A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?
Measure the circumference of the thigh.
Instruct the client to wiggle his toes.
Palpate the femoral pulse.
Monitor the client's calf for edema.
The Correct Answer is B
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is incorrect because placing the client in a protective environment is not an action that the nurse should take. A protective environment is used for clients who are immunocompromised and need to be protected from exposure to pathogens. A client with Clostridium difficile infection does not need this type of isolation.
Choice B reason: This is correct because disinfecting equipment in the client's room daily is an action that the nurse should take. Clostridium difficile is a spore-forming bacterium that can survive on surfaces and cause infection if ingested. The nurse should use a bleach-based disinfectant to clean all equipment and surfaces in the client's room daily to prevent transmission.
Choice C reason: This is incorrect because using alcohol hand sanitizer after completing tasks for the client is not an action that the nurse should take. Alcohol hand sanitizer is not effective against Clostridium difficile spores, and can actually increase their spread. The nurse should wash their hands with soap and water after caring for the client, as this can remove the spores from the skin.
Choice D reason: This is incorrect because having the client wear a mask when out of the room is not an action that the nurse should take. Clostridium difficile is not transmited through respiratory droplets, but through fecal-oral route. A mask will not prevent this mode of transmission. The nurse should limit the client's movement outside of the room, and instruct them to wash their hands before and after leaving.
Correct Answer is C
No explanation
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