A patient arrived at the emergency department after tripping over a rug and falling at home. Which finding is most important for the nurse to communicate to the health care provider?

Correct Answer: C

Rationale: The correct answer is C: The right arm appears shorter than the left. This finding suggests a possible shoulder dislocation or fracture, which requires immediate medical attention to prevent further complications. Shortening of the affected limb is a classic sign of a fracture or dislocation. Communicating this to the healthcare provider promptly can expedite appropriate treatment. Incorrect choices: A: There is bruising at the shoulder area - Bruising alone may not indicate a serious injury compared to limb shortening. B: The patient reports arm and shoulder pain - Pain is a common symptom after a fall and may not indicate a specific serious injury. D: There is decreased shoulder range of motion - While decreased range of motion is concerning, limb shortening is a more critical finding indicating a structural injury.

Correct Answer: C

Rationale: The correct answer is C: Check the patient’s O2 saturation using pulse oximetry. This is the first action the nurse should take because it directly assesses the patient's oxygen levels, which is crucial for determining the patient's immediate respiratory status and need for intervention. Monitoring oxygen saturation helps in identifying hypoxemia, which can be life-threatening and requires prompt attention. Administering morphine IV (choice A) could potentially worsen respiratory depression if the patient is already hypoxic. Contacting the operating room for surgery (choice B) is not appropriate without assessing the patient's oxygenation first. Asking about the date of the last tetanus immunization (choice D) is important but not the priority when the patient's oxygenation is in question.

Correct Answer: D

Rationale: The correct answer is D because wearing only sandals and avoiding closed-toe shoes will not effectively address the discomfort from the bunion. This response indicates a lack of understanding about proper footwear choices to reduce pressure on the bunion. Other choices (A, B, C) show actions that may actually help alleviate discomfort temporarily, like giving away high-heeled shoes, using a bunion pad, or taking ibuprofen. However, these choices do not address the root cause of the issue, which is pressure and friction on the bunion. Therefore, choice D is the correct answer as it highlights the need for further education on appropriate footwear to manage bunion discomfort effectively.

Correct Answer: C

Rationale: The correct answer is C because log rolling the patient from side to side every 2 hours is a task that can be safely delegated to experienced unlicensed assistive personnel (UAP). This task helps prevent complications such as pressure ulcers and promotes mobility without risking injury. A: Checking the ability to plantar and dorsiflex the foot requires clinical judgment and may indicate nerve damage, which should be assessed by a licensed nurse. B: Determining the patient's readiness to ambulate involves assessing strength, balance, and coordination, which requires nursing judgment and assessment skills. D: Asking about pain management with PCA involves assessing the effectiveness of the pain control method and potential side effects, which should be done by a licensed nurse.

Correct Answer: A

Rationale: Correct Answer: A - An antifungal like ketoconazole Rationale: Superficial dermatophytosis is a fungal infection of the skin and nails. Antifungals like ketoconazole are specifically designed to treat fungal infections, including dermatophytosis. They work by targeting and killing the fungus responsible for the infection. Therefore, prescribing an antifungal like ketoconazole would be appropriate in this case. Summary of Incorrect Choices: B: An antibiotic like tetracycline - Antibiotics are used to treat bacterial infections, not fungal infections like dermatophytosis. C: Topical corticosteroid - Corticosteroids are used to reduce inflammation and are not effective against fungal infections. D: An antihistamine like Benadryl - Antihistamines are used to treat allergic reactions and itching, not fungal infections.