A nurse assesses an older adult client who was admitted 2 days ago with a fractured hip. The nurse notes that the client is confused and restless. The client's vital signs are heart rate 98 beats/min, respiratory rate 32 breaths/min, blood pressure 132/78
mm Hg, and SpO2 88. Which action should the nurse take first?
a.
Administer oxygen via nasal cannula.
b.
Re-position to a high-Fowler's position.
c.
Increase the intravenous flow rate.
d.
Assess response to pain medications.
Question 2An emergency department nurse cares for a client who sustained a crush injury to the right lower leg. The client reports numbness and tingling in the affected leg. Which action should the nurse take first?
a. Assess the pedal pulses.
b. Apply oxygen by nasal cannula. c.
Increase the IV flow rate.
d. Loosen the traction.
Question 3A nurse assesses a client with a fracture who is being treated with skeletal traction. Which assessment should alert the nurse to urgently contact the health provider?
a. Blood pressure increases to 130/86 mm Hg
b. Traction weights are resting on the floor
c. Oozing of clear fluid is noted at the pin site
d. Capillary refill is less than 3 seconds
Question 4A nurse obtains the health history of a client with a fractured femur. Which factor identified in the client's history should the nurse recognize as an aspect that may impede healing of the fracture?
a. Sedentary lifestyle
b. A 30-pack-year smoking history
c. Prescribed oral contraceptives
d. Paget's disease
Question 5A nurse coordinates care for a client with a wet plaster cast. Which statement should the nurse include when delegating care for this client to an unlicensed assistive personnel (UAP)?
a. Assess distal pulses for potential compartment syndrome.
b. Turn the client every 3 to 4 hours to promote cast drying.
c. Use a cloth-covered pillow to elevate the client's leg.
d. Handle the cast with your fingertips to prevent indentations.
Question 6The nurse studying osteoporosis learns that which drugs can cause this disorder? (Select all that apply.)
a. Antianxiety agents
b. Antibiotics
c. Barbiturates
d. Corticosteroids
e. Loop diuretics
Question 7A client is suspected to have muscular dystrophy. About what diagnostic testing does the nurse educate the client? (Select all that apply.)
a. Electromyography
b. Muscle biopsy
c. Nerve conduction studies
d. Serum aldolase
e. Serum creatinine kinase
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