A patient is brought to the ED by a friend who states that a tree fell on the patient’s leg and crushed it while they were cutting firewood. What priority actions should the nurse perform? (Select all that apply.)

Elevating the site to limit the accumulation of fluid in the interstitial spaces

Performing a fasciotomy

Applying a clean dressing to protect the wound

Inserting an indwelling catheter

Splinting the wound in a position of rest to prevent motion

Answer and Explanation

Correct Answer : C,E

A. Elevating the site is incorrect because in crush injuries, elevation can worsen ischemia by reducing arterial perfusion.
B. Performing a fasciotomy is incorrect because this is a surgical procedure that must be performed by a physician when compartment syndrome is diagnosed.
C. Applying a clean dressing to protect the wound is correct as it prevents contamination and infection.
D. Inserting an indwelling catheter is incorrect unless there is concern for shock or fluid balance issues, which are not immediately indicated in the question.
E. Splinting the wound in a position of rest to prevent motion is correct as immobilization reduces pain and prevents further injury.

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Correct Answer is ["7"]

Explanation

Available furosemide is at a concentration of 10 mg/mL.
The ordered dose is 70 mg.
To find the volume, divide the ordered dose by the concentration:

70 mg / 10 mg/mL = 7 mL

A. "Administer an enema to yourself every third day." B. "Constipation is nothing to worry about; take your medicine." C. "Only take morphine when you have the most severe pain." D. "Increase fluids and high-fiber foods, and use a mild laxative."

Correct Answer is D

Explanation

A. Administering an enema every third day may be too infrequent to effectively manage constipation. Enemas are generally not a first-line solution for constipation prevention in patients on long-term opioid therapy.
B. Constipation is nothing to worry about; take your medicine is incorrect because constipation is a common and preventable side effect of opioid use. It should be addressed proactively.
C. Only taking morphine when experiencing the most severe pain could lead to uncontrolled pain. It is important for cancer pain to be managed consistently, and adjusting the timing of medication is not recommended.
D. Increasing fluids and high-fiber foods, and using a mild laxative is the most appropriate recommendation. It helps prevent constipation, which is a common side effect of opioid use. Mild laxatives can also be helpful, but regular bowel care is essential.

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A patient is brought to the ED by a friend who states that a tree fell on the patient’s leg and crushed it while they were cutting firewood. What priority actions should the nurse perform? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Furosemide (Lasix) 70 mg IV daily. You retrieved Furosemide 10 mg/ml from the pyxis. How much ml will you administer to the client? NOTE DO NOT write the unit/s of measurement YOUR ANSWER SHOULD BE IN WHOLE NUMBER

Correct Answer is ["7"]

Explanation

A client with cancer pain is taking morphine for pain relief. Knowing constipation is a common side effect, what would the nurse recommend to the client?

Correct Answer is D

Explanation

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