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 A

Explanation

A. This is the most crucial information to provide. A scleral buckling procedure is performed to repair a retinal detachment. Any signs of detachment recurrence are critical and should be reported immediately. Directly addresses the primary goal of the surgery.
B. While maintaining the head in a specific position is often recommended post-surgery, it's not the most critical information in this context. The focus should be on identifying potential complications. Not as critical as the other options.
C. Infection is a potential complication of any surgery, but it's not the primary concern immediately post-scleral buckling. Important but not the most critical information.
D. Ambulation is generally encouraged to prevent complications like pneumonia and deep vein thrombosis, but it's not a specific concern immediately post-scleral buckling. Not directly related to the procedure.

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 scheduled for a scleral buckling procedure after previously having multiple laser coagulation procedures done for retinal tears. Which Information about the immediate postoperative period should the nurse provide this client?

Correct Answer is A

Explanation

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

Explanation

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While assessing a client following lithotripsy with stent insertion, which data indicates to the nurse that the procedure was successful?

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