A nurse is caring for a client who has a new short-leg cast on his lower leg to treat an ankle fracture. Which of the following findings requires immediate notification of the provider?
Ecchymosis of the distal foot
Dependent edema distal to the cast
Moderate level of pain
Inability to flex the toes of the casted foot
The Correct Answer is D
A. Ecchymosis of the distal foot may be expected after the application of a cast and is not necessarily an immediate concern unless it is severe or rapidly worsening.
B. Dependent edema distal to the cast can occur as a normal response to immobilization. It is not an immediate concern unless it is severe or associated with other concerning symptoms.
C. A moderate level of pain can be expected after the application of a cast. It should be managed appropriately, but it is not an immediate concern unless it is severe or uncontrolled.
D. Inability to flex the toes of the casted foot suggests a potential issue with circulation or nerve function, which requires immediate notification of the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Rowing - This activity can put strain on the lower back and may exacerbate low back pain.
B. Tennis - This sport involves a lot of twisting and sudden movements, which can potentially worsen low back pain.
C. Canoeing - While generally a low-impact activity, it still requires core stability which could potentially aggravate low back pain.
D. Swimming - Swimming is a highly recommended exercise for individuals with low back pain. It is a low-impact activity that helps strengthen the muscles in the back, as well as other parts of the body, without putting excessive strain on the spine. Additionally, the buoyancy of water provides support, reducing the impact on the joints.
Correct Answer is C
Explanation
A. Twisting at the waist while lifting or moving an object can strain the back muscles and potentially lead to injury. The nurse should advise against this.
B. Relaxing the abdominal muscles while lifting an object can lead to inadequate support for the spine, potentially causing further strain or injury. The nurse should instruct the client to engage the abdominal muscles for stability.
C. Correct. Bending at the knees when picking up an object helps distribute the weight more evenly and reduces strain on the back muscles. This is a safe and recommended technique for lifting.
D. Holding an object away from the body while lifting it can increase the strain on the back muscles. The client should be advised to keep the object close to their body for better support and balance.
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