The nurse is collecting data on a patient with a left tibia fracture. Which of the following findings is a priority finding?
Increased red blood cell count
Decreased lymphocyte count
Decreased body temperature
Absent left pedal pulse
The Correct Answer is D
A. Increased red blood cell count: An increased red blood cell count is not an immediate concern in the context of a fracture.
B. Decreased lymphocyte count: A decreased lymphocyte count could indicate an infection or immune issue but is not the immediate priority in a fracture situation.
C. Decreased body temperature: Hypothermia can be concerning, but in the context of a fracture, it is not as critical as neurovascular compromise.
D. Absent left pedal pulse: An absent pedal pulse indicates a possible compromised circulation to the lower extremity, which is a critical and immediate concern. It could signify a compartment syndrome or arterial damage requiring urgent intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "This will help to decrease the frequency of dressing changes." The placement of a prosthesis does not impact the frequency of dressing changes, which are based on wound care needs.
B. "This will improve your ability to ambulate sooner." Early prosthesis placement can aid in quicker rehabilitation and earlier ambulation.
C. "This will decrease the chance of you experiencing phantom limb pain." Prosthesis placement does not necessarily decrease the occurrence of phantom limb pain, which is a common phenomenon after amputation.
D. "Placing this now will improve the fit of the prosthesis." The fit of the prosthesis is more related to the residual limb's healing and shaping, not necessarily the timing of initial placement.
Correct Answer is D
Explanation
A. Internal rotation. Internal rotation can lead to dislocation of the hip prosthesis and should be avoided.
B. External rotation. External rotation is also not recommended as it can strain the hip joint and lead to dislocation.
C. Adduction. Adduction (bringing the leg toward the midline) increases the risk of hip dislocation.
D. Abduction Correct. Abduction (moving the leg away from the midline) helps prevent dislocation by keeping the prosthesis in a stable position.
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