The nurse is caring for a client who has had a fracture reduction using a cast. Which of the following would be most important for the nurse to assess before and after the cast application?

Cardiac and respiratory status.

Circulation, movement, and sensation.

ROM status.

Renal and hepatic function.

Answer and Explanation

The Correct Answer is B

Before and after applying a cast, it is essential to assess the client's circulation, movement, and sensation to ensure there is no damage to the nerves or blood vessels. Assessing cardiac and respiratory status is not as relevant to cast application. ROM status is important but can be assessed by assessing movement and sensation. Renal and hepatic function are not directly related to cast application.

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Correct Answer is C

Explanation

Explanation: When dealing with a client who has been physically aggressive and is in distress, the best approach for the nurse is to use brief statements and questions to obtain essential information. This approach helps to keep the communication clear, focused, and non-threatening. The nurse should maintain a calm and assertive demeanor while avoiding lengthy discussions that may escalate the client's agitation.

Options not appropriate in this situation:

B. Providing close contact to increase the client's sense of safety may not be safe for the nurse or the client, especially when dealing with someone who has been physically aggressive. It is essential to maintain a safe distance and ensure the safety of everyone involved.

C. Having a sense of humor to show a lack of fear can be misinterpreted by the client and may not be appropriate or therapeutic in this context. The focus should be on establishing a professional and respectful rapport with the client, prioritizing their needs and safety.

Option D may not be the best approach because open-ended questions could lead to lengthy responses, which may not be suitable for a client who is in distress and potentially aggressive. The nurse should aim for concise and clear communication to ensure safety and facilitate a psychiatric assessment efficiently.

A. Place the client on a hypothermia blanket. B. Provide the client with warm fluids. C. Cover the client with a light blanket. D. Ensure that the room temperature is below 70°F.

Correct Answer is B

Explanation

Provide the client with warm fluids. The shivering can occur due to the anesthesia, the effect of the surgery, or cold temperature in the operating room. The shivering increases the client's oxygen consumption and carbon dioxide production, which can cause hypoxia, hypercapnia, and acidosis. The nurse should provide warm fluids to prevent hypothermia and warm blankets to reduce shivering.

Option A, placing the client on a hypothermia blanket, is incorrect because it is used to lower body temperature, not raise it.

Option C, covering the client with a light blanket, is incorrect because it is not enough to keep the client warm.

Option D, ensuring that the room temperature is below 70°F, is incorrect because it is too cold for the client and can increase shivering.

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The nurse is caring for a client who has had a fracture reduction using a cast. Which of the following would be most important for the nurse to assess before and after the cast application?

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Naxlex Comprehensive Predictor Exams

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