Acute soft tissue injuries provide the nurse with a variety of teaching opportunities. Which instruction should the nurse provide to a client with a soft tissue injury?

Watch for shortness of breath which may indicate a fat embolus.

Begin range of motion exercises within the first 24 hours.

Apply ice intermittently for the first 24 hours.

After edema subsides, apply heat continuously.

Answer and Explanation

The Correct Answer is C

A.   While it's important to monitor for complications, this is not a typical initial instruction for a soft tissue injury.
B.   Early range of motion exercises are generally not recommended for acute soft tissue injuries, as they can increase swelling and pain.
C.   This is the correct instruction. Applying ice to the injured area helps reduce swelling and pain. It should be applied intermittently to prevent tissue damage from excessive cold.
D.   Heat is typically used in the later stages of healing to promote blood flow and relaxation, but continuous heat application can be harmful in the acute phase.

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Correct Answer is ["31"]

Explanation

Total volume in mL x Drop factor) / Total time in minutes.

For the vancomycin infusion, the total volume is 250 mL, the drop factor is 15 gtt/mL, and the total time is 120 minutes (2 hours).

The calculation is as follows: (250 mL x 15 gtt/mL) / 120 minutes = 31.25 gtt/min.

After rounding to the nearest whole number, the nurse should regulate the infusion to 31 gtt/min.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}

Explanation

Based on the information collected, the client is likely experiencing Hypoxia related to Tonic clonic seizure

Rationale

The severe drop in oxygen saturation and the observation of violent jerking movements are consistent with a tonic-clonic seizure, which can be precipitated or exacerbated by significant hypoxia.

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Acute soft tissue injuries provide the nurse with a variety of teaching opportunities. Which instruction should the nurse provide to a client with a soft tissue injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving a secondary infusion of vancomycin 1,500 mg in 250 ml to be infused over two hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the Infusion? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

Correct Answer is ["31"]

Explanation

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}

Explanation

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