The nurse is caring for a patient with a transverse fracture. Which are goals for managing patient care? Select all that apply.

Reducing risk for fall

Healing the surrounding tissue

Alignment of the bone

Immobilization of the leg

Preventing pain

Answer and Explanation

Correct Answer : A,C,D,E

A. Reducing risk for fall: Patients with fractures are at higher risk for falls, which can exacerbate their injuries or cause new ones. Ensuring the environment is safe and assisting with mobility can reduce this risk.
B. Healing the surrounding tissue: While important, the primary focus in the acute phase is stabilizing the fracture itself. Healing surrounding tissue is more of a long-term goal and indirectly supported by proper fracture management.
C. Alignment of the bone: Proper alignment is crucial for healing. It ensures that the bone ends are in the correct position to heal properly and reduces the risk of complications such as malunion.
D. Immobilization of the leg: Immobilization is necessary to maintain bone alignment and prevent further injury or displacement of the fracture.
E. Preventing pain: Pain management is a fundamental aspect of patient care for fractures, as it not only provides comfort but also aids in compliance with treatment and rehabilitation.

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Correct Answer is D

Explanation

Has the patient been taking his medications as prescribed? This is the most important information to collect. Understanding the patient's medication adherence is crucial because if the patient is not taking his medications as prescribed, it could explain why his blood pressure is elevated. Noncompliance with medication regimens is a common cause of hypertensive urgency and can lead to severe complications. Therefore, knowing whether he has been taking his medications regularly and correctly would directly influence the management plan and help identify the cause of the current crisis.

Does the patient hurt anywhere else? While it’s important to assess for pain and discomfort to address immediate symptoms, this information does not directly address the potential cause of the elevated blood pressure. The patient already reported pain in the head, chest, and left leg, so the primary concern is managing his hypertensive urgency and understanding its underlying causes rather than identifying additional pain locations at this moment.

When does the patient take his furosemide? Knowing the timing of furosemide intake could provide insights into his diuretic therapy management and its potential impact on his blood pressure. However, it is less immediately relevant than understanding whether he has been taking all his medications as prescribed. This question might be more pertinent once medication adherence is confirmed to understand diuretic effects throughout the day.

Has the patient fallen before? This is relevant for assessing the risk of recurrent falls and potential underlying issues such as orthostatic hypotension or balance problems, which are crucial for long-term management and safety. However, it is not as immediately critical in the context of the current hypertensive urgency and the elevated blood pressure despite medication.

A. Risk of infection is great. B. Replantation can occur. C. Postoperative therapy will be required. D. Prosthetic fitting is often prescribed.

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

Explanation

A. Risk of infection is great.: Traumatic amputations create an open wound, increasing the risk of infection. Proper wound care and monitoring for signs of infection are critical.
B. Replantation can occur.: Depending on the severity of the injury and the viability of the amputated part, replantation is possible and is a common consideration in the plan of care.
C. Postoperative therapy will be required.: Rehabilitation, including physical therapy, is essential for restoring function and mobility in the affected limb after amputation or replantation.
D. Prosthetic fitting is often prescribed.: While prosthetics can be used for finger amputations, not all cases require them, especially if replantation is successful. This is less common compared to major limb amputations.

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The nurse is caring for a patient with a transverse fracture. Which are goals for managing patient care? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nurse is contributing to the plan of care for a patient who has a traumatic finger amputation. What should the nurse consider?

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

Explanation

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