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.
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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Related Questions
Correct Answer is C
Explanation
A. The urinary meatus is the external opening of the urethra and is not the source of the infection in this case.
B. The client's bed is not a direct reservoir for the infection, although poor hygiene practices can contribute to contamination.
C. Catheter tubing can harbor bacteria if not properly managed, leading to urinary tract infections. Prolonged periods without proper drainage can allow bacteria to multiply.
D. The client's bladder can become infected due to bacteria introduced via the catheter tubing, but it is not the initial reservoir.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"}}
Explanation
Bruises in various stages of healing: This often indicates physical abuse, as it suggests trauma or injury from external force.
Over-sedation: This could be indicative of physical abuse if it is intentional or misuse of medications.
Depression or withdrawn behavior: These can be signs of neglect, as they may result from a lack of emotional support or social interaction.
Leaving an older adult in a public space: This is a clear indicator of abandonment, as it shows neglect of the individual's safety and well-being.
Untreated pressure injuries: These are signs of neglect, reflecting a failure to provide adequate care and prevent injuries.
Poor personal hygiene: Often a result of neglect, indicating a lack of attention to the individual's basic needs and self-care.
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