A patient is brought to the emergency department by ambulance after stepping in a hole and falling. While assessing him the nurse notes that his right leg is shorter than his left leg; his right hip is noticeably deformed and he is in acute pain. Imaging does not reveal a fracture. Which of the following is the most plausible explanation for this patient's signs and symptoms?

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Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions

Question 1 of 5

A patient is brought to the emergency department by ambulance after stepping in a hole and falling. While assessing him the nurse notes that his right leg is shorter than his left leg; his right hip is noticeably deformed and he is in acute pain. Imaging does not reveal a fracture. Which of the following is the most plausible explanation for this patient's signs and symptoms?

Correct Answer: D

Rationale: Signs and symptoms of a traumatic dislocation include acute pain, change in positioning of the joint, shortening of the extremity, deformity, and decreased mobility. A subluxation would cause moderate deformity, or possibly no deformity. A contusion or strain would not cause obvious deformities.

Question 2 of 5

A patient is to undergo a punch biopsy of a lesion. What should the nurse anticipate when assisting in the collection of this specimen?

Correct Answer: C

Rationale: Local anesthesia is typically administered before a punch biopsy to minimize discomfort.

Question 3 of 5

A patient has a leg wound that has beige exudate and a fishy odor. For which microorganism should the nurse plan care for this patient?

Correct Answer: A

Rationale: Proteus infections are known for producing a fishy odor and beige exudate due to their urease-producing nature, distinguishing them from other listed microorganisms.

Question 4 of 5

The nurse is concerned that a patient is developing a complicated soft tissue bacterial infection. Which assessment finding is most indicative of this condition?

Correct Answer: D

Rationale: Low blood pressure suggests systemic involvement (e.g., sepsis) in a complicated infection, beyond localized symptoms like pain or fever.

Question 5 of 5

A type of burn that affects all the epidermis and part of the dermis:

Correct Answer: B

Rationale: Second-degree burns involve the entire epidermis and part of the dermis, causing blisters.

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