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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

A puncture or rupture of the lung is typically associated with a pneumothorax, not flail chest. Pneumothorax occurs when air leaks into the space between the lung and the chest wall.

Choice B rationale

The presence of air or gas in the pleural cavity is known as pneumothorax. Flail chest, however, is characterized by multiple rib fractures.

Choice C rationale

Flail chest occurs when multiple adjacent ribs are fractured in multiple places, creating a free-floating segment of the chest wall. This condition is serious and often results from blunt chest trauma.

Choice D rationale

The collapse of the lung is known as atelectasis or pneumothorax, not flail chest. Flail chest specifically refers to the detachment of a segment of the rib cage.

A. Encourage the patient to bear weight on the residual limb to promote early ambulation. B. Apply a tight compression bandage to the residual limb to promote circulation. C. Assess the residual limb for signs of hemorrhage or poor circulation. D. Remove the prosthetic limb and keep the residual limb uncovered to allow for air exposure.

Correct Answer is C

Explanation

Choice A rationale

Encouraging the patient to bear weight on the residual limb immediately after surgery is not recommended due to the risk of injury and poor healing.

Choice B rationale

Applying a tight compression bandage can help with circulation, but assessing for complications takes precedence immediately after surgery.

Choice C rationale

Assessing the residual limb for signs of hemorrhage or poor circulation is crucial to identify any post-surgical complications early.

Choice D rationale

Keeping the residual limb uncovered might be necessary in some cases, but initial assessment and monitoring are more important immediately after surgery. .

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

A patient is admitted to the respiratory unit with flail chest.Which answer best describes this diagnosis?

Correct Answer is C

Explanation

A patient undergoes left above-the-knee amputation with an immediate prosthetic fitting.When the patient arrives on the orthopedic unit after surgery, which action should the nurse take?

Correct Answer is C

Explanation

A nurse in the emergency department is assessing an older adult client who has community-acquired pneumonia.Which of the following findings should the nurse expect?

A client is admitted to the emergency department with fever, chills, and severe left costovertebral pain.Which diagnostic test should be prioritized to evaluate the underlying cause of these symptoms?

A nurse is observing the closed chest drainage system of a client who is 24 hours post thoracotomy.The nurse notes fluctuation in the suction control chamber.Which of the following actions should the nurse take?

A client is admitted to the emergency department with a magnesium level of 1.2 mg/dL. The nurse is aware that a likely cause of the value is which of the following:

A nurse is caring for a client who has diabetic ketoacidosis and hypoxia.Which of the following interventions is most critical to perform immediately?

A nurse is caring for a client with regional enteritis (Crohn's disease). Which of the following symptoms should the nurse anticipate during assessment?

A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 08:00 am. After checking the client's morning glucose level, which of the following actions should the nurse take?