The nurse is caring for a client diagnosed with a fractured tibia and fibula.Which data should the nurse report to the healthcare provider immediately?

Dorsalis pedis pulse cannot be located with a doppler and increasing pain.

Pain relieved after administering 4 mgs of hydromorphone.

Generalized weakness and increasing sensitivity to touch.

Localized edema and discoloration of the affected limb.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Inability to locate the dorsalis pedis pulse and increasing pain are signs of compromised circulation, requiring immediate intervention.

Choice B rationale

Pain relieved by medication does not indicate an urgent situation and suggests effective pain management.

Choice C rationale

Generalized weakness and increased sensitivity to touch are not typically indicative of a critical emergency requiring immediate reporting.

Choice D rationale

Localized edema and discoloration are expected findings following a fracture and do not necessitate immediate reporting.

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Correct Answer is C

Explanation

Choice A rationale

While heartburn can occur shortly after eating, it is the frequent episodes of heartburn and regurgitation that are more commonly associated with hiatal hernia.

Choice B rationale

Dysphagia (difficulty swallowing) and odynophagia (painful swallowing) can occur with other esophageal conditions but are not the primary symptoms of hiatal hernia.

Choice C rationale

Frequent bouts of heartburn and regurgitation after food intake are classic symptoms of hiatal hernia, due to the herniation of the stomach through the diaphragm allowing acid to reflux into the esophagus.

Choice D rationale

Bloating and postprandial fullness can occur, but they are not as commonly associated with hiatal hernia as heartburn and regurgitation.

A. Nasal congestion. B. Dysuria. C. Shortness of breath. D. Joint pain.

Correct Answer is B

Explanation

Choice A rationale

Nasal congestion is not a symptom associated with acute cystitis. Acute cystitis primarily affects the urinary system.

Choice B rationale

Dysuria, which means painful or difficult urination, is a common symptom of acute cystitis, as it involves inflammation of the bladder and urethra.

Choice C rationale

Shortness of breath is not a typical symptom of acute cystitis. Acute cystitis symptoms are localized to the urinary tract.

Choice D rationale

Joint pain is not associated with acute cystitis. The symptoms of acute cystitis are related to the urinary system.

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The nurse is caring for a client diagnosed with a fractured tibia and fibula.Which data should the nurse report to the healthcare provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What information should the nurse relay to the client with a hiatal hernia diagnosis?

Correct Answer is C

Explanation

A 24-year-old female client comes to the ambulatory care center in moderate distress with a probable diagnosis of acute cystitis.Which symptom should the nurse expect the client to report during the assessment?

Correct Answer is B

Explanation

A client one (1) day postoperative for coronary artery bypass graft (CABG) reports chest pain.Which intervention should the nurse implement first?

A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour.Which of the following actions should the nurse take first?

A client diagnosed with type II diabetes controlled with a biguanide medication and a history of liver disease is scheduled for a computed tomography (CT) scan with contrast medium of the abdomen to evaluate pancreatic function.Which intervention should the nurse implement?

A nurse is caring for a patient with long history of chronic obstructive pulmonary disease (COPD) who develops cor pulmonale.The nurse should monitor the patient for which expected finding if heart failure is present?

Which of the following clinical manifestations would make the nurse suspect the client is experiencing a myocardial infarction (MI)?

The nurse is caring for a client diagnosed with a fractured tibia and fibula.Which data should the nurse report to the healthcare provider immediately?

A nurse is caring for a client who has heart failure and a new prescription for furosemide.Which of the following laboratory values should the nurse review before administering furosemide?