A patient sustains a closed fracture of the right tibia and is placed in a long-leg plaster cast, which is still damp. Which of the following methods does the nurse use to move the cast when repositioning it to prevent complications?

Asks patient to self-position leg

Monitors dampness of cast and avoids moving it until it is dry

Uses palms to move the cast

Uses fingers to grasp cast

Answer and Explanation

The Correct Answer is C

A. Asks patient to self-position leg: This is not advisable because the patient may not have the strength or capability to safely reposition the leg, especially if they are in pain or sedated.
B. Monitors dampness of cast and avoids moving it until it is dry: The cast may need to be moved before it is completely dry, for example, for patient comfort or to prevent pressure ulcers. Delaying repositioning may cause complications.
C. Uses palms to move the cast: This is the correct method. Using the palms prevents indentations in the cast that could create pressure points and lead to skin breakdown. Fingers can create pressure points that can dent the cast, compromising its integrity and potentially causing skin issues.
D. Uses fingers to grasp cast: Using fingertips can create indentations in the cast, which can lead to pressure sores or improper bone alignment.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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

Explanation

A. Eliminate sodium: While reducing sodium intake is important for managing conditions like hypertension, "Eliminate sodium" is not typically what the E in LIFESTYLE stands for. The focus is often on moderation rather than complete elimination.
B. Embark on weight loss: This is relevant as weight management is crucial for overall health and preventing or managing conditions like heart disease, diabetes, and hypertension. "Embark on weight loss" aligns with promoting a healthier lifestyle.
C. Exercise regularly: Regular exercise is a cornerstone of a healthy lifestyle. It helps manage weight, improves cardiovascular health, and enhances overall well-being, making it an essential component of the LIFESTYLE acronym.
D. End-stage complications will be avoided: This statement is not a direct lifestyle recommendation or action. The focus is on proactive measures rather than outcomes.
E. Eat more fruits and vegetables: Increasing the intake of fruits and vegetables is a key dietary recommendation for improving health and preventing chronic diseases. This aligns well with lifestyle modifications promoting a balanced and nutritious diet.

Correct Answer is []

Explanation

Condition the Patient is Most Likely Experiencing:

Intracerebral Haemorrhage (ICH) : The patient presents with a severe headache, lethargy, decreased level of consciousness, and slurred, incomprehensible speech, which are common signs of a stroke or intracerebral haemorrhage. A history of hypertension and atrial fibrillation increases the risk for both ischemic and hemorrhagic strokes. The use of apixaban, an anticoagulant, suggests the patient is at risk for bleeding complications, including intracerebral haemorrhage.

Interventions to Perform/Anticipate:

Perform a CT Scan of the Head:
- Rationale: A CT scan will help determine if there is bleeding or an ischemic event in the brain. It is crucial for differentiating between ischemic and hemorrhagic stroke, guiding subsequent treatment.
Administer Intravenous Antihypertensives:
- Rationale: Controlling blood pressure is critical to reduce the risk of further bleeding in the brain. Immediate BP management is essential in the acute setting of suspected stroke.

Parameters to Monitor:

Neurological Status:
- Rationale: Monitoring changes in the patient’s level of consciousness, pupil reactions, and motor response will help assess the progression of the neurological deficit and effectiveness of interventions.
Blood Pressure:
- Rationale: Maintaining blood pressure within a safe range is essential to prevent exacerbation of the hemorrhage. Hypertension management is key to avoid further complications.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A patient sustains a closed fracture of the right tibia and is placed in a long-leg plaster cast, which is still damp. Which of the following methods does the nurse use to move the cast when repositioning it to prevent complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which term(s) would the E's in the LIFESTYLE acronym represent when reinforcing teaching to a patient about lifestyle modifications? Select all that apply.

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

Explanation

Correct Answer is []

Explanation

The nurse is caring for a patient with a fracture. Which complications should the nurse monitor for? Select all that apply.

The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). What should the nurse consider when providing care?

A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize which of the following statements by the client indicates a need for further teaching?

Which risk factors would be considered modifiable in the prevention of stroke? Select all that apply.

The nurse is planning care for patients with hypertension. What side effect should be included with teaching about the beta blocker propranolol (Inderal)?

The LPN/LVN is reinforcing education with an elderly patient diagnosed with diabetes and hypertension. Which topics would be vital for the nurse to emphasize? Select all that apply.

The nurse is reviewing lab values for a patient taking furosemide. Which of these lab values would concern the nurse?

When taking blood pressure medications, it is important to reinforce education with the patient on which topics? Select all that apply.