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The nurse is caring for a client with a fractured femur. Following removal of traction and the application of a full-leg cast, which action should the nurse prioritize?

Pain management.

Ambulation teaching.

Leg elevation.

Neurovascular checks.

Answer and Explanation

The Correct Answer is D

A. Pain management is important but should follow the assessment of any immediate complications.

B. Ambulation teaching is important but is not the first priority immediately after cast application.

C. Leg elevation can help with swelling but is not the immediate priority.

D. Neurovascular checks are crucial to assess for complications such as compartment syndrome, which can occur after cast application. Early detection of neurovascular impairment is essential to prevent long-term damage.

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Correct Answer is ["D"]

Explanation

A. A bounding radial pulse does not specifically indicate the patency of an AV fistula; it is a general assessment of peripheral pulse quality.

B. Distended veins in the hand may indicate venous congestion but are not a reliable indicator of fistula patency.

C. A "thrill" is a vibratory sensation felt over the fistula. It is caused by the turbulent blood flow moving from the high-pressure artery into the lower-pressure vein. However, this choice is wrong since a thrill should be palpated and not auscultated.

D. The presence of a bruit (a whooshing sound) over the AV fistula indicates the flow of blood through the fistula, confirming patency.

A. Ear pain and fever. B. Positive Epstein-Barr, and malaise. C. Increased BUN and serum creatinine. D. Elevated WBC and sedimentation rate.

Correct Answer is B

Explanation

A. Ear pain and fever are not characteristic symptoms of mononucleosis.

B. Mononucleosis is often associated with a positive Epstein-Barr virus (EBV) test and symptoms of malaise, fatigue, and lymphadenopathy.

C. Increased BUN and serum creatinine indicate kidney function issues, which are not typically associated with mononucleosis.

D. While elevated WBC and sedimentation rate can occur, they are nonspecific and can be seen in many conditions; they are not defining symptoms of mononucleosis.

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The nurse is caring for a client with a fractured femur. Following removal of traction and the application of a full-leg cast, which action should the nurse prioritize?

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Naxlex Comprehensive Predictor Exams

A client with chronic kidney disease (CKD) has an arteriovenous (AV) fistula in the left forearm. Which observation by the nurse indicates that the fistula is patent? Select all that apply.

Correct Answer is ["D"]

Explanation

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Correct Answer is B

Explanation

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