Patient Data
The nurse reviews the prescriptions and plans initial steps for caring for the client.
Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response option selected.
Inspect the bandage for drainage
Perform range of motion.
Administer ondansetron 4 mg IV.
Provide morphine 2 mg IV.
Check capillary refill on bilateral upper extremities
Palpate and compare radial pulses.
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}
Inspect the bandage for drainage: This is a standard post-injury assessment to monitor for excessive bleeding or other complications.
Perform range of motion: Range of motion exercises are contraindicated in cases of fractures, as movement could worsen the injury.
Administer ondansetron 4 mg IV: Ondansetron is an antiemetic that can help relieve the nausea the client is experiencing.
Provide morphine 2 mg IV: Morphine is indicated for pain management, especially since the client is experiencing significant pain.
Check capillary refill on bilateral upper extremities: This is important to assess circulation and ensure there is no vascular compromise.
Palpate and compare radial pulses: This assesses circulation and can help identify any vascular injury or compromise due to the humeral fracture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is "{\"xRanges\":[269.328125,299.328125],\"yRanges\":[161,191]}"
Explanation
Rhinorrhea refers to the drainage of a clear fluid from the nose. When caring for a client following a head injury, the nurse should observe for rhinorrhea specifically at the nose. This is because the fluid leaking from the nose could potentially be cerebrospinal fluid (CSF), indicating a possible skull fracture or other serious head injury.
Correct Answer is ["A","B","C"]
Explanation
A. Anti-cyclic citrullinated peptide (anti-CCP) antibodies are highly specific for rheumatoid arthritis (RA). A positive result supports the diagnosis of RA.
B. C-reactive protein is an inflammatory marker that is elevated in active RA, reflecting inflammation in the body.
C. Sedimentation rate (ESR) is also an inflammatory marker and is often elevated in RA, indicating active inflammation.
D. D-Dimer is a test that assesses for the presence of clot formation and breakdown. It is not used for diagnosing RA.
E. White blood cell count may be slightly elevated in RA due to inflammation, but it is not specific for RA and is less helpful in the diagnosis compared to the other tests.
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