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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 D

Explanation

A. Morphine is used for pain management and is not contraindicated with sildenafil.

B. Aspirin is used for its antiplatelet effect and is not contraindicated with sildenafil.

C. Heparin is used as an anticoagulant and is not contraindicated with sildenafil.

D. Nitroglycerin is contraindicated with sildenafil because the combination can cause severe hypotension.

A. Give the client 4 ounces (120 mL) of orange juice. B. Administer a PRN dose of regular insulin. C. Provide the client with 1/2 cup (120 mL) diet carbonated soda. D. Check the client's current fingerstick blood glucose. E. Obtain blood pressure and pulse rate.

Correct Answer is ["A","D","E"]

Explanation

A. Giving the client 4 ounces of orange juice can quickly raise blood glucose levels if hypoglycemia is suspected.

B. Administering insulin is inappropriate without knowing the current blood glucose level, especially if hypoglycemia is suspected.

C. Diet carbonated soda does not contain sugar and will not help raise blood glucose levels.

D. Checking the client's fingerstick blood glucose is essential to determine if hypoglycemia is causing the symptoms.

E. Obtaining blood pressure and pulse rate is important to assess the client's overall condition and identify any additional complications.

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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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