A nurse is assessing a client who has a left lower arm fracture. Which of the following findings indicates impaired venous return in the client’s affected arm?

Acute pain

Ecchymosis of the surrounding skin

Increasing edema

Diminishing distal pulse

Answer and Explanation

The Correct Answer is C

Choice A reason: Acute pain is expected with a fracture but does not specifically indicate impaired venous return.

Choice B reason: Ecchymosis, or bruising, can occur with a fracture due to bleeding into the tissue but is not a direct indicator of venous return issues.

Choice C reason: Increasing edema is a sign of impaired venous return as it indicates a buildup of fluid in the tissues, which can occur if the veins are not effectively returning blood to the heart.

Choice D reason: A diminishing distal pulse could indicate arterial impairment rather than venous return issues.

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Correct Answer is C

Explanation

Choice A reason: Fatigue is a common symptom of ITP but is not the primary concern for monitoring, as it does not directly indicate the severity of the condition.

Choice B reason: While monitoring for side effects of immunosuppressants is important, it is not the priority concern. The primary issue in ITP is the low platelet count, which poses a risk of bleeding.

Choice C reason: Thrombocytopenia, or low platelet count, is the hallmark of ITP and the main concern for monitoring, as it increases the risk of bleeding and bruising.

Choice D reason: Infection is a risk due to the potential use of immunosuppressants in treatment; however, the immediate concern in ITP management is the platelet count and associated bleeding risk.

A. Metabolic Alkalosis, Partially Compensated. B. Respiratory Alkalosis, Uncompensated. C. Metabolic Alkalosis, Uncompensated. D. Respiratory Acidosis, Partially Compensated.

Correct Answer is B

Explanation

Choice A reason: This choice is incorrect. Metabolic alkalosis would be indicated by an elevated pH and HCO3, but the PaCO2 would typically be higher due to compensatory hypoventilation.

Choice B reason: This is the correct choice. The elevated pH and low PaCO2 indicate respiratory alkalosis, likely due to hyperventilation. The normal HCO3 suggests that there has been no renal compensation, hence 'uncompensated'.

Choice C reason: This choice is incorrect because, for metabolic alkalosis to be uncompensated, the PaCO2 would typically be normal or high, not low.

Choice D reason: This choice is incorrect. Respiratory acidosis would be indicated by a low pH and high PaCO2, which is not the case here.

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A nurse is assessing a client who has a left lower arm fracture. Which of the following findings indicates impaired venous return in the client’s affected arm?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Correct Answer is B

Explanation

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