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The nurse is caring for a client with a fractured femur. Following removal of traction and the application of a full-leg cast, which action should the nurse prioritize?

Pain management.

Ambulation teaching.

Leg elevation.

Neurovascular checks.

Answer and Explanation

The Correct Answer is D

A. Pain management is important but should follow the assessment of any immediate complications.

B. Ambulation teaching is important but is not the first priority immediately after cast application.

C. Leg elevation can help with swelling but is not the immediate priority.

D. Neurovascular checks are crucial to assess for complications such as compartment syndrome, which can occur after cast application. Early detection of neurovascular impairment is essential to prevent long-term damage.

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Correct Answer is C

Explanation

A. Decreased ammonia is a positive sign, indicating effective treatment for hepatic encephalopathy.

B. Lowered total protein and albumin are common in advanced cirrhosis but do not typically require immediate intervention compared to other findings.

C. Prolonged PT is critical because it indicates a high risk of bleeding due to impaired liver function, necessitating immediate attention.

D. Elevated direct bilirubin is indicative of liver dysfunction but is less immediately critical compared to bleeding risks.

A. Infuse normal saline intravenously. B. Apply external cooling blanket. C. Provide a bottle of electrolyte solution. D. Administer an antipyretic rectally.

Correct Answer is A

Explanation

A. Infusing normal saline intravenously is crucial as the infant shows signs of dehydration (weak cry, no tears), and intravenous fluids are necessary to restore hydration and electrolyte balance.

B. Applying an external cooling blanket may be necessary to manage fever but does not address the dehydration issue.

C. Providing an electrolyte solution is helpful, but given the infant’s refusal to drink, IV fluids are more immediate and effective.

D. Administering an antipyretic rectally might help manage fever but does not address the dehydration or fluid needs.

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The nurse is caring for a client with a fractured femur. Following removal of traction and the application of a full-leg cast, which action should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with advanced cirrhosis is being treated for hepatic encephalopathy. In reviewing the client's serum laboratory results, which finding requires the most immediate intervention by the nurse?

Correct Answer is C

Explanation

A male infant with a 2-day history of fever and diarrhea is brought to the clinic by his mother who tells the nurse that the child refuses to drink anything. The nurse determines that the child has a weak cry with no tears. Which prescription is most important for the nurse to implement?

Correct Answer is A

Explanation

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