a femur fracture. Which of the following parameters should the nurse include in the evaluation of the neurovascular status of the client's affected extremity? (Select all that apply.)

A client has just returned from surgery after undergoing a lumbar laminectomy. Which of the following would be most important to do when positioning the client in bed?

A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?

A nurse working on a medical unit is caring for a client who is prescribed seizure precautions. Which of the following interventions should the nurse include in the client's plan of care?

A nurse is caring for a male client who reports abdominal pain. Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.