Question

A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. The client’s family asks the nurse for information about this type of care. Which of the following explanations should the nurse provide?

Answer 1

Correct Answers:

The emphasis is on the client's complete recovery from the illness or injury.

Rationale :

🖍 Rehabilitative care is focused on helping a client restore function and achieve independence following illness, injury, or surgery.

🖍 It promotes optimal recovery through therapy and nursing interventions.

🖍 This care often involves physical, occupational, or speech therapy depending on the client's deficits.

🖍 While long-term facilities may be involved, the goal is functional improvement and recovery, not custodial care.

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Answer 2

Correct Answers:

Reposition the client to keep him from staying in the same position in bed.

Rationale :

✴ Repositioning reduces continuous pressure on any single area, which helps prevent skin breakdown.

✴ Balanced traction like the Thomas splint requires meticulous skin care and offloading pressure points.

✴ Clients in traction are at high risk for pressure ulcers due to immobility.

✴ Lotion can macerate skin and weights should not be removed unless prescribed.

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Answer 3

Correct Answers:

Wire cutters

Rationale :

🔵 Wire cutters must be kept at the bedside at all times for clients with intermaxillary fixation (jaw wired shut).

🔵 This is crucial to allow emergency release of the wires if the client vomits or has respiratory distress.

🔵 Failure to release wires in an emergency can cause airway obstruction or aspiration.

🔵 Nurses must teach the client how and when to use the wire cutters after discharge.

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Answer 4

Correct Answers:

Walking briskly

Rationale :

💎 Brisk walking is a weight-bearing exercise that helps stimulate bone formation and reduce osteoporosis progression.

💎 It is low-impact, making it safe and effective for older adults.

💎 Activities like cycling are not weight-bearing and do not provide the same bone-strengthening benefits.

💎 High-impact activities increase the risk of fractures in osteoporotic clients.

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Answer 5

Correct Answers:

Inability to flex the toes of the casted foot

Rationale :

✔️ Neurovascular compromise is a critical complication of casting and may lead to compartment syndrome.

✔️ Loss of movement (such as inability to flex toes) is a late and severe sign of impaired circulation.

✔️ Immediate intervention is needed to prevent permanent damage or limb loss.

✔️ This finding requires urgent notification of the provider for cast adjustment or fasciotomy.

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Answer 6

Correct Answers:

Edema of the toes.

Rationale :

✍️ Edema is typically the earliest sign of circulatory impairment from a tight cast.

✍️ Swelling can occur due to restricted venous return and tissue pressure.

✍️ If unaddressed, this can progress to pallor, temperature changes, and finally movement loss.

✍️ Early detection can prevent irreversible damage to the extremity.

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Answer 7

Correct Answers:

43.2

Rationale :

🟡 Step 1:

✍️Convert lbs to kg

95 lbs ÷ 2.2 = 43.2 kg

🟡 Step 2: Multiply by dose

✍️ 1 mg/kg × 43.2 kg

👉= 43.2 mg

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Answer 8

Correct Answers:

Positive Phalens sign

Rationale :

📌 Carpal tunnel syndrome is caused by compression of the median nerve.

📌 Phalen’s test involves flexing the wrists and checking for numbness or tingling, which indicates median nerve compression.

📌 Clients often report paresthesia, pain, and weakness in the hand, especially at night.

📌 Chvostek's sign is related to hypocalcemia, not carpal tunnel.

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Answer 9

Correct Answers:

Hematuria

Rationale :

⚫ Pelvic fractures often result in bladder trauma or urethral injury, causing hematuria.

⚫ The pelvis is highly vascular; fractures can also cause internal bleeding.

⚫ Assessing for blood in the urine is critical in early detection of urologic injury.

⚫ Prompt reporting and urologic intervention may be needed.

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Answer 10

Correct Answers:

Administer antibiotics to the client.

Rationale :

✴ Osteomyelitis is a bacterial bone infection, and the priority is to begin antibiotic therapy promptly.

✴ Delaying antibiotics increases the risk of bone necrosis and systemic infection.

✴ Nutritional support and pain management are important but secondary to infection control.

✴ IV antibiotics are typically required for several weeks.

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RN ATI Medsurg Exam 6

No.

1 :
A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. The client’s family asks the nurse for information about this type of care. Which of the following explanations should the nurse provide?

2 :
A nurse is caring for a client who has a prescription for balanced skeletal traction with a Thomas splint for the treatment of a fractured femur. Which of the following interventions should the nurse implement to prevent pressure points from developing around the edges of the splint?

3 :
A nurse is caring for a client who is postoperative following an intermaxillary fixation as a result of multiple facial fractures. Which of the following types of equipment should the nurse plan to have at the client’s bedside?

4 :
A nurse is teaching an older adult client who has osteoporosis about beginning a program of regular physical activity. Which of the following recommendations should the nurse make?

5 :
A nurse is caring for a client who has a new short-leg cast on his lower leg to treat an ankle fracture. Which of the following findings requires immediate notification of the provider?

6 :
A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?

8 :
A nurse is assessing a client who has carpal tunnel syndrome. The nurse should expect which of the following findings?

9 :
A nurse is caring for a client who has fractures of the symphysis pubis and pelvis. The nurse should monitor the client for which of the following findings of a common complication of pelvic fractures?

10 :
A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority?

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RN ATI Medsurg Exam 6

No.

1 : A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. The client’s family asks the nurse for information about this type of care. Which of the following explanations should the nurse provide?

2 : A nurse is caring for a client who has a prescription for balanced skeletal traction with a Thomas splint for the treatment of a fractured femur. Which of the following interventions should the nurse implement to prevent pressure points from developing around the edges of the splint?

3 : A nurse is caring for a client who is postoperative following an intermaxillary fixation as a result of multiple facial fractures. Which of the following types of equipment should the nurse plan to have at the client’s bedside?

4 : A nurse is teaching an older adult client who has osteoporosis about beginning a program of regular physical activity. Which of the following recommendations should the nurse make?

5 : A nurse is caring for a client who has a new short-leg cast on his lower leg to treat an ankle fracture. Which of the following findings requires immediate notification of the provider?

6 : A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?

8 : A nurse is assessing a client who has carpal tunnel syndrome. The nurse should expect which of the following findings?

9 : A nurse is caring for a client who has fractures of the symphysis pubis and pelvis. The nurse should monitor the client for which of the following findings of a common complication of pelvic fractures?

10 : A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority?

1 :
A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. The client’s family asks the nurse for information about this type of care. Which of the following explanations should the nurse provide?

2 :
A nurse is caring for a client who has a prescription for balanced skeletal traction with a Thomas splint for the treatment of a fractured femur. Which of the following interventions should the nurse implement to prevent pressure points from developing around the edges of the splint?

3 :
A nurse is caring for a client who is postoperative following an intermaxillary fixation as a result of multiple facial fractures. Which of the following types of equipment should the nurse plan to have at the client’s bedside?

4 :
A nurse is teaching an older adult client who has osteoporosis about beginning a program of regular physical activity. Which of the following recommendations should the nurse make?

5 :
A nurse is caring for a client who has a new short-leg cast on his lower leg to treat an ankle fracture. Which of the following findings requires immediate notification of the provider?

6 :
A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?

8 :
A nurse is assessing a client who has carpal tunnel syndrome. The nurse should expect which of the following findings?

9 :
A nurse is caring for a client who has fractures of the symphysis pubis and pelvis. The nurse should monitor the client for which of the following findings of a common complication of pelvic fractures?

10 :
A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority?