A nurse is caring for a client who is postoperative following foot surgery and is not to bear weight on the operative foot. The nurse enters the room to discover the client hopped on one foot to the bathroom, using an IV pole for support. Which of the following actions should the nurse take?
Tell the client to remain in the bathroom after toileting and obtain a wheelchair.
Warn the client she might have to be restrained if she gets up without assistance.
Keep the bathroom door open to ensure the client is okay.
Walk the client back to bed immediately and get the client a bedpan.
The Correct Answer is A
A. The safest action is to have the client remain in the bathroom and then obtain a wheelchair for transport, preventing further risk of falls or injury to the operative foot.
B. Threatening restraints is inappropriate and not therapeutic.
C. Keeping the bathroom door open does not ensure safety and violates the client’s privacy.
D. Walking the client back to bed increases the risk of injury; instead, safe transport should be provided with a wheelchair.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
A. Uneven cast drying can cause warm spots, but this is expected only in the first few hours after application; a set, dry cast should not feel warm.
B. Pressure from the cast can cause pain, skin breakdown, or impaired circulation, but it does not usually produce warmth.
C. A localized warm area on a dry cast can indicate infection underneath the cast, often accompanied by odor, drainage, or client complaints of pain.
D. Poor circulation is associated with coolness, pallor, or numbness distal to the cast, not warmth.
Correct Answer is C
Explanation
A. Tinnitus is not a known adverse effect of calcium carbonate; it is more commonly associated with ototoxic drugs (e.g., high-dose salicylates, aminoglycosides).
B. Urinary retention is not typically caused by calcium carbonate.
C. Flank pain can indicate renal calculi or nephrolithiasis from hypercalcemia or increased urinary calcium excretion — a potential adverse effect of excessive calcium supplementation. This finding should be monitored and reported.
D. Bradycardia is not a common adverse effect of calcium carbonate.
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