The nurse is providing care for a patient following an open reduction surgery of a fracture. Which finding should the nurse report immediately to the HCP?
There is numbness and tingling sensations in the surgical limb.
Surgical pain is a 4 on a scale 0-10.
The foot on the surgical limb is slightly cooler that the other limb.
There are +2 pulses and the surgical limb is pink in color.
The Correct Answer is A
A. There is numbness and tingling sensations in the surgical limb. Numbness and tingling may indicate neurovascular compromise, such as compartment syndrome or nerve damage, requiring immediate medical attention.
B. Surgical pain is a 4 on a scale 0-10. Pain at a level 4 postoperatively is generally manageable and expected. It does not indicate an immediate complication.
C. The foot on the surgical limb is slightly cooler than the other limb. While a slightly cooler foot could be a concern, it is less urgent than numbness and tingling. Monitoring and comparing with other symptoms are necessary.
D. There are +2 pulses and the surgical limb is pink in color. This indicates good circulation and is a positive sign, not requiring immediate reporting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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