An older adult client fell while getting out of bed. Which assessment finding indicates a possible hip fracture?

The client cries out when the nurse attempts to examine him.

The client is extremely confused and trying to get up.

The skin of one leg is cooler than that of the upper extremities,

One leg is shorter than the other and has a protruding bump on the side.

Answer and Explanation

The Correct Answer is D

This finding suggests that the client may have experienced a hip fracture. The shorter leg can be a result of the fractured bone, causing a misalignment or displacement. The protruding bump on the side can be a sign of a dislocated or fractured hip joint. It is important to assess and confirm this suspicion through appropriate diagnostic measures, such as X-rays, to provide the necessary medical intervention and management.

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Correct Answer is C

Explanation

Taking an extra dose of Aspirin prior to surgery can significantly increase the risk of bleeding during and after the surgical procedure. Aspirin is a non-steroidal anti-inflammatory drug (NSAID) that can interfere with the normal blood clotting process. Surgical procedures often require meticulous control of bleeding, and the presence of Aspirin in the patient's system can pose a significant risk.

It is essential for patients to follow preoperative instructions provided by the healthcare team, including avoiding certain medications or substances that can increase the risk of complications during surgery. Taking an extra dose of Aspirin, especially without consulting the healthcare provider, can jeopardize the safety of the surgical procedure and may require rescheduling to ensure the patient's well-being.

A. Patient stopped taking the medication 2 days ago. B. Patient's blood pressure is 148/94 mm Hg. C. Patient has bilateral 2+ pitting ankle edema. D. Patient has not been taking the prescribed vitamin D.

Correct Answer is B

Explanation

Prednisone is a corticosteroid medication that can cause a range of side effects, including fluid retention, electrolyte imbalance, and increased blood pressure. A blood pressure reading of 148/94 mm Hg indicates hypertension, which may be related to the use of prednisone. It is essential to report this finding to the health care provider as it may require further evaluation and management, such as adjusting the medication dosage or initiating additional treatments to control blood pressure. The other information provided, such as stopping the medication, ankle edema, and not taking prescribed vitamin D, is relevant but does not pose an immediate threat to the patient's health compared to uncontrolled hypertension.

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An older adult client fell while getting out of bed. Which assessment finding indicates a possible hip fracture?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is scheduled for surgery at 1:00 PM today. The nurse knows that surgery will most likely need to be rescheduled when the patient states...

Correct Answer is C

Explanation

Which information obtained by the nurse about a patient who has been taking prednisone 40 mg daily for 3 weeks is most important to report to the health care provider?

Correct Answer is B

Explanation

A nurse is caring for a child who has acute appendicitis. Which of the following results should the nurse anticipate when reviewing the patient's laboratory values?

The nurse is caring for an adolescent diagnosed with scoliosis who just arrived to the floor from the recovery room after a Spinal fusion surgery. The nurse should question which physician order?

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