The nurse continues to assist with the care of the client.
Which of the following findings indicates that the client's condition has improved?
Select all that apply.
Fluid intake
Temperature
Wound findings
Pain level
Report of nausea
Bowel sounds
Correct Answer : D,E,F
A. Fluid intake: While fluid balance is important, there is no specific information indicating that changes in fluid intake are an indicator of the client’s condition improving in this context.
B. Temperature: The client's temperature has increased from 38.3°C (101°F) on Day 1 to 39.2°C (102.5°F) on Day 4. An increase in temperature indicates a possible infection or ongoing inflammation and does not suggest an improvement in the client’s condition.
C. Wound findings: There are no documented wound findings in the given notes. Thus, wound findings are not applicable in determining whether the client’s condition has improved in this scenario.
D. Pain level: The client's pain level has decreased from 7 to 3, indicating improvement.
E. Report of nausea: The client reports feeling less nauseous and has not vomited since yesterday, which is a sign of improvement.
F. Bowel sounds: The bowel sounds are more regular and less high-pitched, suggesting improvement in gastrointestinal function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Tomato soup: This is low in protein, typically providing only 2-3 grams per serving.
B. Bananas: Bananas are a carbohydrate source with negligible protein content (1 gram per medium banana).
C. Avocado: While rich in healthy fats, avocado provides only about 3 grams of protein per cup.
D. Black beans: Black beans are an excellent source of plant-based protein, providing approximately 15 grams of protein per cup.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}
Explanation
Open the splint: Reduces pressure and alleviates compartment syndrome.
Place the client on NPO status: Anticipated in preparation for possible surgery (e.g., fasciotomy).
Place the leg in a dependent position: Contraindicated as it can worsen swelling and increase pressure.
Obtain a urinalysis: Necessary to monitor for myoglobinuria, a potential complication of muscle damage in compartment syndrome.
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