Patient Data
The nurse reviews the prescriptions and plans initial steps for caring for the client.
Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response option selected.
Inspect the bandage for drainage
Perform range of motion.
Administer ondansetron 4 mg IV.
Provide morphine 2 mg IV.
Check capillary refill on bilateral upper extremities
Palpate and compare radial pulses.
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}
Inspect the bandage for drainage: This is a standard post-injury assessment to monitor for excessive bleeding or other complications.
Perform range of motion: Range of motion exercises are contraindicated in cases of fractures, as movement could worsen the injury.
Administer ondansetron 4 mg IV: Ondansetron is an antiemetic that can help relieve the nausea the client is experiencing.
Provide morphine 2 mg IV: Morphine is indicated for pain management, especially since the client is experiencing significant pain.
Check capillary refill on bilateral upper extremities: This is important to assess circulation and ensure there is no vascular compromise.
Palpate and compare radial pulses: This assesses circulation and can help identify any vascular injury or compromise due to the humeral fracture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
A. Stopping the infusions and inserting a new catheter may not be necessary at this point unless complications develop.
B. As long as the catheter is flushing easily and the infusions are not causing complications (such as infiltration), it is appropriate to continue using it.
C. Aspirating and flushing the line until a blood return is obtained may cause damage to the catheter or further complications.
D. Monitoring for signs of infiltration is crucial, as the inability to aspirate a blood return may indicate a partial occlusion or other issues with the PICC line.
E. Replacing the PICC line may not be necessary unless more severe complications are observed.
Correct Answer is B
Explanation
A. Administering PRN oral analgesics is within the scope of a PN’s responsibilities and does not require an RN’s expertise.
B. The RN is responsible for supervising other nurses, including newly hired graduate nurses, and ensuring that assessments are performed competently.
C. Transporting a client is typically a task for a UAP, as long as it does not require complex nursing interventions.
D. Focused assessments of clients with wrist restraints can be performed by both an RN and a PN, but this is generally within the scope of the PN’s duties.
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