The elderly client is admitted to the emergency room after a fall with a suspected fracted hip. Which symptom is the client most likely to exhibit?
Cool extremity
Absence of pedal pulses
Misalignment
Hypotension
The Correct Answer is C
A. This finding can occur with circulatory issues but is not a classic symptom of a hip fracture itself. A cool extremity may indicate vascular compromise, which is less common immediately after a hip fracture and more concerning for a potential complication, such as compartment syndrome.
B. Similar to cool extremities, absent pedal pulses suggest a significant vascular problem and are not typical for a straightforward hip fracture. While this can indicate serious complications, it is not a common presentation immediately following a hip fracture.
C. Misalignment or deformity of the leg is a classic symptom of a fractured hip. The affected leg may appear shorter and externally rotated. This misalignment is often one of the first observable signs that healthcare providers look for during the assessment.
D. Hypotension can occur due to various reasons, including pain, dehydration, or blood loss, but it is not a direct symptom of a fractured hip. While it could be present in some cases, it is not the most characteristic finding associated with hip fractures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. In roseola (also known as exanthem subitum or sixth disease), a child typically develops a rash that is characterized by small, rose-colored spots (maculopapular rash) after the fever resolves. However, it is not primarily described as a "red papular rash" at the onset, which can lead to some confusion.
B. Koplik spots are small, white lesions that appear inside the mouth and are characteristic of measles, not roseola. They do not occur in roseola.
C. A severe cough is not a symptom of roseola. While respiratory symptoms can be present in many viral infections, roseola is primarily characterized by a high fever followed by a rash, with minimal respiratory involvement.
D. Inflammation of the parotid gland is associated with mumps, not roseola. Roseola does not typically involve swelling of the salivary glands.
Correct Answer is B
Explanation
A. Fluoroquinolones, such as ciprofloxacin and levofloxacin, do not have a known significant interaction with neuromuscular blockers. They can generally be used safely in patients receiving neuromuscular blockade.
B. Aminoglycosides (such as gentamicin, tobramycin, and amikacin) can potentiate the effects of neuromuscular blockers and may lead to increased neuromuscular blockade. This can result in respiratory depression or paralysis, making them contraindicated in patients receiving neuromuscular blockers.
C. Carbapenems (such as meropenem and imipenem) do not typically have a significant interaction with neuromuscular blockers. They can generally be used safely, although careful monitoring is always recommended in patients with neuromuscular blockade.
D. Macrolides (such as azithromycin and erythromycin) do not have a major contraindication with neuromuscular blockers. While they can affect certain neuromuscular transmission processes, they are not typically contraindicated in this context.
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