The nurse is caring for a client diagnosed with a fractured tibia and fibula.Which data should the nurse report to the healthcare provider immediately?

Dorsalis pedis pulse cannot be located with a doppler and increasing pain.

Pain relieved after administering 4 mgs of hydromorphone.

Generalized weakness and increasing sensitivity to touch.

Localized edema and discoloration of the affected limb.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Inability to locate the dorsalis pedis pulse and increasing pain are signs of compromised circulation, requiring immediate intervention.

Choice B rationale

Pain relieved by medication does not indicate an urgent situation and suggests effective pain management.

Choice C rationale

Generalized weakness and increased sensitivity to touch are not typically indicative of a critical emergency requiring immediate reporting.

Choice D rationale

Localized edema and discoloration are expected findings following a fracture and do not necessitate immediate reporting.

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Correct Answer is D

Explanation

Choice A rationale

Visible signs of bone healing on an X-ray would not be expected after Buck's traction. Healing takes longer to become visible on an X-ray.

Choice B rationale

Increased swelling and redness would indicate complications such as infection or thrombophlebitis, not the effectiveness of traction.

Choice C rationale

Improved range of motion would not typically be expected while Buck's traction is in place. The primary purpose is to reduce pain and immobilize the fracture.

Choice D rationale

Decrease in hip pain is a direct indicator of the effectiveness of Buck's traction in alleviating symptoms and preventing further injury to the fractured femur.

A. Intestinal malabsorption syndrome. B. Intestinal parasites. C. Chronic blood loss. D. Dietary iron restrictions.

Correct Answer is C

Explanation

Choice A rationale

Intestinal malabsorption syndrome is not typically associated with ulcerative colitis or anemia caused by this condition. Malabsorption is more often related to other gastrointestinal conditions.

Choice B rationale

Intestinal parasites are not a common cause of anemia in individuals with ulcerative colitis. The chronic inflammation and blood loss are more likely contributors.

Choice C rationale

Chronic blood loss from the intestinal lining due to ulcerative colitis is a major contributing factor to anemia. The ongoing inflammation and ulceration can cause significant blood loss over time.

Choice D rationale

Dietary iron restrictions are not typically associated with ulcerative colitis. Anemia in this context is more likely due to chronic blood loss rather than dietary deficiencies.

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The nurse is caring for a client diagnosed with a fractured tibia and fibula.Which data should the nurse report to the healthcare provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment finding should the nurse expect to observe when evaluating the effectiveness of Buck's traction for a patient who has an intracapsular fracture of the right femur?

Correct Answer is D

Explanation

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia.Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?

Correct Answer is C

Explanation

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