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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Lethargy implies a state of sluggishness, drowsiness, or fatigue, not the inability to respond to stimuli.
Choice B reason: Stupor refers to a state of near-unconsciousness or insensibility, but the patient may respond to vigorous stimulation.
Choice C reason: Obtundation describes a state of consciousness characterized by a reduced alertness and a slow response to stimuli, but not complete unresponsiveness.
Choice D reason: Comatose is the correct term for a state of deep unconsciousness in which a patient cannot be aroused, fitting the description of the patient's condition.
Correct Answer is C
Explanation
Choice A reason: Systolic Blood Pressure is not a direct measure of preload; it indicates the pressure in the arteries during the contraction of the heart muscles.
Choice B reason: Mean Arterial Blood Pressure is an average blood pressure in an individual during a single cardiac cycle, but it does not specifically measure preload.
Choice C reason: Central Venous Pressure (CVP) is a direct measure of the blood volume returning to the heart and the ability of the heart to pump the blood into the arterial system, making it a key indicator of preload.
Choice D reason: Systemic Vascular Resistance refers to the resistance to blood flow offered by all of the systemic vasculature, excluding the pulmonary vasculature, and is not a measure of preload.
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