A patient has had surgical reduction of an open fracture of the right radius this morning. Which assessment findings should the nurse report immediately to the health care provider?

Right arm muscle spasms

Temperature of 99.9°F (37.7°C)

Loss of the right radial pulse

Pain with right arm movement

Answer and Explanation

The Correct Answer is C

Choice A reason: Right arm muscle spasms may be uncomfortable but are not as critical as circulatory issues.

Choice B reason: A temperature of 99.9°F (37.7°C) is slightly elevated but not immediately alarming post-surgery.

Choice C reason: Loss of the right radial pulse could indicate a serious complication such as compartment syndrome, which requires urgent atention.

Choice D reason: Pain with arm movement is expected post-surgery but is not as urgent as loss of pulse.

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Correct Answer is B

Explanation

Choice A reason: Stroke Volume refers to the amount of blood pumped by the left ventricle of the heart in one contraction, not to the regulation of ﬂuid volume and cardiac output.

Choice B reason: Renin-Angiotensin-Aldosterone-System (RAAS) is responsible for vasoconstriction, sodium retention, and water reabsorption, which helps to increase circulating ﬂuid volume and cardiac output.

Choice C reason: Brain and Atrial natriuretic peptides (BNP & ANP) actually work to decrease blood volume and pressure, not increase them.

Choice D reason: Erythropoietin primarily stimulates red blood cell production and does not directly aﬀect ﬂuid volume or cardiac output.

A. Consume only vegetable proteins B. Limit his ﬂuid intake to 1500 mL or less per day C. Avoid taking drugs that may be nephrotoxic D. Self-catheterize for residual urine at least once a week

Correct Answer is C

Explanation

Choice A reason (acute renal failure): Patients recovering from acute renal failure are not typically restricted to only vegetable proteins. Protein needs can vary based on the individual's condition and treatment plan.

Choice B reason (acute renal failure): Fluid intake recommendations for patients recovering from acute renal failure depend on their current kidney function and ﬂuid balance status. A blanket restriction to 1500 mL or less per day may not be appropriate for all patients.

Choice C reason (acute renal failure): Avoiding nephrotoxic drugs is crucial for patients recovering from acute renal failure to prevent further kidney damage.

Choice D reason (acute renal failure): Self-catheterization for residual urine is not a standard recommendation for all patients recovering from acute renal failure. This would be specific to patients with urinary retention issues.

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A patient has had surgical reduction of an open fracture of the right radius this morning. Which assessment findings should the nurse report immediately to the health care provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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