A nurse is caring for a client diagnosed with a fractured left tibia and fibula. Which data should the nurse report to the healthcare provider immediately?

Localized edema and discoloration occurring hours after the injury

Pain relieved after taking 4 mg of hydromorphone

Pedal pulses cannot be located with a Doppler and complaints of increasing pain

Generalized weakness and pain at the site of injury

Answer and Explanation

The Correct Answer is C

A. Localized edema and discoloration are expected findings after a fracture and do not typically require immediate reporting unless they are accompanied by signs of compartment syndrome or other complications.

B. Pain relieved by hydromorphone indicates that the pain is being effectively managed. This does not require immediate reporting to the healthcare provider.

C. The absence of pedal pulses, even with the use of a Doppler, combined with increasing pain, is a critical finding that suggests compromised circulation, possibly due to compartment syndrome. This is a medical emergency requiring immediate intervention to prevent permanent tissue damage or loss of the limb.

D. Generalized weakness and pain at the site of injury are common findings after a fracture and do not indicate an urgent complication unless associated with other concerning symptoms.

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Correct Answer is ["0.5"]

Explanation

Convert units: Since the available medication is in mg, convert the prescribed dose from mcg to mg. There are 1000 mcg in 1 mg, so:

125 mcg / 1000 mcg/mg = 0.125 mg

· Set up the calculation: Divide the desired dose by the available dose per tablet:

0.125 mg / 0.25 mg/tablet = X tablets

· Solve for X:

X = 0.5 tablets

A. Ipratropium (Atrovent HFA) B. Albuterol (Proventil HFA) C. Salmeterol (Serevent Diskus) D. Montelukast (Singulair) E. Inhaled hypertonic saline

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

Explanation

A. Ipratropium (Atrovent HFA) is an anticholinergic medication that can be used in combination with short-acting beta-agonists like albuterol to help relieve bronchospasm during an acute asthma attack.

B. Albuterol (Proventil HFA) is a short-acting beta-agonist (SABA) that is commonly used as a first-line treatment during an acute asthma attack to rapidly relieve bronchoconstriction and improve airflow.

C. Salmeterol (Serevent Diskus) is a long-acting beta-agonist (LABA) used for long-term asthma control, not for acute exacerbations. LABAs are not effective in quickly relieving symptoms during an acute attack.

D. Montelukast (Singulair) is a leukotriene modifier used for long-term asthma management and prevention. It is not effective in treating acute asthma attacks.

E. Inhaled hypertonic saline can help in acute asthma attacks by increasing mucus clearance and improving respiratory function, especially in patients with severe symptoms.

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A nurse is caring for a client diagnosed with a fractured left tibia and fibula. Which data should the nurse report to the healthcare provider immediately?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

Which medications would be most appropriate to administer to a patient experiencing an acute asthma attack? Select all that apply.

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

Explanation

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