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. Corticosteroids B. Resting the affected extremity C. Applying ice D. Massage E. Compression dressings

Correct Answer is B

Explanation

Choice A reason: Corticosteroids are not a common treatment modality for contusions, strains, or sprains. They are anti-inflammatory drugs that may be used for chronic conditions such as arthritis, asthma, or allergies, but they have side effects such as weakening the immune system, increasing the risk of infection, and delaying wound healing.

Choice B reason: Resting the affected extremity is a common treatment modality for contusions, strains, or sprains. It helps to reduce pain, swelling, and inflammation, and to prevent further injury or damage to the tissues.

Choice C reason: Applying ice is a common treatment modality for contusions, strains, or sprains, but only for the first 24 to 48 hours after the injury. It helps to reduce pain, swelling, and inflammation by constricting the blood vessels and decreasing the blood flow to the injured area. After 48 hours, heat may be applied to increase the blood flow and promote healing.

Choice D reason: Massage is not a common treatment modality for contusions, strains, or sprains. It may be beneficial for some chronic musculoskeletal conditions, but it should be avoided for acute injuries as it may increase the pain, swelling, and inflammation by stimulating the blood flow and aggravating the damaged tissues.

Choice E reason: Compression dressings are a common treatment modality for contusions, strains, or sprains. They help to reduce pain, swelling, and inflammation by applying pressure to the injured area and limiting the movement of the tissues. They also provide support and stability to the affected extremity.

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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?

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Correct Answer is D

Explanation

A nurse in a busy emergency department provides care for many clients who present with contusions, strains, or sprains. Treatment modalities that are common to all of these musculoskeletal injuries include which of the following?

Correct Answer is B

Explanation

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