A patient arrives in the emergency department with a swollen ankle after a soccer injury. Which action by the nurse is appropriate?

Ask the patient to try bearing weight on the ankle

Elevate the ankle above heart level

Apply a warm moist pack to the ankle

Assess the ankle's passive range of motion (ROM)

Answer and Explanation

The Correct Answer is B

Choice A reason: Asking the patient to try bearing weight on the injured ankle is not appropriate at this stage. Bearing weight can cause further injury or exacerbate the swelling and pain. The initial treatment should focus on reducing swelling and providing support.

Choice B reason: Elevating the ankle above heart level is appropriate because it helps to reduce swelling by promoting venous return and decreasing fluid accumulation in the affected area. Elevation is a standard first aid measure for managing acute injuries and swelling.

Choice C reason: Applying a warm moist pack to the ankle is not advisable immediately after an injury. In the acute phase, cold therapy (ice) is recommended to reduce swelling and pain. Warm therapy is more appropriate during the recovery phase, once swelling has subsided.

Choice D reason: Assessing the ankle's passive range of motion (ROM) may be necessary later, but not immediately upon arrival. The priority is to manage pain and swelling first. ROM assessments can be painful and might worsen the injury if conducted too soon.

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Correct Answer is C

Explanation

Choice A reason: Endocardial infection is not commonly associated with Alzheimer's disease. While it can occur, it is not a frequent infection related to chronic dementia.

Choice B reason: Brain infections, such as encephalitis, can occur but are not among the most common infections seen in patients with Alzheimer's disease.

Choice C reason: Urinary tract infections (UTIs) are common in patients with Alzheimer's disease due to factors such as immobility, incontinence, and the use of catheters. UTIs can exacerbate confusion and other dementia-related symptoms.

Choice D reason: Pneumonia is a common and serious infection in patients with Alzheimer's disease. Due to cognitive impairment, these patients may have difficulty swallowing, leading to aspiration pneumonia. Additionally, their weakened immune systems make them more susceptible to respiratory infections.

Choice E reason: Gastrointestinal infections are not typically associated with Alzheimer's disease as a common complication. While they can occur, they are not as prevalent as UTIs and pneumonia in this patient population.

A. Fluid restrictions B. Iron supplements C. PRBC transfusion D. O2 therapy

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

Explanation

Choice A reason: Fluid restrictions are not appropriate for stabilizing a patient with acute anemia. In fact, patients with anemia might require fluid resuscitation to maintain adequate blood volume and pressure. Restricting fluids could potentially worsen the patient's condition.

Choice B reason: Iron supplements are necessary for patients with acute anemia, especially if the anemia is due to iron deficiency. Supplementation helps replenish iron stores in the body, aiding in the production of hemoglobin and red blood cells which are critical for carrying oxygen to tissues.

Choice C reason: PRBC (Packed Red Blood Cells) transfusion is a common and effective intervention for acute anemia. It quickly increases the number of red blood cells in the patient's circulation, thereby improving oxygen delivery to tissues and alleviating symptoms of anemia such as fatigue and weakness.

Choice D reason: O2 therapy, or oxygen therapy, is crucial for stabilizing patients with acute anemia. Anemia results in reduced oxygen-carrying capacity of the blood, and supplemental oxygen helps ensure that tissues receive sufficient oxygen. This intervention can be lifesaving in severe cases of anemia.

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A patient arrives in the emergency department with a swollen ankle after a soccer injury. Which action by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When caring for a patient with Alzheimer's disease, the nurse would assess the patient for which two common infection-related complications due to chronic dementia?

Correct Answer is C

Explanation

Choose appropriate interventions to stabilize the patient with acute anemia. Select all that apply.

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

Explanation

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