A client with new onset right-sided weakness is admitted to the emergency department and the following orders are received. Which order should the nurse implement first?

Aspirin 325mg po

Non-contrast computed tomography (CT) scan

Electrocardiogram (ECG)

Simvastatin (Zocor) 80 mg po

Answer and Explanation

The Correct Answer is B

A. Aspirin 325 mg PO: Aspirin is important for preventing clot formation but should not be administered until a hemorrhagic stroke is ruled out.

B. Non-contrast computed tomography (CT) scan: This is the priority because it determines whether the stroke is ischemic or hemorrhagic, guiding further treatment.

C. Electrocardiogram (ECG): While assessing cardiac rhythm is important, it is not the immediate priority in the presence of stroke symptoms.

D. Simvastatin (Zocor) 80 mg PO: Statins are used for long-term management but are not urgent in this acute scenario.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Compartment syndrome: This is a serious complication that can occur with fractures, including femur fractures. It occurs when increased pressure in the muscle compartment impairs circulation and nerve function.

B. Hemorrhage: Fractures, particularly of long bones like the femur, can result in significant bleeding. Monitoring for hemorrhage is important.

C. Deep vein thrombosis (DVT): DVT is a common complication in clients with fractures and immobilization. The client is at risk for blood clots forming in the legs due to limited movement and prolonged bed rest.

D. Complex regional pain syndrome: While this can occur after fractures, it is less common and typically develops weeks to months after the injury.

E. Fat embolism: A fat embolism is a potential complication of long bone fractures, especially the femur. Fat globules can enter the bloodstream and cause respiratory distress, neurological impairment, and petechial rash.

A. Client preferences B. Home environment C. Socioeconomic status D. Family preferences

Correct Answer is A

Explanation

A. Client preferences. In hospice care, the client's preferences are the most important factor in planning care. This includes their choices for comfort, treatments, and living arrangements during the end-of-life process.

B. Home environment. While the home environment is important, the client’s wishes and preferences should take precedence in planning their care.

C. Socioeconomic status. Socioeconomic status is not as crucial as the client’s preferences and values in planning hospice care.

D. Family preferences. While family preferences may play a role, the primary focus in hospice care is the client’s wishes for their end-of-life care.

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A client with new onset right-sided weakness is admitted to the emergency department and the following orders are received. Which order should the nurse implement first?

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Naxlex Comprehensive Predictor Exams

A client is admitted to the orthopedic unit with a fractured femur after a motorcycle accident. The client has been placed in traction until his femur can be surgically repaired. What complications should the nurse monitor for? Select All That Apply

Correct Answer is ["A","B","C","E"]

Explanation

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Correct Answer is A

Explanation

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