The nurse is caring for a patient with a transverse fracture. Which are goals for managing patient care? Select all that apply.

Reducing risk for fall

Healing the surrounding tissue

Alignment of the bone

Immobilization of the leg

Preventing pain

Answer and Explanation

Correct Answer : A,C,D,E

A. Reducing risk for fall: Patients with fractures are at higher risk for falls, which can exacerbate their injuries or cause new ones. Ensuring the environment is safe and assisting with mobility can reduce this risk.
B. Healing the surrounding tissue: While important, the primary focus in the acute phase is stabilizing the fracture itself. Healing surrounding tissue is more of a long-term goal and indirectly supported by proper fracture management.
C. Alignment of the bone: Proper alignment is crucial for healing. It ensures that the bone ends are in the correct position to heal properly and reduces the risk of complications such as malunion.
D. Immobilization of the leg: Immobilization is necessary to maintain bone alignment and prevent further injury or displacement of the fracture.
E. Preventing pain: Pain management is a fundamental aspect of patient care for fractures, as it not only provides comfort but also aids in compliance with treatment and rehabilitation.

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Correct Answer is D

Explanation

A. Legs in adduction: Adduction can increase the risk of dislocating the hip prosthesis and should be avoided.
B. More than 90-degree hip flexion: Flexing the hip more than 90 degrees can increase the risk of dislocation and should be avoided.
C. Internal leg rotation: Internal rotation of the leg can increase the risk of hip dislocation postoperatively.
D. Legs in abduction: Maintaining legs in abduction (spreading them apart) helps keep the hip joint stable and reduces the risk of dislocation after hip replacement surgery.

A. Assist the patient to turn to her side. B. Give an antiemetic as ordered. C. Perform a test for blood on the emesis. D. Call for an aide to get suction set up.

Correct Answer is A

Explanation

A. Assist the patient to turn to her side: This is the priority action to prevent aspiration of vomitus, which can be a serious complication for stroke patients who may have impaired swallowing and a reduced gag reflex.
B. Give an antiemetic as ordered: While important, administering an antiemetic should come after ensuring the patient’s safety and preventing aspiration.
C. Perform a test for blood on the emesis: This is not the immediate priority. Preventing aspiration is the first concern.
D. Call for an aide to get suction set up: Suction may be necessary if the patient is at risk of aspiration, but the first step is to turn the patient to prevent choking and aspiration.

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The nurse is caring for a patient with a transverse fracture. Which are goals for managing patient care? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A resident returns to the long-term care center after a right total hip replacement. The nurse should reinforce teaching for maintaining which of the following postoperative leg positions?

Correct Answer is D

Explanation

The nurse is caring for a patient recently admitted with a stroke. The patient is experiencing nausea and begins to vomit. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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