The nurse is assessing a client and find their right leg is shortened, adducted and externally rotated. These assessment findings would indicate which type of injury?

Pelvic fracture

Femoral neck fracture

Tibia fracture

Fibula fracture

Answer and Explanation

The Correct Answer is B

A. Pelvic fracture: Pelvic fractures may cause significant pain and instability but do not typically result in a shortened, adducted, and externally rotated leg.

B. Femoral neck fracture: These findings (shortened, adducted, externally rotated leg) are classic for a femoral neck fracture due to muscle contraction and displacement of the bone.

C. Tibia fracture: Tibia fractures typically present with swelling and deformity, not shortening or rotation of the leg.

D. Fibula fracture: A fibula fracture alone rarely causes leg shortening or rotation as it is a non-weight-bearing bone.

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Correct Answer is D

Explanation

A. The client's blood pressure has decreased since the last visit. Decreased blood pressure is not a typical early sign of mitral valve stenosis.

B. The client's liver is enlarged and the abdomen is edematous. These are signs of more advanced heart failure, which can result from mitral valve stenosis but are not early indicators.

C. The client has jugular vein distention and 3+ pedal edema. Jugular vein distention and pedal edema are later signs of heart failure caused by mitral valve stenosis, not early signs.

D. The client complains of shortness of breath when walking. Shortness of breath on exertion is an early sign of mitral valve stenosis as the left atrium is unable to effectively pump blood into the left ventricle, leading to pulmonary congestion and difficulty breathing.

A. It decreases spasm of the coronary arteries B. It increases the force of myocardial contraction C. It helps prevent clotting in the coronary arteries. D. It reduces the "fight or flight" response.

Correct Answer is A

Explanation

A. It decreases spasm of the coronary arteries: Amlodipine is a calcium channel blocker that relaxes vascular smooth muscle, making it effective in treating coronary artery spasms in Prinzmetal's angina.

B. It increases the force of myocardial contraction: Amlodipine does not increase myocardial contractility; it primarily affects vascular tone.

C. It helps prevent clotting in the coronary arteries: Amlodipine is not an anticoagulant or antiplatelet agent.

D. It reduces the "fight or flight" response: Beta-blockers, not amlodipine, are typically associated with reducing the sympathetic nervous system response.

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The nurse is assessing a client and find their right leg is shortened, adducted and externally rotated. These assessment findings would indicate which type of injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being seen in the clinic to rule out mitral valve stenosis. Which assessment data would be an early indication of this condition?

Correct Answer is D

Explanation

Amlodipine (Norvasc) has been ordered for a client with newly diagnosed Prinzmetal's (variant) angina. The nurse knows the purpose of the amlodipine is to do which of the following?

Correct Answer is A

Explanation

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