A nurse is assisting with the care of a client.
Exhibits

The nurse is caring for a client who has a hip and pelvis fracture. Select the 4 findings on Day 2 that require immediate follow-up.

Heart rate

Oxygen saturation

Edema

Temperature

Urine color

Pedal pulses

Answer and Explanation

Correct Answer : A,C,E,F

Heart rate: The increase in heart rate from 92/min to 108/min suggests possible complications such as pain, infection, or hypovolemia.

Oxygen saturation: it is within normal range (96%), it doesn’t indicate an immediate problem.

Edema: Increased edema from slight to 2+ suggests worsening of the condition, possibly indicating an underlying issue such as poor circulation or developing compartment syndrome.

Temperature: The slight increase in temperature is not immediately concerning.

rine color: Dark, reddish-brown urine is concerning for possible rhabdomyolysis or other renal issues.

Pedal pulses: Diminished pedal pulses (from +2 to +1) and prolonged capillary refill time (6 seconds) indicate compromised peripheral circulation, which needs immediate attention.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. "I will schedule important tasks in the afternoon." Clients with rheumatoid arthritis often experience morning stiffness, so scheduling important tasks in the afternoon may not be practical if fatigue sets in later in the day.

B. "I can use heat or cold to help relieve my pain." Both heat and cold can be effective in managing pain and inflammation associated with rheumatoid arthritis, depending on the stage of inflammation. Applying heat can help relax muscles and improve blood flow, while cold therapy can reduce swelling and numb pain. It’s essential for the client to follow proper guidelines when using these modalities

C. "I should stop exercising if I experience even a little bit of discomfort." While exercise should not cause severe pain, mild discomfort is expected and should not deter the client from continuing gentle exercises to maintain joint function and flexibility.

D. "I need to perform range-of-motion of my joints if I notice they are red." Range-of-motion exercises are essential for maintaining joint flexibility and preventing stiffness in rheumatoid arthritis. However, if the joints are red, swollen, or painful, it’s crucial toavoidperforming range-of-motion exercises during acute flare-ups. Instead, rest and gentle movement are recommended until the inflammation subsides.

A. The ropes attach securely to the pin. B. The ropes are in the center of the wheel grooves. C. The weights are equal on each side. D. The weights rest against the foot of the bed.

Correct Answer is D

Explanation

A. The ropes attach securely to the pin. Secure attachment of the ropes is important but not usually a problem that needs correction.

B. The ropes are in the center of the wheel grooves. Proper placement of the ropes in the wheel grooves is important for smooth movement, but this is not a common problem needing correction.

C. The weights are equal on each side. Ensuring equal weights is important but not typically a problem needing correction as it is usually set up correctly initially.

D. The weights rest against the foot of the bed. Correct. Weights should not rest against the foot of the bed; they must hang freely to maintain proper traction and alignment.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assisting with the care of a client. Exhibits The nurse is caring for a client who has a hip and pelvis fracture. Select the 4 findings on Day 2 that require immediate follow-up.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has rheumatoid arthritis. Which of the following statements by the client indicates understanding of the information?

Correct Answer is B

Explanation

A client returns to the surgical unit from the PACU in skeletal traction. The nurse should take this action to correct which of the following problems with the traction setup?

Correct Answer is D

Explanation

A nurse is preparing to administer clindamycin palmitate 225 mg PO to a client. Available is clindamycin palmitate oral suspension 75 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Which of the following is a manifestation of a soft tissue injury?

A nurse at an urgent care center is reinforcing information with a new employee about the difference between sprains and strains. Which of the following examples should the nurse include as a cause of sprain injury?

A nurse is collecting data from a client who reports shoulder pain. Which of the following findings should cause the nurse to suspect that the client has a rotator cuff injury?

A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a fiberglass cast. The patient is 65 years old and has a medical 30-year history of diabetes mellitus. Which condition does the nurse recognize as a possible complication for this patient?

A nurse is caring for a client who is 3 days post-operative from a right hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should examine the client for which of the following manifestations of dislocation of the hip prosthesis.

A nurse is assisting a client who is 2 days postoperative following a total hip arthroplasty to walk to a chair. When the nurse offers to help the client ambulate, the client refuses to get out of bed. Which of the following actions should the nurse take?

A nurse is contributing to the plan of care for a client to achieve the outcome of functional healing of a fracture. Which of the following nursing interventions is the HIGHEST priority to assist in meeting this outcome?

A nurse is assisting with the care of a client.
Exhibits

The nurse is caring for a client who has a hip and pelvis fracture. Select the 4 findings on Day 2 that require immediate follow-up.