A nurse is caring for a client who has a distal radius fracture with a short arm cast applied. Which of the following actions should the nurse take?
Use a hair dryer to blow hot air into the cast to relieve itching.
Perform neurovascular checks of the affected extremity every 2 hr.
Position the fractured arm below the level of the client's heart.
Immobilize the client's fingers using a hand splint.
The Correct Answer is B
The nurse should perform neurovascular checks of the affected extremity every 2 hours to monitor for any signs of compartment syndrome or impaired circulation. It is important to assess for the five Ps: pain, pulse, pallor, paresthesia, and paralysis. Using a hair dryer to relieve itching can cause burns and is not a recommended intervention. Positioning the fractured arm below the level of the client's heart can increase swelling and exacerbate pain. Immobilizing the client's fingers using a hand splint is not indicated unless there is a finger fracture or injury.
Choice A (Use a hair dryer to blow hot air into the cast to relieve itching) is not an answer because it can cause burns and is not a recommended intervention.
Choice C (Position the fractured arm below the level of the client's heart) is not an answer because it can increase swelling and exacerbate pain.
Choice D (Immobilize the client's fingers using a hand splint) is not an answer because it is not indicated unless there is a finger fracture or injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
The nurse should recommend the pneumococcal vaccine to the client, as this is recommended for all adults over the age of 65 to prevent pneumococcal disease. Choice A is incorrect because the tuberculosis vaccine is not routinely given to adults in the United States. Choice B is incorrect because the HPV vaccine is recommended primarily for young adults to prevent HPV-related cancers. Choice C is incorrect because the MMR vaccine is recommended for children, and most adults have already received it. Choice A is not correct because the tuberculosis vaccine is not routinely given to adults in the United States.
Correct Answer is B
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The correct answer is choice B. Aprepitant is an antiemetic medication used to prevent nausea and vomiting associated with chemotherapy. Choice A is incorrect because decreased dysrhythmias is not a therapeutic effect of aprepitant. Choice C is incorrect because decreased incisional pain is not a therapeutic effect of aprepitant. Choice D is incorrect because absence of dizziness is not a therapeutic effect of aprepitant. Choice A is not correct because decreased dysrhythmias is not a therapeutic effect of aprepitant. Choice C is not correct because decreased incisional pain is not a therapeutic effect of aprepitant. Choice D is not correct because absence of dizziness is not a therapeutic effect of aprepitant.
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