A patient is admitted to the emergency department with a left femur fracture. Which information obtained by the nurse is most important to report to the health care provider?

Correct Answer: C

Rationale: The correct answer is C: Slow capillary refill of the left foot. This is the most important information to report because it indicates potential compromised blood flow to the affected limb, which can lead to serious complications like ischemia and tissue damage. The priority in managing a femur fracture is to ensure adequate blood supply to prevent further damage. Choice A (Ecchymosis) is important but not as urgent as compromised circulation. Choice B (Severe pain) is expected with a femur fracture and can be managed with pain medication. Choice D (Outward pointing toes) is a concerning sign but does not directly indicate compromised circulation like slow capillary refill does.

Correct Answer: C

Rationale: The correct answer is C because placing a pillow between the patient's legs and turning the entire body as a unit reduces stress on the surgical site, preventing strain on the back muscles. This technique maintains proper alignment and supports the spine post-surgery. Choice A is incorrect because instructing the patient to move the legs before turning the rest of the body can potentially strain the back and surgical site. Choice B is incorrect as having the patient turn by grasping the side rails and pulling the shoulders over can also lead to strain on the back and surgical site. Choice D is incorrect because turning the patient's head and shoulders first, followed by the hips, legs, and feet can cause twisting and stress on the surgical site.

Correct Answer: B

Rationale: The correct answer is B, assisting the patient to sit up at the bedside. This is important to prevent esophageal irritation and ensure proper absorption of alendronate. Sitting up allows gravity to assist in moving the medication down the esophagus and reduces the risk of esophageal ulceration. Asking about leg cramps or hot flashes (A) is not directly related to the administration of alendronate. Ensuring the patient has recently eaten (C) is not necessary for alendronate administration. Administering calcium carbonate (D) is not indicated in this scenario as the focus is on alendronate administration.

Correct Answer: B

Rationale: The correct answer is B: Keep the knees straight when leaning forward to pick something up. This recommendation can increase stress on the lower back and worsen the pain. To prevent low back pain, it is important to bend the knees and use proper body mechanics when lifting objects. The other choices are correct: A: Sleeping in a prone position with the legs extended can help alleviate back pain; C: Acute low back pain typically improves within a few weeks with proper management; D: Avoiding activities that require twisting of the back or prolonged sitting can prevent exacerbation of low back pain.

Correct Answer: A

Rationale: The correct answer is A: Scaling papules. Papulosquamous dermatoses like psoriasis are characterized by scaly papules on the skin. The term "papulosquamous" refers to papules (small, raised bumps) with scales. Psoriasis specifically presents as red, scaly patches on the skin. The other choices are incorrect because B: Granular scabbing is not a typical feature of papulosquamous dermatoses, C: Raised red borders are more indicative of other skin conditions like eczema, and D: Nodular ulcerations are not commonly associated with papulosquamous dermatoses.