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 B

Explanation

Sips of fluid may be increased if tolerated. After a barium enema, the client may be allowed to increase fluid intake to help eliminate the barium and prevent constipation.

Option A: The client will maintain a low-residue diet is not a correct answer as it is not necessary after a barium enema.

Option C: An enema will be used to clear the bowel is not a correct answer as the barium enema is itself a type of enema used to visualize the colon.

Option D: The stools may be white or clay-colored is not a correct answer as it is a potential side effect of barium use, not an instruction to the client.

A. Swelling. B. Change in the level of consciousness (LOC). C. Signs of increased intracranial pressure (ICP). D. Halo sign.

Correct Answer is D

Explanation

Halo sign. The presence of clear fluid with a yellowish ring around it (Halo sign) on the client's bed linens, tissues, or skin may indicate the presence of leaking of cerebral spinal fluid (CSF).

Swelling, choice A, change in the level of consciousness (LOC), choice B, and signs of increased intracranial pressure (ICP), choice C, may be indicative of a head injury, but do not specifically indicate the presence of leaking of CSF.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing instruction is correct to provide the client following a barium enema?

Correct Answer is B

Explanation

The nurse is caring for a client with a head injury after a fall from a hayloft. Which of the following indicates the presence of leaking of cerebral spinal fluid (CSF)?

Correct Answer is D

Explanation

The nurse is caring for a client experiencing hearing loss. The nurse uses the otoscope and notes a significant accumulation of cerumen. Which hearing loss type would be most accurate?

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The nurse is obtaining a history on a client stating nocturia. When evaluating the client's evening behaviors, which may be the cause of the problem?

The nursing instructor is holding a clinical discussion with students in a renal unit in the hospital. The instructor asks about what is the smallest structure in the kidneys that forms urine. One of the students states that the dropdownis the functional unit of the kidney that forms the urine.

A client with increased intracranial pressure is receiving mannitol via intravenous infusion. Which assessment finding is most important in determining the effectiveness of this treatment?

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The nurse is assessing a 2-year-old client who has sustained a fracture from falling off a slide while playing in the park. What type of fracture did the child most likely sustain?

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