A client comes to the emergency department complaining of localized pain and swelling of his lower leg. Ecchymotic areas are noted. History reveals that the client got bit in the leg with a baseball bat. Which of the following would the nurse suspect as most likely?
Strain.
Sprain.
Contusion.
Fracture.
The Correct Answer is C
Contusion. The nurse would suspect a contusion as the client was hit by a baseball bat and has localized pain and swelling with ecchymosis (bruising).

Option A, Strain, is unlikely as a strain is a stretching or tearing of a muscle or tendon, and it is not usually caused by blunt force trauma.
Option B, Sprain, is unlikely as a sprain is a stretching or tearing of a ligament, and it is not usually caused by blunt force trauma.
Option D, Fracture, is unlikely as a fracture is a break in the bone and usually involves more severe pain and may be accompanied by deformity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Maintaining optimal bladder emptying. A client with benign prostatic hyperplasia (BPH) may have difficulty urinating due to an enlarged prostate gland. To maintain optimal bladder emptying, the nurse may teach the client to double void, sit down while urinating, and avoid caffeine and alcohol.
Leg exercises, choice B, may be helpful in preventing blood clots but are not directly related to BPH.
Coping strategies, choice C, may be helpful for reducing anxiety but do not address the management of BPH.
Deep breathing exercises, choice D, may be helpful for reducing anxiety but do not address the management of BPH.
Correct Answer is D
Explanation
Diarrhea. A client who is recovering from bariatric surgery and is eating from a portable commode is at risk for diarrhea. Diarrhea can cause fluid and electrolyte imbalances, leading to dehydration, which can be life-threatening, especially in the immediate postoperative period.
Option A, impaired mobility, would not be a priority concern in the immediate postoperative period for this client.
Option B, impaired gas exchange, is not related to the situation.
Option C, self-care deficit, maybe a concern but is not as significant as diarrhea in the immediate postoperative period.
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