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 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 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 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 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 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 ... 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 ...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? 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. 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 ... 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. 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.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? 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).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 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 has been admitted with advanced cirrhosis. The nurse's assessment reveals an abdominal girth increase of 5 inches (12.7 cm) and a weight increase of 6 lbs. (2.72 kg) since yesterday's measurements. Based on this data, what would be the nurse's priority assessment? 1. Stool for occult blood 2. Ammonia blood level 3. Blood ...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 ... 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.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.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 ...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.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 patient broke his arm in a sports accident and required the application of a cast. Shortly following application, the patient complained of an inability to straighten his ... 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. 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 ... 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 ...Study with Quizlet and memorize flashcards containing terms like The nurse is preparing discharge instructions for a client with a history of alcohol abuse on the third day after an emergency appendectomy. The nurse suspects delirium tremens based on which assessment data?, See google docs for chart on DT and alcohol withdrawal syndrome s/s, A client with a diagnosis of antisocial personality ...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 👆. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the clients level of strength?, A nurse is planning care for a client who has depression. The nurse notes that the client has weight loss, inability to concentrate, and inability to complete every day tasks, and a ...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 ... 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 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? 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 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. 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 ...A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation which of the following intervention should the nurse include in the plan of care? A) Keep the head of the bed at a 30° angle. B) Reposition the client by logrolling every four hours.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.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. 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 restStudy 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 ...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 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 ... 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.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.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. b. Right hand and placing the cane in front of the right foot. c. Left hand and 6 inches lateral to the left foot. d. Right hand and 6 inches lateral to the left foot. C. The nurse is repositioning the client who has returned to the nursing unit following internal fixation of a fractured right hip. The nurse uses a: a. 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 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 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. 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. 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 their arm away from the midline, the nurse evaluates their ability to perform, The client with rheumatoid arthritis has been taking large doses of aspirin to relieve joint pain. The nurse should assess the client for:, A client takes ...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.Requires frequent pin care A child with a fractured femur is placed in Buck's skin traction, and the nurse is planning care for the client. Which information about this type of traction is correct? Which information about this type of traction is correct?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 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. 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 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 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.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 ...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 65-year-old Asian American female has been brought to the emergency department accompanied by her spouse with a fractured femur. The health care provider has prescribed a Foley catheter be inserted. Which action(s) should the male nurse, who has been assigned to the provide care to this client, prioritize to best care for this ...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.C. "A bone fracture can be the direct result of excess pressure in the fibrous membrane or fascia." D. "Diseases such as neoplasms do not cause bone fractures." E. "The severity of a bone fracture depends on the force of the action against the bone and bone strength." Answer: B, E. 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 hypertensionWhich 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 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. 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.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 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.A nurse is providing skin care for a 14-year-old adolescent who is in skeletal traction for a fractured femur. Which of the following actions should the nurse take? Select all that apply. Massage reddened bony prominences. Check skin every 2 hours Cleanse skin with soap-free agents. Use a draw sheet to move client. Elevate the HOB to a 90 ...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 ...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 ... 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 ...b. Right hand and placing the cane in front of the right foot. c. Left hand and 6 inches lateral to the left foot. d. Right hand and 6 inches lateral to the left foot. C. The nurse is repositioning the client who has returned to the nursing unit following internal fixation of a fractured right hip. The nurse uses a: 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 patient broke his arm in a sports accident and required the application of a cast. Shortly following application, the patient complained of an inability to straighten his ... 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 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 ... Requires frequent pin care A child with a fractured femur is placed in Buck's skin traction, and the nurse is planning care for the client. Which information about this type of traction is correct? Which information about this type of traction is correct?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 The nurse is preparing discharge instructions for a client with a history of alcohol abuse on the third day after an emergency appendectomy. The nurse suspects delirium tremens based on which assessment data?, See google docs for chart on DT and alcohol withdrawal syndrome s/s, A client with a diagnosis of antisocial personality ...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.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 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 ... . Nurtec long term side effects
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 ...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 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?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 exercisesA 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. b. Right hand and placing the cane in front of the right foot. c. Left hand and 6 inches lateral to the left foot. d. Right hand and 6 inches lateral to the left foot. C. The nurse is repositioning the client who has returned to the nursing unit following internal fixation of a fractured right hip. The nurse uses a: a. 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 ... 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.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 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 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.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.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.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 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. 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.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. 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 ... .
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