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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Peritonitis. The assessment findings of an absence of bowel sounds and a very rigid abdomen in a client with severe abdominal pain, nausea, and vomiting are indicative of peritonitis. Peritonitis is an inflammation of the peritoneum, the thin tissue that lines the inner wall of the abdomen and covers most of the abdominal organs. The inflammation can occur due to an infection or other causes, and it can cause abdominal pain, nausea, vomiting, and a rigid abdomen. An absence of bowel sounds is also a characteristic finding of peritonitis.
A is not the correct answer because ulcerative colitis is a chronic inflammatory bowel disease that causes inflammation and ulcers in the colon and rectum.
B is not the correct answer because appendicitis is inflammation of the appendix, which can cause right lower quadrant abdominal pain, nausea, vomiting, and fever.
D is not the correct answer because diverticulitis is inflammation of one or more diverticula, which are small pouches that can form in the colon. It can cause left lower quadrant abdominal pain, fever, diarrhea, or constipation.
Correct Answer is B
Explanation
Provide the client with warm fluids. The shivering can occur due to the anesthesia, the effect of the surgery, or cold temperature in the operating room. The shivering increases the client's oxygen consumption and carbon dioxide production, which can cause hypoxia, hypercapnia, and acidosis. The nurse should provide warm fluids to prevent hypothermia and warm blankets to reduce shivering.
Option A, placing the client on a hypothermia blanket, is incorrect because it is used to lower body temperature, not raise it.
Option C, covering the client with a light blanket, is incorrect because it is not enough to keep the client warm.
Option D, ensuring that the room temperature is below 70°F, is incorrect because it is too cold for the client and can increase shivering.
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