The nurse is caring for a patient with external fixation for a fracture involving severe bone damage. Which is the most important focus for the nurse during care of this patient?

Providing a caring and supportive attitude during a challenging time

Monitoring pin and wound sites for signs of infection

Being aware that the patient may experience issues with body image

Helping the patient achieve a desired level of mobility

Answer and Explanation

The Correct Answer is B

A. Providing a caring and supportive attitude during a challenging time: While emotional support is crucial and beneficial for the patient's overall well-being and recovery, it is not the primary focus when dealing with external fixation and the risk of complications.

B. Monitoring pin and wound sites for signs of infection: Infection is a significant risk with external fixation devices, and early detection is critical to prevent severe complications such as osteomyelitis. This makes monitoring for infection the most important focus.

C. Being aware that the patient may experience issues with body image: Body image concerns are valid and can affect a patient’s mental health, but they are secondary to the physical risks associated with external fixation, such as infection.

D. Helping the patient achieve a desired level of mobility: Mobility is an important goal in the patient's rehabilitation, but ensuring the prevention of infection takes precedence because an infection can severely impact overall recovery.

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Correct Answer is B

Explanation

A. "I will schedule important tasks in the afternoon." Clients with rheumatoid arthritis often experience morning stiffness, so scheduling important tasks in the afternoon may not be practical if fatigue sets in later in the day.

B. "I can use heat or cold to help relieve my pain." Both heat and cold can be effective in managing pain and inflammation associated with rheumatoid arthritis, depending on the stage of inflammation. Applying heat can help relax muscles and improve blood flow, while cold therapy can reduce swelling and numb pain. It’s essential for the client to follow proper guidelines when using these modalities

C. "I should stop exercising if I experience even a little bit of discomfort." While exercise should not cause severe pain, mild discomfort is expected and should not deter the client from continuing gentle exercises to maintain joint function and flexibility.

D. "I need to perform range-of-motion of my joints if I notice they are red." Range-of-motion exercises are essential for maintaining joint flexibility and preventing stiffness in rheumatoid arthritis. However, if the joints are red, swollen, or painful, it’s crucial toavoidperforming range-of-motion exercises during acute flare-ups. Instead, rest and gentle movement are recommended until the inflammation subsides.

A. It increases formation of purines. B. It increases metabolism of purines. C. It blocks formation of uric acid. D. It excretes protein.

Correct Answer is C

Explanation

A. It increases formation of purines. Increasing purine formation would exacerbate gout by increasing uric acid levels.

B. It increases metabolism of purines. Allopurinol does not increase the metabolism of purines.

C. It blocks formation of uric acid. Allopurinol works by inhibiting xanthine oxidase, an enzyme involved in the production of uric acid, thereby reducing uric acid levels in the body.

D. It excretes protein. Allopurinol does not promote protein excretion; it specifically targets uric acid metabolism.

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The nurse is caring for a patient with external fixation for a fracture involving severe bone damage. Which is the most important focus for the nurse during care of this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has rheumatoid arthritis. Which of the following statements by the client indicates understanding of the information?

Correct Answer is B

Explanation

A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which patient statement indicates understanding of the action of this medication?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client that has osteomyelitis of an open wound on his heel. Which of the following information should the nurse include?

Which of the following statements about rhabdomyolysis is true?

A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a fiberglass cast. The patient is 65 years old and has a medical 30-year history of diabetes mellitus. Which condition does the nurse recognize as a possible complication for this patient?

A nurse is contributing to the plan of care for a client to achieve the outcome of functional healing of a fracture. Which of the following nursing interventions is the HIGHEST priority to assist in meeting this outcome?

A nurse is reinforcing teaching with a client who has a new diagnosis of gout. The client asks the nurse how she got the disorder. Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who is 3 days post-operative from a right hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should examine the client for which of the following manifestations of dislocation of the hip prosthesis.

A client returns to the surgical unit from the PACU in skeletal traction. The nurse should take this action to correct which of the following problems with the traction setup?