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 clients complete recovery from the illness or injury.

Rationale :

Rehabilitative care aims to restore the client's functional independence and promote recovery after an illness or injury, such as a hip fracture. It involves multidisciplinary interventions (e.g., physical therapy) to maximize mobility and self-care. This approach contrasts with long-term care, which focuses on ongoing support rather than recovery.

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Answer 2

Correct Answers:

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

Rationale :

Frequent repositioning prevents pressure ulcers by relieving constant pressure on vulnerable areas, especially around the splint edges. Balanced skeletal traction immobilizes the femur, making skin integrity a priority. Lotion or removing weights could compromise traction stability.

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Answer 3

Correct Answers:

Wire cutters

Rationale :

Intermaxillary fixation (IMF) involves wiring the jaws shut, posing a risk of airway obstruction if the client vomits. Wire cutters must be at the bedside for emergency release. Other equipment (e.g., NG tube) is secondary to immediate airway management needs.

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Answer 4

Correct Answers:

Walking briskly

Rationale :

Weight-bearing exercises like walking stimulate bone formation, which is critical for osteoporosis management. High-impact activities (e.g., aerobics) risk fractures, while non-weight-bearing options (e.g., cycling) offer less bone density benefit.

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Answer 5

Correct Answers:

Inability to flex the toes of the casted foot

Rationale :

This indicates neurovascular compromise (e.g., compartment syndrome), requiring immediate intervention to prevent permanent damage. Ecchymosis or edema alone may be expected post-fracture, but loss of function is urgent.

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Answer 6

Correct Answers:

Hematuria

Rationale :

Pelvic fractures can damage urinary structures (e.g., bladder, urethra), leading to blood in the urine. This is a life-threatening complication requiring prompt evaluation. Other options are unrelated to pelvic trauma.

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Answer 7

Correct Answers:

Pallor of the toes.

Rationale :

Pallor signals arterial insufficiency, the earliest sign of cast-related circulatory compromise. Edema or temperature changes may follow, but pallor indicates immediate ischemia risk.

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Answer 8

Correct Answers:

Positive Chvostek's sign

Rationale :

Phalen’s sign (numbness/tingling when flexing wrists) is diagnostic for carpal tunnel syndrome, caused by median nerve compression. Chvostek’s sign relates to hypocalcemia, not nerve entrapment

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Answer 9

Correct Answers:

Place a compression bandage on the ankle.
Encourage rest.
Elevate the ankle.

Rationale :

The RICE protocol (rest, ice, compression, elevation) reduces swelling and pain in acute sprains and promotes healing . Heat and passive ROM can worsen inflammation.

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Answer 10

Correct Answers:

Checking capillary refill distal to the cast

Rationale :

Neurovascular assessment is the priority post-cast application to detect compartment syndrome. Delayed capillary refill (>3 seconds) indicates impaired circulation. Teaching and pain management follow stability.

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RN Medsurg Exam 12

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 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?

7 : 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 an acute ankle sprain. Which of the following actions should the nurse take? (Select all that apply.)

10 : A nurse is caring for a client who has a cast in place for a fractured tibia. Which of the following nursing actions is the priority immediately after the provider has applied the cast?

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