Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client diagnosed with diabetes. The nurse notes that the client has a mild tremor, slight diaphoresis and is fully oriented. Which of the following nursing actions should have the highest priority?, A client is admitted to the surgical unit after sustaining a compound fracture of the left femur. The client ...The nurse is planning care for a client with a femoral fracture who is in balanced suspension traction. Which nursing care can be included in the plan of care? A) Using a fracture bedpan when the client is in the trapeze to raise hips B) turning the client side decide to give back care C) raising the head of the bed to 90° to set the client up ... Discuss the complications that the client's may experience if they don't cooperate with the care plan. The nurse should discuss the care plan and its rationale with the client. Calling the physician to report the client's noncompliance won't alter the client's degree of participation and shouldn't be used to force the client to comply. The surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins. A nurse is caring for a client who has a leg cast. The nurse observes that the client uses a pencil to scratch the skin under the edge of the cast.Study with Quizlet and memorize flashcards containing terms like A client with a fractured femur is placed in skeletal traction. The nurse should do which to monitor for nerve injury?, A primary health care provider has given a prescription for dietary iron supplements to the client with osteoporosis who has an iron deficiency anemia. a. loosen the traction and help the patient turn onto the unaffected side. b. place a pillow between the patient's legs and turn gently to each side. c. have the patient lift the buttocks slightly by using a trapeze over the bed. d. turn the patient partially to each side with the assistance of another nurse. ANS: C.Study with Quizlet and memorize flashcards containing terms like Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to the right forearm? Select all that apply. a. Keep the cast clean and dry b. Allow the cast 24 to 72 hours to dry c. Keep the cast and extremity elevated d. Expect tingling and numbness in extremity e. Use a hair dryer set on a ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient who has had a plaster arm cast applied. Immediately postapplication, the nurse should provide what teaching to the patient? A) The cast will feel cool to touch for the first 30 minutes. B) The cast should be wrapped snuggly with a towel until the patient gets home. C) The cast should be supported ...Nursing Prep U The nurse is developing a plan of care for a client with a fractured femur who is in traction and will be restricted to bed for some time. Which domain should the nurse consider when developing a nursing diagnosis based on this client's musculoskeletal health problems? Click the card to flip 👆 Activity and rest A nurse is caring for a client admitted to the nursing unit from the PACU following a craniotomy. The initial nursing assessments should focus on A. intracranial pressure B. pupillary reflexes C. level of consciousness D. airway patency, 3. A nurse is planning to prioritize client care after receiving report and rounded on assigned patients. Make use of this in-depth nursing care plan and management roadmap to aid in the care of patients with fracture. Expand your knowledge base of nursing assessments, interventions, goal formulation, and nursing diagnoses, all customized to meet the distinct needs of patients with fracture. Table of Contents What is Fracture?avoids holding the breath during activity. A client who suffered blunt chest trauma in a motor vehicle accident complains of chest pain, which is exacerbated by deep inspiration. On auscultation, the nurse detects a pericardial friction rub — a classic sign of acute pericarditis. The physician confirms acute pericarditis and begins ... A. Schedule the child for an abdominal ultrasound. B.Instruct the parent to avoid pressing on the abdominal area. C.Determine if the child is having pain. D. Obtain a urine specimen for a urinalysis. B. A nurse is caring for a child who has acute glomerulonephritis.Violence & Abuse Review Questions. A nurse is working in the emergency department. Which situation would lead the nurse to suspect possible abuse of a client? (Select all that apply.) A. A 6-year-old is being seen for the 5th time for a urinary tract infection. B. A 3-month-old with a fractured femur. C. Study with Quizlet and memorize flashcards containing terms like a nurse is planning care for a client who has thoughts of suicide which of the following goals should the nurse include in the clients plan of care, a nurse enters a clients room and observes that the client is agitated and pacing rapidly the client looks at the nurse and says back off and leave me alone which of the following ...Study with Quizlet and memorize flashcards containing terms like A client experiences a muscle sprain of the ankle. When assessing the injury, the nurse discovers that a hematoma is developing, edema is present and that the client reports tenderness when the ankle is palpated. The nurse anticipates that the plan of care will include the applying of a/an: 1. Binder 2. Ice bag 3. Elastic bandage ...A. Log rolling every 2 hours. B. Isometric exercises of both legs. C. Active range-of-motion exercises of the left leg. D. Passive range of motion to the right leg. C. Active range-of-motion exercises of the left leg. A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur. A nurse is caring for a patient with a fractured femur. The health care provider finds that the patient has fat embolism syndrome. What treatment (or treatments) of fat embolism syndrome should the nurse anticipate for this patient? Select all that apply. A nurse is caring for an adolescent client who has a newly fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take? A. Perform a neurovascular assessment. B. Explain the discharge instructions to the client and parents. C. Provide reassurance to the client and parents. The nurse recognizes that it is important to identify restrictions of mobility or neuromuscular abnormalities because: Shortening and eventual atrophy of the muscles will occur. X-ray films reveal that a client has sustained an intracapsular fracture of the left hip as a result of a fall.The nurse is developing a plan of care for a client with a fractured femur, is in traction, and will be restricted to bed for some time. Which domain should the nurse look to for developing a nursing diagnosis based on this client's musculoskeletal health problems? A. Nutrition B. Activity/Rest C. Health Promotion D. Self-perceptionA nurse is assessing a client who has a fractured left femur and is in skeletal traaction, Which of the following findings should the nurse report to the provider>. A. Ecchymosis of the thigh. B. Serous drainage at the pin site. C. Chest petechiae. D. Muscle spasms in the left leg. C. Chest petechiae.Study with Quizlet and memorize flashcards containing terms like A client is confined to bed with a fracture of the left femur. He begins receiving subcutaneous heparin injections. What is the purpose of this medication? 1. To prevent thrombophlebitis and pulmonary emboli associated with immobility 2.To promote vascular perfusion by preventing formation of microemboli in the left leg 3.To ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient who has had a plaster arm cast applied. Immediately postapplication, the nurse should provide what teaching to the patient? A) The cast will feel cool to touch for the first 30 minutes. B) The cast should be wrapped snuggly with a towel until the patient gets home. C) The cast should be supported ...Study with Quizlet and memorize flashcards containing terms like A school nurse suspects that a 13-year-old has structural scoliosis. Asking the adolescent to perform which maneuver would be the nurse's priority when gathering data for this condition?, The nurse is caring for a 15-year-old client admitted with suspected bacterial pneumonia. Which nursing action takes priority?, The nurse is ...A nurse is caring for an adolescent client who has a newly fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take? A. Perform a neurovascular assessment. B. Explain the discharge instructions to the client and parents. C. Provide reassurance to the client and parents. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client diagnosed with diabetes. The nurse notes that the client has a mild tremor, slight diaphoresis and is fully oriented. Which of the following nursing actions should have the highest priority?, A client is admitted to the surgical unit after sustaining a compound fracture of the left femur. The client ... Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a fractured left femur and is in skeletal traction. Which of the following findings should the nurse report to the provider? A. Ecchymosis of the thigh B. Serous drainage at the pin site C. Chest petechiae D. Muscle spasms in the left leg, A nurse is caring for a client who is scheduled to ...c. "Use a cloth-covered pillow to elevate the client's leg." d. "Handle the cast with your fingertips to prevent indentations.", A 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 ... The nurse is planning care for a 14-year-old client whose x-ray shows a comminuted fracture with the need for external appliance stabilization. Which nursing action is most important? assessing the color and movement of the hand and fingers. An infant was born with a severely deformed hand. He is now 6 months old.ati practice mental health test 1. a nurse is planning care for a client who has thoughts of suicide which of the following goals should the nurse include in the clients plan of care. Click the card to flip 👆. the client agrees to notify a staff member of thought of self harm. Click the card to flip 👆. Chapter 41. 4.5 (4 reviews) 1. The nurse is caring for a patient who has had a plaster leg cast applied. Immediately post-application, the nurse should inform the patient that: A) The cast will cool in 5 minutes. B) The cast should be covered with a towel. C) The cast should be supported on a board while drying.A femur fracture is a condition that involves a broken thigh bone and usually happens due to a strong force or a major accident. The femur consists of two femora connected to the pelvis via the hip joint and to the tibia via the knee joint.Study with Quizlet and memorize flashcards containing terms like When inspecting a client's skin, a nurse finds a circumscribed elevated area filled with serous fluid. What term should the nurse use to document this finding?, An adolescent has skeletal traction for a fractured femur. Which is the most appropriate nursing intervention for this client?, A female client reports to a nurse that ... Study with Quizlet and memorize flashcards containing terms like When inspecting a client's skin, a nurse finds a circumscribed elevated area filled with serous fluid. What term should the nurse use to document this finding?, An adolescent has skeletal traction for a fractured femur. Which is the most appropriate nursing intervention for this client?, A female client reports to a nurse that ...A. Log rolling every 2 hours. B. Isometric exercises of both legs. C. Active range-of-motion exercises of the left leg. D. Passive range of motion to the right leg. C. Active range-of-motion exercises of the left leg. A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur.The office nurse for an orthopedic health care provider receives 4 telephone messages. Which client does the nurse call back first? 1. Client who had a left total knee replacement 7 days ago and reports cramping pain in the left calf 2. Client with a fractured wrist who reports severe itching under a cast that was applied 3 days ago 3.3. "I will assess the skin using the Braden scale." 4. "A pillow will be placed between the knees when client is side lying." 5. "The incontinent client will be kept clean and dry." 1,3,4,5. The nurse is caring for a client in an outpatient clinic. The client is being treated with warfarin for prevention of a stroke due to atrial fibrillation. A nurse is caring for a client whose cultural background is different from her own. Which actions are appropriate? Select all that apply. A. Consider that nonverbal cues, such as eye contact, may have different meanings in different cultures B. Respect the client's cultural beliefs C. Ask the client if he has cultural or religious requirements that should be considered in his care D. Explain ... Study with Quizlet and memorize flashcards containing terms like The nurse is contributing to the plan of care for a patient who has a right fractured femur. What intervention should the nurse include in the plan of care to prevent fat emboli? a. Decrease dietary consumption of fats. b. Maintain immobilization of the right leg. c. Encourage coughing and deep breathing hourly. d. Perform ...Study with Quizlet and memorize flashcards containing terms like A client is confined to bed with a fracture of the left femur. He begins receiving subcutaneous heparin injections. What is the purpose of this medication? 1. To prevent thrombophlebitis and pulmonary emboli associated with immobility 2.To promote vascular perfusion by preventing formation of microemboli in the left leg 3.To ... a. apply cream daily to the residual limb. b. cover the residual limb with a nylon sock. c. keep the residual limb elevated. d. expose the residual limb to air. d. expose the residual limb to air. the nurse teaches a client diagnosed with a fractured left femur that is in a cast. the client asks how to keep the muscles of the legs strong during ... Study with Quizlet and memorize flashcards containing terms like nurse admits a patient who has a fracture of the nose that has resulted in a skin tear and involvement of the mucous membranes of the nasal passages., patient has sustained a long bone fracture and the nurse is preparing the patient's care plan. Which of the following should the nurse include in the care plan, nurse's assessment ...A nurse is assisting with the plan of care for an older adult client who is 4hr postoperative following an open reduction and internal fixation of a fractured femur. Which of the following interventions should the nurse include in the plan of care? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has balanced skeletal traction with a Thomas splint for the treatment of a fracture of the femur. Which of the following actions should the nurse take to prevent skin breakdown?, A nurse is collecting data from an older adult client who is preoperative for a total hip arthroplasty. For which of ...avoids holding the breath during activity. A client who suffered blunt chest trauma in a motor vehicle accident complains of chest pain, which is exacerbated by deep inspiration. On auscultation, the nurse detects a pericardial friction rub — a classic sign of acute pericarditis. The physician confirms acute pericarditis and begins ...The nurse is assigned to care for a client in traction. The nurse prepares a plan of care for the client and includes which nursing action in the plan? 1. Ensure that the knots are at the pulleys. 2. Check the weights to ensure that they are off of the floor. 3. Ensure that the head of the bed is kept at a 45- to 90-degree angle. 4.The nurse is planning care for the client with a femoral fracture who is in balanced suspension traction. Which of the following would the nurse be least likely to include in the plan of care?. 1. Use of a fracture bedpan. 2. Checks for redness over the ischial tuberosity. 3. Elevation of the head of bed no more than 25 degrees. 4.Discuss the complications that the client's may experience if they don't cooperate with the care plan. The nurse should discuss the care plan and its rationale with the client. Calling the physician to report the client's noncompliance won't alter the client's degree of participation and shouldn't be used to force the client to comply. Make use of this in-depth nursing care plan and management roadmap to aid in the care of patients with fracture. Expand your knowledge base of nursing assessments, interventions, goal formulation, and nursing diagnoses, all customized to meet the distinct needs of patients with fracture. Table of Contents What is Fracture?Study with Quizlet and memorize flashcards containing terms like Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to the right forearm? Select all that apply. a. Keep the cast clean and dry b. Allow the cast 24 to 72 hours to dry c. Keep the cast and extremity elevated d. Expect tingling and numbness in extremity e. Use a hair dryer set on a ... A nurse is assessing a client who has a fractured left femur and is in skeletal traction. Which of the following findings should the nurse report to the provider? A. Ecchymosis of the thigh B. Serous drainage at the pin site C. Chest petechiae D. Muscle spasms in the left leg. A nurse is preparing a client for an electromyogram (EMG).Study with Quizlet and memorize flashcards containing terms like A client experiences a muscle sprain of the ankle. When assessing the injury, the nurse discovers that a hematoma is developing, edema is present and that the client reports tenderness when the ankle is palpated. The nurse anticipates that the plan of care will include the applying of a/an: 1. Binder 2. Ice bag 3. Elastic bandage ...Which action should the nurse take?, A child is placed in skeletal traction for treatment of a fractured femur. The nurse creates a plan of care and should include which intervention? and more. Study with Quizlet and memorize flashcards containing terms like A child with cerebral palsy is in a management program to achieve maximum potential for ... The nurse checks the client's alignment in bed and notes that proper alignment is maintained. Which is the priority nursing action? a. Provide pin care b. Medicate the client c. Call the healthcare provider d. Remove 2 pounds, A nurse is developing a plan of care for a client who has a fracture to achieve the outcome of functional healing. Study with Quizlet and memorize flashcards containing terms like A client experiences a muscle sprain of the ankle. When assessing the injury, the nurse discovers that a hematoma is developing, edema is present and that the client reports tenderness when the ankle is palpated. The nurse anticipates that the plan of care will include the applying of a/an: 1. Binder 2. Ice bag 3. Elastic bandage ... Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client diagnosed with diabetes. The nurse notes that the client has a mild tremor, slight diaphoresis and is fully oriented. Which of the following nursing actions should have the highest priority?, A client is admitted to the surgical unit after sustaining a compound fracture of the left femur. The client ... Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a fractured left femur and is in skeletal traction. Which of the following findings should the nurse report to the provider? A. Ecchymosis of the thigh B. Serous drainage at the pin site C. Chest petechiae D. Muscle spasms in the left leg, A nurse is caring for a client who is scheduled to ... Study with Quizlet and memorize flashcards containing terms like A client is confined to bed with a fracture of the left femur. He begins receiving subcutaneous heparin injections. What is the purpose of this medication? 1. To prevent thrombophlebitis and pulmonary emboli associated with immobility 2.To promote vascular perfusion by preventing formation of microemboli in the left leg 3.To ...2.The patient must prove injury, damage, or loss occurred. 3.The person filing the lawsuit has to show a compensable damage, such as lost wages, occurred. 4.The patient must prove that a breach in the prevailing standard of care caused an injury. 5.The burden of proof is always the responsibility of the nurse. 1., 2., 3.Study with Quizlet and memorize flashcards containing terms like Which is an inaccurate principle of traction? -The weights are not removed unless intermittent treatment is prescribed. -The weights must hang freely. -The client must be in good alignment in the center of the bed. -Skeletal traction is interrupted to turn and reposition the client., The nurse is providing instructions to the ...Bone scan impression indicative of infection, The nurse is caring for a client who was just admitted to the hospital with a diagnosis of a fractured right hip sustained from a fall 5 hours earlier. The nurse creates a plan of care for the client and includes interventions related to monitoring for signs of fat embolism.c. "Use a cloth-covered pillow to elevate the client's leg." d. "Handle the cast with your fingertips to prevent indentations.", A 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 ...3. "I will assess the skin using the Braden scale." 4. "A pillow will be placed between the knees when client is side lying." 5. "The incontinent client will be kept clean and dry." 1,3,4,5. The nurse is caring for a client in an outpatient clinic. The client is being treated with warfarin for prevention of a stroke due to atrial fibrillation.The nurse is planning care to prevent complications for a client with multiple myeloma. Which intervention is most important for the nurse to include? A. Safety precautions during activity. B. Assess for changes in size of lymph nodes. C. Maintain a fluid intake of 3 to 4 L per day. D. Administer narcotic analgesic around the clock. a. apply cream daily to the residual limb. b. cover the residual limb with a nylon sock. c. keep the residual limb elevated. d. expose the residual limb to air. d. expose the residual limb to air. the nurse teaches a client diagnosed with a fractured left femur that is in a cast. the client asks how to keep the muscles of the legs strong during ...Violence & Abuse Review Questions. A nurse is working in the emergency department. Which situation would lead the nurse to suspect possible abuse of a client? (Select all that apply.) A. A 6-year-old is being seen for the 5th time for a urinary tract infection. B. A 3-month-old with a fractured femur. C.Bone scan impression indicative of infection, The nurse is caring for a client who was just admitted to the hospital with a diagnosis of a fractured right hip sustained from a fall 5 hours earlier. The nurse creates a plan of care for the client and includes interventions related to monitoring for signs of fat embolism.Study with Quizlet and memorize flashcards containing terms like An overweight adolescent client has lost 12 lb (5.4 kg) in 8 weeks using diet strategies. The client reaches a weight loss plateau and is discouraged. The nurse instructs the client to keep a food diary for what purpose?, An adolescent is on the football team and practices in the morning and afternoon before school starts for the ...A nurse cares for a frail, elderly client with osteoporosis in a nursing home. Which interventions are appropriate to include in the client's care plan to help prevent an hip fracture? Select all that apply 1. Calcium supplements 2. Encourage bed rest 3. Use of full bed rails during the night 4. Vitamin D supplements 5. Weight-bearing exercisesBone scan impression indicative of infection, The nurse is caring for a client who was just admitted to the hospital with a diagnosis of a fractured right hip sustained from a fall 5 hours earlier. The nurse creates a plan of care for the client and includes interventions related to monitoring for signs of fat embolism.Study with Quizlet and memorize flashcards containing terms like a nurse is planning care for a client who has thoughts of suicide which of the following goals should the nurse include in the clients plan of care, a nurse enters a clients room and observes that the client is agitated and pacing rapidly the client looks at the nurse and says back off and leave me alone which of the following ...Which action should the nurse take?, A child is placed in skeletal traction for treatment of a fractured femur. The nurse creates a plan of care and should include which intervention? and more. Study with Quizlet and memorize flashcards containing terms like A child with cerebral palsy is in a management program to achieve maximum potential for ...Make use of this in-depth nursing care plan and management roadmap to aid in the care of patients with fracture. Expand your knowledge base of nursing assessments, interventions, goal formulation, and nursing diagnoses, all customized to meet the distinct needs of patients with fracture. Table of Contents What is Fracture?Violence & Abuse Review Questions. A nurse is working in the emergency department. Which situation would lead the nurse to suspect possible abuse of a client? (Select all that apply.) A. A 6-year-old is being seen for the 5th time for a urinary tract infection. B. A 3-month-old with a fractured femur. C. Study with Quizlet and memorize flashcards containing terms like Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to the right forearm? Select all that apply. a. Keep the cast clean and dry b. Allow the cast 24 to 72 hours to dry c. Keep the cast and extremity elevated d. Expect tingling and numbness in extremity e. Use a hair dryer set on a ... Study with Quizlet and memorize flashcards containing terms like The nurse is one of several people who witness a vehicle hit a pedestrian at a fairly low speed on a small street. The individual is dazed and tries to get up, and the leg appears fractured. The nurse should plan to perform which action?, The nurse witnesses a client sustain a fall and suspects that the client's leg may be ...a. apply cream daily to the residual limb. b. cover the residual limb with a nylon sock. c. keep the residual limb elevated. d. expose the residual limb to air. d. expose the residual limb to air. the nurse teaches a client diagnosed with a fractured left femur that is in a cast. the client asks how to keep the muscles of the legs strong during ... Study with Quizlet and memorize flashcards containing terms like To assess the joints, a nurse asks a client to perform various movements. As the client moves his arm away from the midline, the nurse evaluates his ability to perform:, Passive range-of-motion (ROM) exercises for the legs and assisted ROM exercises for the arms are part of the care regimen for a client with a spinal cord injury ...The nurse is planning care for a 14-year-old client whose x-ray shows a comminuted fracture with the need for external appliance stabilization. Which nursing action is most important? assessing the color and movement of the hand and fingers. An infant was born with a severely deformed hand. He is now 6 months old. Make sure the head of the bed is kept at a 45- to 90-degree angle. Monitor the weights to be sure that they are resting on a firm surface. Inspect the skin under the boot. The nurse prepares to care for a client with acute cellulitis of the lower leg.A client has just been admitted to the hospital with a fractured femur and pelvic fractures. The nurse should plan to carefully monitor the client for which signs/symptoms? 1.Fever and bradycardia 2.Fever and hypertension 3.Tachycardia and hypotension 4.Bradycardia and hypertension The nurse is planning care for a client with a fractured femur
The surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins. A nurse is caring for a client who has a leg cast. The nurse observes that the client uses a pencil to scratch the skin under the edge of the cast.Chapter 41. 4.5 (4 reviews) 1. The nurse is caring for a patient who has had a plaster leg cast applied. Immediately post-application, the nurse should inform the patient that: A) The cast will cool in 5 minutes. B) The cast should be covered with a towel. C) The cast should be supported on a board while drying. Study with Quizlet and memorize flashcards containing terms like a nurse is planning care for a client who has thoughts of suicide which of the following goals should the nurse include in the clients plan of care, a nurse enters a clients room and observes that the client is agitated and pacing rapidly the client looks at the nurse and says back off and leave me alone which of the following ...Study with Quizlet and memorize flashcards containing terms like Which statement made by a client diagnosed with Addison's disease indicates to the nurse that the client needs further teaching about fludrocortisone therapy? 1. "Taking my medicine at night will help me sleep." 2. "It is important to wear a medical alert bracelet all of the time." 3. "My medication dose may change based on my ...1 Taking supplemental calcium and vitamin D. 2 Increasing the consumption of eggs and cheese. 3 Taking supplemental magnesium and vitamin E. 4 Increasing the consumption of milk and milk products. 1. A client with a fractured head of the right femur and osteoporosis is placed in Buck extension before surgical repair. A nurse is caring for a patient who is in skeletal traction. To prevent the complication of skin breakdown in a patient with skeletal traction, what action should be included in the plan of care? Ans: Assess the pin insertion site every 8 hours. The nurse is planning care for a 14-year-old client whose x-ray shows a comminuted fracture with the need for external appliance stabilization. Which nursing action is most important? assessing the color and movement of the hand and fingers. An infant was born with a severely deformed hand. He is now 6 months old. Which of the following responses by the nurse is an example of therapeutic communication?, A nurse is planning reminiscence therapy for an older adult client. The nurse should identify which of the following goals for the client's therapy?, A nurse is an emergency department is caring for an 18-month-old toddler who has a fractured left femur. 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%. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a construction worker who fell from the second story of a building site and fractured the femoral neck. Which nursing diagnosis is a priority for the client? Select all that apply. A. Risk for infection B.Impaired physical mobility C. Risk for injury D. Urinary incontinence E. Disturbed body image, Which ...Discuss the complications that the client's may experience if they don't cooperate with the care plan. The nurse should discuss the care plan and its rationale with the client. Calling the physician to report the client's noncompliance won't alter the client's degree of participation and shouldn't be used to force the client to comply.Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur. Which of the following interventions should the nurse include in the plan?, a nurse is planning care for a client who is postoperative following a total hit.Study with Quizlet and memorize flashcards containing terms like When inspecting a client's skin, a nurse finds a circumscribed elevated area filled with serous fluid. What term should the nurse use to document this finding?, An adolescent has skeletal traction for a fractured femur. Which is the most appropriate nursing intervention for this client?, A female client reports to a nurse that ... Make use of this in-depth nursing care plan and management roadmap to aid in the care of patients with fracture. Expand your knowledge base of nursing assessments, interventions, goal formulation, and nursing diagnoses, all customized to meet the distinct needs of patients with fracture. Table of Contents What is Fracture?Study with Quizlet and memorize flashcards containing terms like An older adult client slipped on an area rug at home and fractured the left hip. The client is unable to have surgery immediately and is having severe pain. What interventions should the nurse provide for the patient to minimize energy loss in response to pain?, The surgical nurse is admitting a client from postanesthetic ... A nurse is caring for an adolescent client who has a newly fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take? A. Perform a neurovascular assessment. B. Explain the discharge instructions to the client and parents. C. Provide reassurance to the client and parents. 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%.nclex practice test. 5.0 (6 reviews) after listening to the parents reports and seeing the following pediatric clients, the nurse knows that which clent demonstrates signs of abuse that may need reporting. 1. 1 year old with dyspnea, drooling, and a swollen tongue after eating part of houseplant. 2. 2 year old who is crying and has large ...A femur fracture is a condition that involves a broken thigh bone and usually happens due to a strong force or a major accident. The femur consists of two femora connected to the pelvis via the hip joint and to the tibia via the knee joint.Chapter 41. 4.5 (4 reviews) 1. The nurse is caring for a patient who has had a plaster leg cast applied. Immediately post-application, the nurse should inform the patient that: A) The cast will cool in 5 minutes. B) The cast should be covered with a towel. C) The cast should be supported on a board while drying. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient who has had a plaster arm cast applied. Immediately postapplication, the nurse should provide what teaching to the patient? A) The cast will feel cool to touch for the first 30 minutes. B) The cast should be wrapped snuggly with a towel until the patient gets home. C) The cast should be supported ... A. Schedule the child for an abdominal ultrasound. B.Instruct the parent to avoid pressing on the abdominal area. C.Determine if the child is having pain. D. Obtain a urine specimen for a urinalysis. B. A nurse is caring for a child who has acute glomerulonephritis.A nurse who is accompanying the group suspects a fracture of the tibia. To immobilize the suspected fracture, where is the best location to apply the splint?, The nurse is checking on a client with a fractured femur who is in skeletal traction. Which of the following actions is necessary to determine a client's neurovascular status? A nurse is caring for a toddler who has a fractured right femur and is in Bryant's traction. When monitoring to determine if the traction is appropriately assembled, the nurse expects to observe which of the following? a. Skin straps maintaining the leg in an extended position b. Weights attached to a pin that is inserted in the femur c.Study with Quizlet and memorize flashcards containing terms like The nurse is reinforcing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by a parent indicates the need for further teaching?, The mother of a child with juvenile idiopathic arthritis calls the nurse because the child is experiencing a painful exacerbation of the disease. The ...Study with Quizlet and memorize flashcards containing terms like Which is an inaccurate principle of traction? -The weights are not removed unless intermittent treatment is prescribed. -The weights must hang freely. -The client must be in good alignment in the center of the bed. -Skeletal traction is interrupted to turn and reposition the client., The nurse is providing instructions to the ... The surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins. A nurse is caring for a client who has a leg cast. The nurse observes that the client uses a pencil to scratch the skin under the edge of the cast. Discuss the complications that the client's may experience if they don't cooperate with the care plan. The nurse should discuss the care plan and its rationale with the client. Calling the physician to report the client's noncompliance won't alter the client's degree of participation and shouldn't be used to force the client to comply.Which of the following responses by the nurse is an example of therapeutic communication?, A nurse is planning reminiscence therapy for an older adult client. The nurse should identify which of the following goals for the client's therapy?, A nurse is an emergency department is caring for an 18-month-old toddler who has a fractured left femur. Study with Quizlet and memorize flashcards containing terms like The nurse is contributing to the plan of care for a patient who has a right fractured femur. What intervention should the nurse include in the plan of care to prevent fat emboli? a. Decrease dietary consumption of fats. b. Maintain immobilization of the right leg. c. Encourage coughing and deep breathing hourly. d. Perform ...Study with Quizlet and memorize flashcards containing terms like To assess the joints, a nurse asks a client to perform various movements. As the client moves his arm away from the midline, the nurse evaluates his ability to perform:, Passive range-of-motion (ROM) exercises for the legs and assisted ROM exercises for the arms are part of the care regimen for a client with a spinal cord injury ...maintain a patent airway. A client undergoes total hip replacement. After surgery, the client questions why he must go to a rehabilitation center because he has family who can care for him. Which response by the nurse is best? the rehabilitation staff can evaluate your progress. Which goal is the priority for a client with a fractured femur who ... c. "Use a cloth-covered pillow to elevate the client's leg." d. "Handle the cast with your fingertips to prevent indentations.", A 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 ... Study with Quizlet and memorize flashcards containing terms like The nurse witnesses an accident on a highway and stops to provide assistance to the victim. The nurse notes that the client sustained a head injury and a compound fracture to the left leg. The nurse provides the appropriate care before transport of the victim to the hospital by ambulance. The client develops a severe bone ...The nurse is planning care for a client with a femoral fracture who is in balanced suspension traction. Which nursing care can be included in the plan of care? A) Using a fracture bedpan when the client is in the trapeze to raise hips B) turning the client side decide to give back care C) raising the head of the bed to 90° to set the client up ... A nurse is assisting with the plan of care for an older adult client who is 4hr postoperative following an open reduction and internal fixation of a fractured femur. Which of the following interventions should the nurse include in the plan of care?c. Use a cloth-covered pillow to elevate the clients leg. d. Handle the cast with your fingertips to prevent indentations., 3. A nurse obtains the health history of a client with a fractured femur. Which factor identified in the clients history should the nurse recognize as an aspect that may impede healing of the fracture? a. Sedentary ...Select all that apply. - Apply occlusive dressings after rewarming - Elevate affected extremities after rewarming - Massage the areas to increase circulation - Provide adequate analgesia - Provide continuous warm water soaks., The nurse is planning care for an 11-year-old admitted for surgical treatment of a fractured femur.Study with Quizlet and memorize flashcards containing terms like A client is confined to bed with a fracture of the left femur. He begins receiving subcutaneous heparin injections. What is the purpose of this medication? 1. To prevent thrombophlebitis and pulmonary emboli associated with immobility 2.To promote vascular perfusion by preventing formation of microemboli in the left leg 3.To ... Violence & Abuse Review Questions. A nurse is working in the emergency department. Which situation would lead the nurse to suspect possible abuse of a client? (Select all that apply.) A. A 6-year-old is being seen for the 5th time for a urinary tract infection. B. A 3-month-old with a fractured femur. C.Study with Quizlet and memorize flashcards containing terms like The nurse is contributing to the plan of care for a patient who has a right fractured femur. What intervention should the nurse include in the plan of care to prevent fat emboli? a. Decrease dietary consumption of fats. b. Maintain immobilization of the right leg. c. Encourage coughing and deep breathing hourly. d. Perform ... Have client advance the right leg. Explanation: First, perform hand hygiene. Next, secure a gait belt around client's waist. Then, place the cane in the client's right hand, because the right side is the unaffected side. Have the client advance the cane and the left leg about 4 to 8 inches (10 to 20 cm). A nurse is assessing a client who has a fractured left femur and is in skeletal traaction, Which of the following findings should the nurse report to the provider>. A. Ecchymosis of the thigh. B. Serous drainage at the pin site. C. Chest petechiae. D. Muscle spasms in the left leg. C. Chest petechiae.Study with Quizlet and memorize flashcards containing terms like To assess the joints, a nurse asks a client to perform various movements. As the client moves his arm away from the midline, the nurse evaluates his ability to perform:, Passive range-of-motion (ROM) exercises for the legs and assisted ROM exercises for the arms are part of the care regimen for a client with a spinal cord injury ...Study with Quizlet and memorize flashcards containing terms like Which is an inaccurate principle of traction? -The weights are not removed unless intermittent treatment is prescribed. -The weights must hang freely. -The client must be in good alignment in the center of the bed. -Skeletal traction is interrupted to turn and reposition the client., The nurse is providing instructions to the ... The office nurse for an orthopedic health care provider receives 4 telephone messages. Which client does the nurse call back first? 1. Client who had a left total knee replacement 7 days ago and reports cramping pain in the left calf 2. Client with a fractured wrist who reports severe itching under a cast that was applied 3 days ago 3.A nurse is assessing a client who has a fractured left femur and is in skeletal traaction, Which of the following findings should the nurse report to the provider>. A. Ecchymosis of the thigh. B. Serous drainage at the pin site. C. Chest petechiae. D. Muscle spasms in the left leg. C. Chest petechiae.. Ringer