Twelve hours after experiencing a traumatic closed fracture of the lower left tibia, a client reports pain, tingling, and diminished toe movement in the left foot. Which nursing problem has the highest priority based on this information?
Impaired comfort.
Impaired skin integrity.
Risk for infection related to traumatic fracture.
Risk for peripheral neurovascular dysfunction.
The Correct Answer is D
A. While impaired comfort is a concern, the priority is to address potential neurovascular compromise.
B. Impaired skin integrity is a concern but not the most immediate issue given the symptoms described.
C. Risk for infection is important but secondary to the acute concern of neurovascular function.
D. Risk for peripheral neurovascular dysfunction is the highest priority as it indicates potential compartment syndrome or other serious complications requiring urgent intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Increased Urinary Urgency and Frequency and Nocturia: These symptoms warrant further investigation for possible underlying conditions such as BPH or other genitourinary issues.
Penile Implant: Changes in sexual function or discomfort with the penile implant should be evaluated to ensure there are no complications.
Ibuprofen Use: Assessment of the impact of ibuprofen on urinary symptoms and overall health should be considered.
Correct Answer is B
Explanation
A. Ear pain and fever are not characteristic symptoms of mononucleosis.
B. Mononucleosis is often associated with a positive Epstein-Barr virus (EBV) test and symptoms of malaise, fatigue, and lymphadenopathy.
C. Increased BUN and serum creatinine indicate kidney function issues, which are not typically associated with mononucleosis.
D. While elevated WBC and sedimentation rate can occur, they are nonspecific and can be seen in many conditions; they are not defining symptoms of mononucleosis.
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