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 B
Explanation
A. Increased fatigue is a common side effect of many medications and illnesses but is not as immediately concerning.
B. Watery diarrhea can indicate a serious side effect such as Clostridium difficile-associated diarrhea, which requires prompt medical attention.
C. Nausea and headache are common side effects but are generally not urgent.
D. Yellow-tinged sputum can indicate infection but is not as critical as the potential for a serious gastrointestinal issue.
Correct Answer is ["41.7"]
Explanation
Step 1: Convert grams to milligrams
The prescribed dose is 5 grams (g) daily.
- 1 gram (g) = 1,000 milligrams (mg)
- 5 g = 5,000 mg daily
Step 2: Determine the dose per administration
The medication is to be given every 8 hours, meaning the total daily dose is divided into three equal doses:
5,000mg/3=1,666.67mgperdose
Step 3: Use the medication concentration to find the volume
The available suspension is 200 mg per 5 mL. Using the ratio formula:
200mg/5mL=1,666.67mg/XmL
Solve for X:
X=1,666.67×5/200
X=8,333.35/200=41.67mL
Answer: 41.7 mL (Rounded off to the nearest tenth)
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