A client has a fractured right arm. What should the nurse do first?

Questions 75

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Multi Dimensional Care | Final Exam Questions

Question 1 of 9

A client has a fractured right arm. What should the nurse do first?

Correct Answer: C

Rationale: The nurse should first remove the client's bracelet and rings from the right arm. This action is crucial to prevent complications such as swelling and restricted blood flow, which could worsen the condition. Applying ice, administering pain medications, and sending the client for an x-ray are important steps but should come after ensuring the client's jewelry is removed to avoid any further issues.

Question 2 of 9

What is a priority intervention when caring for a client in Buck's traction?

Correct Answer: D

Rationale: The correct answer is to assess skin integrity when caring for a client in Buck's traction. This is crucial as it helps prevent pressure ulcers and other skin-related complications. Choice A is incorrect because changing the size of the traction weights should be done based on healthcare provider orders, not as needed. Choice B is incorrect because discontinuing traction should be done only under healthcare provider direction, not solely based on pain relief. Choice C is incorrect as allowing the traction weights to rest on the floor is not a priority intervention compared to assessing skin integrity.

Question 3 of 9

A client has a new arm cast. What is incorrect teaching by the nurse?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 9

What finding is often present in a client with osteoporosis?

Correct Answer: D

Rationale: Kyphosis is a common finding in osteoporosis due to vertebral compression fractures. Chronic pain (Choice A) can occur in osteoporosis but is not a specific finding. Dupuytren's contracture (Choice B) is a condition affecting hand fingers' connective tissue, not typically associated with osteoporosis. Inflammation (Choice C) is not a typical finding in osteoporosis but rather a characteristic of other conditions.

Question 5 of 9

What health teaching would not help an older adult avoid a musculoskeletal injury?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 6 of 9

What is correct about a nursing diagnosis?

Correct Answer: A

Rationale: A nursing diagnosis is a clinical judgment about individual, family, or community responses to actual or potential health problems or life processes. Choice A is correct because it identifies nursing diagnosis as related to human responses to health conditions or life processes. Choice B is incorrect because nursing diagnoses can change as the patient's condition changes. Choice C is incorrect because a nursing diagnosis is about responses, not just identifying pathology. Choice D is incorrect because a nursing diagnosis is not the same as a disease, illness, or injury; it is a statement about the patient's response to these conditions.

Question 7 of 9

A client has a new arm cast. What is incorrect teaching by the nurse?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 8 of 9

A client does not understand why vision loss due to glaucoma is irreversible. What is the best explanation?

Correct Answer: C

Rationale: The correct answer is C. In glaucoma, the optic nerve damage due to high intraocular pressure leads to permanent vision loss because the nerve fibers do not regenerate. Choice A is incorrect as it discusses bacterial infection, not relevant to glaucoma. Choice B is incorrect because it refers to retinal detachment, not glaucoma. Choice D is incorrect because not all glaucoma cases lead to permanent blindness; vision loss can be prevented or slowed with treatment.

Question 9 of 9

Which of the following assessments is found in neurovascular compromise?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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