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. Providing a caring and supportive attitude during a challenging time: While emotional support is crucial and beneficial for the patient's overall well-being and recovery, it is not the primary focus when dealing with external fixation and the risk of complications.

B. Monitoring pin and wound sites for signs of infection: Infection is a significant risk with external fixation devices, and early detection is critical to prevent severe complications such as osteomyelitis. This makes monitoring for infection the most important focus.

C. Being aware that the patient may experience issues with body image: Body image concerns are valid and can affect a patient’s mental health, but they are secondary to the physical risks associated with external fixation, such as infection.

D. Helping the patient achieve a desired level of mobility: Mobility is an important goal in the patient's rehabilitation, but ensuring the prevention of infection takes precedence because an infection can severely impact overall recovery.

A. "This will help to decrease the frequency of dressing changes." B. "This will improve your ability to ambulate sooner." C. "This will decrease the chance of you experiencing phantom limb pain." D. "Placing this now will improve the fit of the prosthesis."

Correct Answer is B

Explanation

A. "This will help to decrease the frequency of dressing changes." The placement of a prosthesis does not impact the frequency of dressing changes, which are based on wound care needs.

B. "This will improve your ability to ambulate sooner." Early prosthesis placement can aid in quicker rehabilitation and earlier ambulation.

C. "This will decrease the chance of you experiencing phantom limb pain." Prosthesis placement does not necessarily decrease the occurrence of phantom limb pain, which is a common phenomenon after amputation.

D. "Placing this now will improve the fit of the prosthesis." The fit of the prosthesis is more related to the residual limb's healing and shaping, not necessarily the timing of initial placement.

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

The nurse is caring for a patient with external fixation for a fracture involving severe bone damage. Which is the most important focus for the nurse during care of this patient?

Correct Answer is B

Explanation

A nurse is reinforcing teaching about placement of a prosthesis with a client who is having a below the knee amputation. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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.

The nurse is providing care for a patient following an open reduction surgery of a fracture. Which finding should the nurse report immediately to the HCP?

A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. Which of the following interventions should the nurse take? (Select all that apply.)

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 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?

While collecting data from a client who has a cast on his right leg, a nurse locates an area on the cast that feels warm to the touch. The nurse also notices an odor in the area of the cast. Which of the following findings should the nurse identify as a complication to the client's condition?

Which medical condition increases the risk of osteomyelitis?

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.