The nurse is assessing a 2-year-old client who has sustained a fracture from falling off a slide while playing in the park. What type of fracture did the child most likely sustain?
Greenstick.
Pathologic.
Compound.
Impacted.
The Correct Answer is A
Greenstick fractures are incomplete fractures, which are common in children due to their bones being more flexible than in adults. These fractures occur when the bone is bent and partially broken, but not completely separated. Pathologic fractures occur in bones that are weakened due to conditions such as osteoporosis or cancer. Compound fractures occur when the broken bone pierces the skin. Impacted fractures occur when the broken ends of a bone are driven into each other.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Measure abdominal girth according to a set routine. Abdominal enlargement is a common finding in clients with cirrhosis, which is a condition characterized by liver scarring and impaired liver function. Measuring abdominal girth regularly is an important nursing intervention to monitor the progression of abdominal distention and to identify potential complications such as ascites, which is an accumulation of fluid in the abdomen.
Choice A, reporting the condition to the physician immediately, may be necessary if the abdominal enlargement is sudden or accompanied by other symptoms such as severe pain or shortness of breath.
Choice B, providing the client with nonprescription laxatives, is not indicated for abdominal enlargement in clients with cirrhosis.
Choice D, asking the client about food intake, is not relevant to the assessment of abdominal enlargement in clients with cirrhosis.
Correct Answer is A
Explanation
Level of consciousness is improving. The effectiveness of mannitol treatment for a client with increased intracranial pressure can be assessed through the improvement of the level of consciousness. Mannitol is an osmotic diuretic that reduces cerebral edema and intracranial pressure. It works by increasing the osmotic pressure in the bloodstream, which draws fluid out of the brain and into the bloodstream. The reduction of intracranial pressure helps improve cerebral perfusion and blood flow. Therefore, improving the client's level of consciousness is the most important assessment finding to determine the effectiveness of mannitol treatment.
B is not the correct answer because a rise in blood pressure is not an indicator of the effectiveness of mannitol treatment.
C is not the correct answer because increased urine output is a side effect of mannitol treatment and does not necessarily indicate effectiveness.
D is not the correct answer because hyperpyrexia is not a symptom that is treated with mannitol.
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