A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. The most important reason for the nurse to elevate the casted leg is to

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Question 1 of 5

A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. The most important reason for the nurse to elevate the casted leg is to

Correct Answer: D

Rationale: Elevating the casted leg improves venous return . Post-trauma swelling impairs flow, risking edema; elevation reduces pressure, preventing complications. Comfort , drying , and skin are secondary. D addresses physiology, making it critical.

Question 2 of 5

The nurse admitting a 5 month-old who vomited 9 times in the past 6 hours should observe for signs of which overall imbalance?

Correct Answer: B

Rationale: Metabolic alkalosis is expected after vomiting 9 times in 6 hours. Loss of HCl raises pH, per physiology. Acidosis fits diarrhea, hemoglobin and potassium are secondary. B drives care, making it correct.

Question 3 of 5

The nurse has admitted a client with obsessive-compulsive disorder who takes fluoxetine (Prozac). Which comment by the client would indicate that the medication is effective?

Correct Answer: A

Rationale: I don't need to check my doors 10 times' indicates fluoxetine's effectiveness. OCD involves repetitive behaviors; reduced checking shows decreased compulsions, aligning with SSRI goals. Persistent germ fears , handwashing , or isolation suggest ongoing symptoms. Fluoxetine targets anxiety-driven rituals, not social feelings. A reflects therapeutic response, making it the best indicator.

Question 4 of 5

The nurse is assessing a 2-day-old infant with a diagnosis of ventricular septal defect (VSD). Which finding should the nurse report immediately to the health care provider?

Correct Answer: D

Rationale: Sweating during feeding needs immediate reporting in VSD. It indicates heart failure from shunt overload, per pathophysiology, requiring urgent care. Murmur is typical, weight gain minor, and HR 160 normal. D signals decompensation, making it critical.

Question 5 of 5

A client with a history of epilepsy is admitted for observation after a seizure. Which precaution should the nurse implement to reduce the risk of injury?

Correct Answer: C

Rationale: Ensuring suction equipment is available reduces injury risk post-seizure. It manages secretions, preventing aspiration, per safety standards. High bed/rails increase fall risk, tongue blades are outdated, and restraints harm dignity. C prioritizes airway, making it best.

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