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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: Antibiotics are not effective against fungal infections like athlete's foot.

Choice B reason: Continuing the use of antibiotics will not help with a fungal infection.

Choice C reason: Applying a thin layer of ointment is not relevant for treating athlete's foot with antibiotics.

Choice D reason:

The correct answer is d) because athlete's foot is a fungal infection, and proper foot hygiene, including keeping the feet dry and wearing clean socks, is essential for treatment.

A. Report when hematuria becomes pink-tinged. B. Use an incentive spirometer. C. Restrict physical activities. D. Monitor the urinary stream for a decrease in output.

Correct Answer is D

Explanation

Choice A reason: Hematuria is expected after lithotripsy and should be monitored, but it is not the most critical instruction.

Choice B reason: Using an incentive spirometer is important for respiratory care but not specific to lithotripsy.

Choice C reason: Restricting physical activities is not necessary unless advised by the healthcare provider.

Choice D reason:

The correct answer is d) because monitoring the urinary stream for a decrease in output is crucial to detect any complications such as obstruction or infection after lithotripsy.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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