A nursing instructor is educating a group of nursing students on the nursing concept Failure to Rescue (FTR). Which statement made by a student would indicate the need for further education?

Failure to rescue is the ability of the nurse to save a client's life after development of a complication.

Failure to rescue includes the failure of the nurse to report changes in a client's condition to the provider.

Failure to rescue is the failure to recognize a client's condition is deteriorating.

Failure to rescue involves the lack of managing complications.

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement is incorrect and indicates the need for further education. Failure to rescue is not the ability of the nurse to save a client's life, but the inability or failure to do so. It is defined as the death of a hospitalized client who experienced a potentially preventable complication.

Choice B reason: This statement is correct and does not indicate the need for further education. Failure to rescue includes the failure of the nurse to report changes in a client's condition to the provider, which could delay the diagnosis and treatment of the complication.

Choice C reason: This statement is correct and does not indicate the need for further education. Failure to rescue is the failure to recognize a client's condition is deteriorating, which could lead to missed opportunities for intervention and prevention of adverse outcomes.

Choice D reason: This statement is correct and does not indicate the need for further education. Failure to rescue involves the lack of managing complications, which could result in increased morbidity and mortality.

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Correct Answer is D

Explanation

Choice A reason: Fat embolism is not a likely complication of a leg cast, but a possible complication of a long bone fracture or a joint replacement surgery. It refers to the obstruction of the blood vessels by fat globules that are released from the bone marrow or adipose tissue. It can cause respiratory distress, neurological impairment, or skin petechiae.

Choice B reason: Subcutaneous emphysema is not a common complication of a leg cast, but a rare complication of a chest trauma or a lung disease. It refers to the presence of air or gas in the subcutaneous tissue, which can cause swelling, crepitus, or pain in the affected area.

Choice C reason: Disuse syndrome is not an acute complication of a leg cast, but a chronic complication of prolonged immobility or inactivity. It refers to the deterioration of the body systems due to the lack of physical stimulation. It can cause muscle atrophy, joint stiffness, osteoporosis, or metabolic changes.

Choice D reason: Compartment syndrome is the most likely complication of a leg cast, as it indicates the increased pressure within the muscle compartments of the leg due to the swelling, bleeding, or inflammation. It can cause severe pain, pallor, paresthesia, paralysis, or pulselessness of the affected limb. It is a medical emergency that requires prompt intervention to prevent tissue necrosis or limb loss.

Choice E reason: None of the above is not a correct choice, as there is one option that matches the complication of a leg cast.

A. Visible clubbing of the fingers and toes B. Stasis ulcer on the lower leg C. Unequal peripheral pulses between the lower extremities D. Pale edematous extremities E. Intermittent claudication

Correct Answer is E

Explanation

Choice A reason: Visible clubbing of the fingers and toes is not a typical finding of PAD, but a sign of chronic hypoxia or lung disease. It refers to the enlargement and rounding of the nail beds due to increased blood flow to the distal tissues.

Choice B reason: Stasis ulcer on the lower leg is not a common finding of PAD, but a sign of venous insufficiency or chronic venous stasis. It refers to the breakdown of the skin due to poor venous drainage and increased pressure in the veins.

Choice C reason: Unequal peripheral pulses between the lower extremities is not a specific finding of PAD, but a sign of arterial obstruction or aneurysm. It refers to the difference in the strength or quality of the pulses palpated in the arteries of the legs.

Choice D reason: Pale edematous extremities is not a characteristic finding of PAD, but a sign of heart failure or lymphedema. It refers to the pallor and swelling of the limbs due to fluid accumulation in the interstitial spaces.

Choice E reason: Intermittent claudication is a classic finding of PAD, as it indicates the reduced blood flow and oxygen delivery to the muscles of the legs. It refers to the pain, cramping, or fatigue that occurs in the calves, thighs, or buttocks during exercise and is relieved by rest.

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A nursing instructor is educating a group of nursing students on the nursing concept Failure to Rescue (FTR). Which statement made by a student would indicate the need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nurse is providing care for a client who has just been diagnosed with peripheral arterial occlusive disease (PAD). What assessment finding is most consistent with this diagnosis?

Correct Answer is E

Explanation

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