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 ["B","C","D"]

Explanation

Choice A rationale

Lying down after meals can increase the risk of acid reflux in individuals with a hiatal hernia. Patients are often advised to remain upright after eating to minimize symptoms.

Choice B rationale

Elevating the head of the bed helps prevent gastric contents from refluxing into the esophagus, reducing symptoms of hiatal hernia and promoting better sleep.

Choice C rationale

Reducing caffeine and spicy foods can help manage symptoms, as these substances can irritate the stomach lining and exacerbate reflux in hiatal hernia patients.

Choice D rationale

Maintaining a healthy weight is important because excess weight can increase abdominal pressure and contribute to the worsening of hiatal hernia symptoms.

Choice E rationale

Drinking less fluid is not typically a recommendation for hiatal hernia. Adequate hydration is important for overall health, and reducing fluid intake may not have a significant impact on symptoms.

A. The client may experience disruptions in their meals with manifestations of heartburn that occur shortly after eating. B. The client may experience frequent episodes of dysphagia and odynophagia. C. The client may experience frequent bouts of heartburn and regurgitation after food intake. D. The client may experience bloating and postprandial fullness.

Correct Answer is C

Explanation

Choice A rationale

While heartburn can occur shortly after eating, it is the frequent episodes of heartburn and regurgitation that are more commonly associated with hiatal hernia.

Choice B rationale

Dysphagia (difficulty swallowing) and odynophagia (painful swallowing) can occur with other esophageal conditions but are not the primary symptoms of hiatal hernia.

Choice C rationale

Frequent bouts of heartburn and regurgitation after food intake are classic symptoms of hiatal hernia, due to the herniation of the stomach through the diaphragm allowing acid to reflux into the esophagus.

Choice D rationale

Bloating and postprandial fullness can occur, but they are not as commonly associated with hiatal hernia as heartburn and regurgitation.

View Question and Answer

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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

A nurse is teaching a client who has a hiatal hernia about dietary recommendations.Which of the following client statements indicate an understanding of the teaching? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

What information should the nurse relay to the client with a hiatal hernia diagnosis?

Correct Answer is C

Explanation

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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?

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