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 ["A","B","D","E"]

Explanation

Choice A reason: Nasogastric suction reduces intestinal distention, which can help alleviate abdominal pressure and pain.

Choice B reason: Eliminating oral intake and gastric suction reduces gastric secretion, decreasing stimulation of the pancreas.

Choice C reason: Monitoring intake and output is important but not a direct treatment for pancreatitis.

Choice D reason: Nasogastric decompression helps alleviate nausea and vomiting, which are common symptoms of pancreatitis.

Choice E reason: Reduction of gastric secretions that stimulate pancreatic enzymes directly addresses the cause of pancreatitis.

A. "The last time I voided, it was painful and red-tinged." B. "My period ended 2 days ago." C. "I drink at least 2 quarts of ﬂuid every day." D. "I don't eat shellfish because it gives me hives."

Correct Answer is D

Explanation

Choice A reason: Painful and red-tinged urination could be related to kidney stones but is not directly relevant to the preparation for an intravenous pyelogram.

Choice B reason: The end of the menstrual period is not typically relevant to the preparation for an intravenous pyelogram.

Choice C reason: Drinking ﬂuids is generally encouraged but does not need to be reported unless it is restricted before the procedure.

Choice D reason: The client's allergy to shellfish is important to report because the contrast dye used in an intravenous pyelogram may contain iodine, which can cause a reaction in people with shellfish allergies.

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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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Explanation

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Correct Answer is D

Explanation

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