A nurse is caring for a client postoperative closed reduction of the left ankle with a short cast in place. Which assessments of the client's affected leg should the nurse make? (SELECT ALL THAT APPLY)

Capillary refill

Pain assessment on a scale of 0-10

Ability to move toes

Posterior tibialis and pedal pulses

Skin temperature and color of the toes

Answer and Explanation

Correct Answer : A,B,C,D,E

A. Capillary refill is a key indicator of circulation to the affected area. It should be assessed to ensure adequate perfusion.

B. Pain assessment is critical for identifying any complications such as compartment syndrome or inadequate pain management.

C. The ability to move the toes helps assess for nerve function and mobility.

D. Posterior tibialis and pedal pulses assess the circulation and can help identify signs of vascular compromise.

E. Skin temperature and color help identify signs of poor circulation, swelling, or potential complications like compartment syndrome.

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Correct Answer is ["A","C","D"]

Explanation

A. Alendronate should be taken in the morning on an empty stomach to ensure proper absorption.

B. Tingling around the mouth and nose is not a typical or expected side effect of alendronate.

C. Lying down after taking alendronate can cause esophageal irritation, so the client should remain upright for at least 30 minutes.

D. Drinking water helps with swallowing and ensures the medication reaches the stomach.

E. Chewing alendronate tablets is contraindicated, as it can increase the risk of esophageal irritation.

A. Dancing B. Sneezing and coughing C. Lifting a box from a top shelf D. Prolonged standing or sitting E. Lying down

Correct Answer is ["B","C","D"]

Explanation

A. Dancing, although it can involve movement and stress on the body, is not as directly associated with aggravating a herniated disc compared to the other listed factors.

B. Sneezing and coughing can increase intra-abdominal pressure and aggravate a herniated disc by putting more stress on the affected area of the spine.

C. Lifting a heavy box from a high position requires bending and twisting, which can exacerbate a herniated disc.

D. Prolonged standing or sitting can increase pressure on the spine, especially in the lower back, and aggravate symptoms of a herniated disc.

E. Lying down generally relieves pressure on the spine and is less likely to aggravate a herniated disc.

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A nurse is caring for a client postoperative closed reduction of the left ankle with a short cast in place. Which assessments of the client's affected leg should the nurse make? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has osteoporosis and a new prescription for the biphosphonate alendronate. Which of the following instructions should the nurse provide? (SELECT ALL THAT APPLY)

Correct Answer is ["A","C","D"]

Explanation

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Correct Answer is ["B","C","D"]

Explanation

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