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 ["A","B","C","E"]

Explanation

A. Monitor pulse before taking medicine: For certain blood pressure medications, such as beta blockers or some calcium channel blockers, monitoring the pulse is important because these medications can lower the heart rate. Patients should be advised to check their pulse and report if it is too low.
B. Continue taking medications even if feeling better: It is crucial for patients to understand that antihypertensive medications manage symptoms but do not cure hypertension. Stopping the medication can lead to a rebound effect, potentially causing dangerously high blood pressure.
C. Do not skip doses: Regular intake of medication is essential for maintaining stable blood pressure levels. Missing doses can lead to ineffective control of hypertension and increase the risk of complications.
D. Eat a diet high in fats and processed food: This is incorrect. Patients should be advised to eat a healthy, balanced diet low in fats and processed foods to help manage their blood pressure and overall cardiovascular health.
E. Exercise regularly: Regular physical activity helps in controlling blood pressure and improving overall cardiovascular health. It is important to include exercise as part of lifestyle modifications for managing hypertension.

A. Has the patient been taking his medications as prescribed? B. Does the patient hurt anywhere else? C. When does the patient take his furosemide? D. Has the patient fallen before?

Correct Answer is D

Explanation

Has the patient been taking his medications as prescribed? This is the most important information to collect. Understanding the patient's medication adherence is crucial because if the patient is not taking his medications as prescribed, it could explain why his blood pressure is elevated. Noncompliance with medication regimens is a common cause of hypertensive urgency and can lead to severe complications. Therefore, knowing whether he has been taking his medications regularly and correctly would directly influence the management plan and help identify the cause of the current crisis.

Does the patient hurt anywhere else? While it’s important to assess for pain and discomfort to address immediate symptoms, this information does not directly address the potential cause of the elevated blood pressure. The patient already reported pain in the head, chest, and left leg, so the primary concern is managing his hypertensive urgency and understanding its underlying causes rather than identifying additional pain locations at this moment.

When does the patient take his furosemide? Knowing the timing of furosemide intake could provide insights into his diuretic therapy management and its potential impact on his blood pressure. However, it is less immediately relevant than understanding whether he has been taking all his medications as prescribed. This question might be more pertinent once medication adherence is confirmed to understand diuretic effects throughout the day.

Has the patient fallen before? This is relevant for assessing the risk of recurrent falls and potential underlying issues such as orthostatic hypotension or balance problems, which are crucial for long-term management and safety. However, it is not as immediately critical in the context of the current hypertensive urgency and the elevated blood pressure despite medication.

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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.

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Naxlex Comprehensive Predictor Exams

When taking blood pressure medications, it is important to reinforce education with the patient on which topics? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

Correct Answer is D

Explanation

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