The elderly client is admitted to the emergency room after a fall with a suspected fracted hip. Which symptom is the client most likely to exhibit?

Cool extremity

Absence of pedal pulses

Misalignment

Hypotension

Answer and Explanation

The Correct Answer is C

A.   This finding can occur with circulatory issues but is not a classic symptom of a hip fracture itself. A cool extremity may indicate vascular compromise, which is less common immediately after a hip fracture and more concerning for a potential complication, such as compartment syndrome.
B.   Similar to cool extremities, absent pedal pulses suggest a significant vascular problem and are not typical for a straightforward hip fracture. While this can indicate serious complications, it is not a common presentation immediately following a hip fracture.
C.   Misalignment or deformity of the leg is a classic symptom of a fractured hip. The affected leg may appear shorter and externally rotated. This misalignment is often one of the first observable signs that healthcare providers look for during the assessment.
D.   Hypotension can occur due to various reasons, including pain, dehydration, or blood loss, but it is not a direct symptom of a fractured hip. While it could be present in some cases, it is not the most characteristic finding associated with hip fractures.

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Correct Answer is B

Explanation

A. The area should be cleansed gently before applying the cream to remove any irritants and allow for better absorption of the medication. Proper cleansing can help enhance the effectiveness of the corticosteroid.
B. Topical corticosteroids should be applied in a thin layer to the affected area and gently rubbed in. Applying too much can increase the risk of side effects, and a thin application ensures better absorption without overwhelming the skin.
C. The corticosteroid should be applied only to the affected areas of the skin, not the entire body. Overuse can lead to systemic absorption and potential side effects, particularly in children, whose skin is more permeable.
D. While it is important to cover the affected areas, applying a thick layer is not recommended. A thin layer is usually sufficient and minimizes the risk of side effects from excessive corticosteroid use.

Correct Answer is ["4.5"]

Explanation

1 kilogram equals 2.2 pounds. The child weighs 20 pounds, which is approximately 9.09 kilograms (20 / 2.2).

The dosage prescribed is 10 mg/kg, so the child's dose is 90.9 mg (10 mg/kg * 9.09 kg).

Since the available medication concentration is 100 mg/5 mL, divide the dose needed by the concentration to find the volume to administer: 90.9 mg * (5 mL / 100 mg) equals 4.545 mL.

Rounded to the nearest tenth, the nurse should administer 4.5 mL of ibuprofen.

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The elderly client is admitted to the emergency room after a fall with a suspected fracted hip. Which symptom is the client most likely to exhibit?

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Naxlex Comprehensive Predictor Exams

A topical corticosteroid is prescribed by the primary health care provider for a child with contact dermatitis. Which instruction should the nurse give the parent about applying the cream?

Correct Answer is B

Explanation

The primary care provider has ordered ibuprofen 10 mg/kg every 8 hours as needed for fever. The child weighs 20 pounds. Available is 100 mg/5 milliliters (mL). How many mLs of ibuprofen should the nurse administer? Round to the nearest tenth.

Correct Answer is ["4.5"]

Explanation

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