A nurse is collecting data from a client that is 48 hours post-operative following and open reduction and internal fixation of a fractured tibia. Which of the following findings should the nurse report to the provider?

Toes cold to touch

Pink tissue around the pin sites

Blanching of the toenail beds with pressure.

Serious drainage from the pin sites

Answer and Explanation

The Correct Answer is A

A. Toes cold to touch: Cold toes can indicate compromised circulation, potentially due to compartment syndrome or other vascular issues, and should be reported immediately.

B. Pink tissue around the pin sites: Pink tissue around the pin sites usually indicates normal healing and is not generally a cause for concern unless accompanied by other symptoms of infection or inflammation.

C. Blanching of the toenail beds with pressure: Blanching of the toenail beds with pressure is a normal finding in assessing capillary refill and does not typically indicate a serious issue on its own.

D. Serous drainage from the pin sites: Serous drainage (clear, yellowish fluid) is common and expected post-operatively and does not usually indicate an infection or other complication unless there are additional concerning symptoms.

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Correct Answer is A

Explanation

A. Applying a cast: Casting is a common treatment to immobilize the fracture and allow proper healing.
B. Performing physical therapy: Physical therapy is part of the rehabilitation process but not an immediate treatment for stabilizing a fracture.
C. Taking antibiotics: Antibiotics are not standard treatment for fractures unless there is an associated open wound or infection.
D. Using heat therapy: Heat therapy is not recommended immediately after a fracture as it can increase swelling and pain.

A. Pallor following elevation of the right leg. B. Bulging in the area over the surgical incision. C. Sensation of warmth over the surgical site. D. Shortening of the right leg.

Correct Answer is D

Explanation

A. Pallor following elevation of the right leg. Pallor is not a typical sign of hip dislocation.

B. Bulging in the area over the surgical incision. This could indicate a hematoma or infection, not specifically dislocation.

C. Sensation of warmth over the surgical site. Warmth can indicate infection or inflammation, but is not a primary sign of dislocation.

D. Shortening of the right leg. Correct. Shortening of the leg is a classic sign of hip dislocation post-arthroplasty.

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A nurse is collecting data from a client that is 48 hours post-operative following and open reduction and internal fixation of a fractured tibia. Which of the following findings should the nurse report to the provider?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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