A nurse is assisting in the care of a client whoThe first action the nurse should take is to followed by. is postoperative following an open reduction internal fixation of the right tibia.
Complete the following sentence by using the lists of options.
The first action the nurse should take is to
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
The first action the nurse should take is to assess neurovascular status followed by notify the provider.
- Assess neurovascular status first: The diminished pulses and coolness of the right foot indicate compromised circulation, requiring immediate evaluation to confirm the severity.
- Notify the provider: Once the critical assessment findings are confirmed, notifying the provider for prompt intervention is essential to prevent further complications.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
The first action the nurse should take is to assess neurovascular status followed by notify the provider.
- Assess neurovascular status first: The diminished pulses and coolness of the right foot indicate compromised circulation, requiring immediate evaluation to confirm the severity.
- Notify the provider: Once the critical assessment findings are confirmed, notifying the provider for prompt intervention is essential to prevent further complications.
Correct Answer is B
Explanation
A. "Trendelenburg with legs extended.": Trendelenburg increases pressure on the abdomen, worsening evisceration.
B. "Supine with knees flexed.": This position reduces abdominal tension, minimizing further protrusion of the contents and providing comfort until surgical intervention.
C. "Semi-Fowler's with legs extended.": This position does not adequately reduce abdominal tension.
D. "Left-lateral with knees flexed.": Lateral positions are not suitable because they do not address abdominal tension or allow easy surgical access.
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