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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 B

Explanation

A. Initiating sequential pneumatic compression devices is not immediately relevant to managing acute stroke symptoms.

B. Raising the head of the bed to 30 degrees and keeping the head and neck in neutral alignment helps reduce intracranial pressure and facilitates venous drainage, which is crucial in managing potential stroke patients.

C. Elevating the dependent joints on the affected side is not immediately necessary and does not address the acute neurological symptoms.

D. While obtaining a focused history is important, it should follow after initial stabilization measures such as positioning and securing immediate diagnostic tests.

A. Evaluate the UAP for signs of improvement. B. Plan for scheduled break times. C. Note date and time of the behavior. D. Discuss the issue privately with the UAP.

Correct Answer is ["C","D","B","A"]

Explanation

The unit manager should first note the date and time of the behavior to have a record of the incident. This information is crucial for any follow-up actions and for maintaining accurate documentation. Next, the manager should discuss the issue privately with the UAP to understand the reasons behind their actions and to communicate the importance of following unit protocols. After this discussion, planning for scheduled break times can be implemented, which may prevent future occurrences by providing clear expectations and structure. Lastly, the manager should evaluate the UAP for signs of improvement following these interventions to ensure that the behavior has been corrected and to determine if further action is needed.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

Correct Answer is ["C","D","B","A"]

Explanation

Patient Data Exhibits To start the client on oxygen as prescribed, which item(s) should the nurse collect from the supply room? Select all that apply.

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