The nurse is preparing for a home visit to a patient with an external fixation device of the lower extremity. What priority care is anticipated?
Monitoring for infection
Monitoring circulatory status
Validating proper mobility
Checking discomfort level
The Correct Answer is A
Correct answer: A
A. Monitoring for infection: Infection is a significant risk with external fixation devices due to the presence of pins that penetrate the skin and soft tissues. Monitoring for signs of infection, such as redness, swelling, discharge, or increased pain, is crucial.
B. Monitoring circulatory status: While circulatory status is important, especially in cases of limb injury or immobilization, it is not the most immediate concern compared to the risk of infection from the external fixation device.
C. Validating proper mobility: Ensuring proper mobility is important, but it is secondary to the prevention and detection of infection. Mobility assessments can be done after confirming that there are no infections or complications.
D. Checking discomfort level: While assessing discomfort is important for pain management and comfort, it is not as critical as monitoring for infection, which can lead to severe complications if not addressed promptly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will avoid crossing my legs at the knees.": This is appropriate because crossing legs can reduce blood flow and increase the risk of blood clots, exacerbating PVD symptoms.
B. "I will wear stockings with elastic tops.": This indicates a need for further teaching. Stockings with tight elastic tops can constrict blood flow and are not recommended for patients with PVD. They should use graduated compression stockings if prescribed.
C. "I will use a thermometer to check the temperature of my bath water.": This is appropriate as it prevents burns in patients with reduced sensation due to PVD.
D. "I will not go barefoot.": This is appropriate to avoid injuries and infections, which can be problematic for individuals with PVD due to poor circulation.
Correct Answer is B
Explanation
A. It increases formation of purines: This is incorrect. Allopurinol works by inhibiting the enzyme xanthine oxidase, which is involved in the conversion of purines to uric acid. Therefore, it reduces, rather than increases, uric acid formation.
B. It blocks formation of uric acid: This is correct. Allopurinol decreases uric acid production by inhibiting the enzyme xanthine oxidase, which converts xanthine to uric acid, thus helping to prevent gout attacks and manage chronic gout.
C. It increases metabolism of purines: Allopurinol does not increase the metabolism of purines. Instead, it reduces the conversion of purines to uric acid, which is the substance that accumulates and causes gout.
D. It excretes proteins: Allopurinol does not facilitate the excretion of proteins. Its primary action is to reduce the production of uric acid.
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