While performing a neurovascular assessment distal to a client's fracture site, the nurse determines that the client's pulse is present, regular, and full force. Which nursing action should be taken next?
Observe the color of the extremity.
Notify the healthcare provider of the assessment finding.
Discontinue elevating the client's affected extremity.
Document the neurovascular assessment as normal.
The Correct Answer is A
Choice A reason:
The correct answer is a) because observing the color of the extremity provides additional information about circulation and potential complications such as compartment syndrome.
Choice B reason: Notifying the healthcare provider is necessary if there are abnormal findings.
Choice C reason: Discontinuing elevation is not necessary unless there are signs of compromised circulation.
Choice D reason: Documenting the assessment as normal comes after completing a thorough assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Monthly appointments with a dietitian are important for overall management but do not directly address lowering blood glucose and increasing HDL levels.
Choice B reason: Monitoring blood glucose levels daily is crucial for diabetes management but does not directly impact HDL levels.
Choice C reason: Limiting calories on days unable to exercise may help with weight management but is not the most effective way to improve blood glucose and HDL levels.
Choice D reason:
The correct answer is d) because regular exercise, with medical approval, helps lower blood glucose levels and increase HDL levels, improving overall health outcomes for clients with type 2 diabetes.
Correct Answer is ["2"]
Explanation
Calculation steps:
Step 1: Identify the dosage required. 20 mg
Step 2: Identify the concentration available. 10 mg/mL
Step 3: Calculate the volume to be administered. 20 mg ÷ 10 mg/mL
Result: 2 mL
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