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 A

Explanation

choice A, Obtain a glucometer reading. The immediate action taken by the nurse is to obtain a glucometer reading to determine the client's blood glucose level. The client's symptoms are suggestive of hypoglycemia, a condition that can lead to coma and seizures if left untreated. Administering fruit juice or starting an IV of dextrose without first checking the client's blood glucose level can worsen the condition if the client's blood glucose is high. The physician should be notified if the client's blood glucose level is critically low or high and if the client's condition does not improve after treatment.
B. Administering fruit juice can worsen the condition if the client's blood glucose is high.
C. Starting an IV of dextrose can worsen the condition if the client's blood glucose is high.
D. Calling the physician is not the immediate action, as the client needs urgent treatment.

A. Radiation therapy. B. Laser surgery. C. Cryosurgery. D. Radical excision.

Correct Answer is D

Explanation

Radical excision. Treatment of melanoma includes surgical excision of the tumor with a margin of normal tissue to decrease the risk of recurrence. Radical excision involves the removal of the tumor, adjacent tissue, and possibly lymph nodes.

Option A, radiation therapy, may be used as an adjunct therapy, but it is not the primary treatment.

Option B, laser surgery, may be used to remove superficial lesions, but not for melanoma.

Option C, cryosurgery, is used to remove benign lesions or precancerous cells, but not for melanoma.

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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

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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