A patient, recovering from a leg fracture after a fall, reports having dull pain in the affected leg and rates it as a 7 on a 0 to 10 scale. The patient is not able to ambulate in the room with crutches because of leg discomfort. Which nursing intervention is priority?
Consult physical therapy.
Assist the patient to walk in the room with crutches.
Administer pain medication.
Assist the patient to walk in the room with crutches.
The Correct Answer is C
A. Consult physical therapy: While involving physical therapy is important for safe mobilization and rehabilitation, the patient’s current pain level must be managed first to allow participation in therapy. Uncontrolled pain can limit mobility, increase the risk of falls, and impair recovery outcomes.
B. Assist the patient to walk in the room with crutches: Attempting ambulation without addressing the patient’s pain may worsen discomfort, increase anxiety, and risk injury. Pain control is necessary before safe and effective mobilization can occur.
C. Administer pain medication: The priority intervention is to relieve the patient’s pain to a manageable level. Effective pain management enables safe ambulation, improves cooperation with physical therapy, and reduces stress responses that can impede healing after a fracture.
D. Assist the patient to walk in the room with crutches: This is a duplicate of option B, reinforcing that walking should be attempted only after the patient’s pain has been addressed. Prioritizing pain relief ensures mobility interventions are safe and tolerable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. When the primary care provider writes the order: Waiting until the provider writes the discharge order delays the initiation of necessary education, referrals, and planning for post-hospital care. Effective discharge planning requires early assessment of the patient’s needs rather than waiting for formal orders.
B. Upon admission: Discharge planning should begin at admission to ensure continuity of care and identify the patient’s functional, cognitive, and social needs early. Early planning allows the healthcare team to coordinate rehabilitation services, home safety modifications, medication management, and caregiver education, optimizing outcomes after a stroke.
C. Right before discharge: Starting discharge planning at the point of discharge is too late to address needs such as therapy referrals, home modifications, or patient and caregiver teaching. Last-minute planning can lead to gaps in care and increase the risk of readmission.
D. After the congestion is treated: Waiting for symptom resolution, such as congestion, before initiating discharge planning delays the process unnecessarily. Planning should proceed concurrently with acute care to anticipate post-discharge needs and promote a smooth transition from hospital to home or rehabilitation.
Correct Answer is ["1"]
Explanation
Calculation:
- Convert the client’s weight to kilograms
Weight (kg) = 185 ÷ 2.2
= 84.1 kg
- Calculate the ordered dose in mg
Ordered Dose (mg) = 1.2 mg × 84.1 kg
= 100.9 mg
- Identify the concentration of the available medication
Available: 80 mg/0.8 mL = 100 mg/mL (since 80 ÷ 0.8 = 100 mg/mL)
- Calculate the volume to administer
Volume (mL) = Ordered Dose ÷ Concentration
Volume = 100.9 ÷ 100
= 1.009 mL
- Round to the nearest tenth
= 1.0 mL
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