The emergency room nurse is reporting the location of a fracture to the client's primary car. When stating the location of the fracture on the long shaft of the femur, the nurse would be most correct to state which terminology locating the fractured site?

The fracture is on the epiphyses.

The fracture is on the tuberosity.

The fracture is on the diaphysis.

Answer and Explanation

The Correct Answer is C

The fracture is on the diaphysis. The femur, which is the thigh bone, is made up of three parts: the head, neck, and diaphysis. The diaphysis is the long, cylindrical part of the bone between the proximal and distal ends. When reporting the location of a fracture on the femur, it is most accurate to describe the location as being on the diaphysis.

Choice A, the fracture is on the epiphyses, is incorrect because the epiphyses are the rounded ends of the bone and are not typically involved in long bone fractures.

Choice B, the fracture is on the tuberosity, is incorrect because the tuberosity is a bony prominence where muscles attach and is not typically involved in long bone fractures.

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Correct Answer is D

Explanation

Schedule injection on a nondialysis day. Epoetin is a medication used to stimulate the production of red blood cells. It is important to administer the medication on the day that the client is not receiving dialysis to prevent the medication from being removed from the bloodstream during the dialysis process.

Administering epoetin immediately after dialysis, choice B may result in decreased effectiveness.

Administering with low-dose aspirin, choice A, is not a standard recommendation for the administration of epoetin.

Monitoring the complete blood count prior to the dose, choice C is not the most important consideration when administering epoetin.

A. Acromegaly. B. Gigantism. C. Dwarfism. D. Simmonds disease.

Correct Answer is B

Explanation

Gigantism. Oversecretion of growth hormone before puberty leads to gigantism, which is characterized by excessive growth in height and length of bones. The growth hormone stimulates the growth of cartilage and bone, resulting in an increased height. When oversecretion occurs after puberty, it results in acromegaly, which is characterized by the enlargement of bones in the face, hands, and feet.

Choice A, Acromegaly, is incorrect because acromegaly results from oversecretion of growth hormone after puberty, and not before puberty.

Choice C, Dwarfism, is incorrect because dwarfism is caused by insufficient growth hormone secretion or poor response to the hormone, and not oversecretion.

Choice D, Simmonds disease, is incorrect because Simmonds disease is a rare disorder characterized by the atrophy of the pituitary gland, which results in decreased secretion of several hormones, including growth hormone.

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The emergency room nurse is reporting the location of a fracture to the client's primary car. When stating the location of the fracture on the long shaft of the femur, the nurse would be most correct to state which terminology locating the fractured site?

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Naxlex Comprehensive Predictor Exams

The hemodialysis client is scheduled to receive weekly injections of epoetin. Which is the most important consideration to be taken by the nurse in the administration of this medication?

Correct Answer is D

Explanation

The nurse is reviewing a client's history which reveals that the client has had an oversecretion of growth hormone (GH) that occurred before puberty. The nurse interprets this as which of the following?

Correct Answer is B

Explanation

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