A patient has had surgical reduction of an open fracture of the right radius this morning. Which assessment findings should the nurse report immediately to the health care provider?

Right arm muscle spasms

Temperature of 99.9°F (37.7°C)

Loss of the right radial pulse

Pain with right arm movement

Answer and Explanation

The Correct Answer is C

Choice A reason: Right arm muscle spasms may be uncomfortable but are not as critical as circulatory issues.

Choice B reason: A temperature of 99.9°F (37.7°C) is slightly elevated but not immediately alarming post-surgery.

Choice C reason: Loss of the right radial pulse could indicate a serious complication such as compartment syndrome, which requires urgent atention.

Choice D reason: Pain with arm movement is expected post-surgery but is not as urgent as loss of pulse.

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Correct Answer is B

Explanation

Choice A reason: Stroke Volume refers to the amount of blood pumped by the left ventricle of the heart in one contraction, not to the regulation of ﬂuid volume and cardiac output.

Choice B reason: Renin-Angiotensin-Aldosterone-System (RAAS) is responsible for vasoconstriction, sodium retention, and water reabsorption, which helps to increase circulating ﬂuid volume and cardiac output.

Choice C reason: Brain and Atrial natriuretic peptides (BNP & ANP) actually work to decrease blood volume and pressure, not increase them.

Choice D reason: Erythropoietin primarily stimulates red blood cell production and does not directly aﬀect ﬂuid volume or cardiac output.

A. Evaluating the eﬀectiveness of opioid analgesics B. Limiting the patient's intake of oral and IV ﬂuids C. Teaching the patient about high-protein, high-calorie foods D. Encouraging the patient to ambulate as much as tolerated

Correct Answer is A

Explanation

Choice A reason: Evaluating the eﬀectiveness of opioid analgesics is crucial as pain management is a primary concern for patients experiencing a sickle cell crisis.

Choice B reason: Limiting the patient's intake of oral and IV ﬂuids is not recommended as hydration is important for patients with sickle cell crisis to reduce blood viscosity and improve circulation.

Choice C reason: Teaching the patient about high-protein, high-calorie foods is beneficial for long-term management but is not the immediate nursing intervention during a crisis.

Choice D reason: Encouraging ambulation may be part of recovery but is not the primary intervention during an acute sickle cell crisis due to the risk of pain exacerbation.

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A patient has had surgical reduction of an open fracture of the right radius this morning. Which assessment findings should the nurse report immediately to the health care provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Vasoconstriction, sodium retention, and water reabsorption to increase circulating ﬂuid volume and cardiac output are the primary functions of:

Correct Answer is B

Explanation

Which nursing intervention is important when providing care for a patient with sickle cell crisis?

Correct Answer is A

Explanation

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