A nurse is caring for a client who was involved in a motor-vehicle crash.
A nurse is providing care for a client who was involved in a motor-vehicle crash. Complete the following sentence.by using the list of options.
The nurse should first address the client's
The Correct Answer is {"dropdown-group-1":"D"}
1. Level of Consciousness:
2. Oxygen Saturation:
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Related Questions
Correct Answer is D
Explanation
A. A difference between the apical pulse rate and the radial pulse rate is more indicative of a pulse deficit, which is not specific to constrictive pericarditis.
B. A drop in systolic blood pressure by 20 mm Hg when changing positions describes orthostatic hypotension, not paradoxical blood pressure.
C. An increase in heart rate when moving from sitting to standing reflects orthostatic changes, not paradoxical blood pressure.
D. Paradoxical blood pressure refers to a decrease in systolic blood pressure of more than 10 mm Hg during inspiration, which can occur in constrictive pericarditis due to impaired filling of the heart during diastole.
Correct Answer is B
Explanation
A. Instructing the client on the use of crutches is important but not as immediate as assessing for complications.
B. Performing neurovascular checks of the extremities is the most important action to identify complications such as compartment syndrome or impaired circulation.
C. Medicating the client for pain is important but secondary to monitoring for immediate postoperative complications.
D. Directing the client to perform exercises of the ankle and toes helps prevent complications but is not as critical as performing neurovascular assessments.
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