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 ["63"]
Explanation
- To calculate the gtt/min, use the formula: gtt/min = (volume in mL x drop factor in gtt/mL) / time in min
- Substitute the given values: gtt/min = (250 mL x 15 gtt/mL) / 60 min - Simplify and round: gtt/min = 62.5 gtt/min ≈ 63 gtt/min
- The nurse should set the manual IV infusion to deliver 63 gtt/min
Correct Answer is C
Explanation
A. Cabbage is not a significant source of calcium.
B. Potatoes are not a significant source of calcium.
C. Broccoli is a good source of calcium and can be advised to the client to increase in her diet.
D. Carrots are not a significant source of calcium.
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