An older client is admitted after falling while walking. The left leg is externally rotated and shorter than the right leg, and the client is having severe pain and tingling in the left foot. The nurse is unable to palpate the left pedal pulses. Which action is most important for the nurse to implement?

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Question 1 of 5

An older client is admitted after falling while walking. The left leg is externally rotated and shorter than the right leg, and the client is having severe pain and tingling in the left foot. The nurse is unable to palpate the left pedal pulses. Which action is most important for the nurse to implement?

A. Use a doppler to assess bilateral pedal pulses B. Administer pain medication to relieve discomfort. C. Position the client’s left leg in a neutral position to reduce pain. D. Immobilize the left leg to prevent further injury.

Correct Answer: A

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

Question 2 of 5

An older woman who experienced a cerebrovascular accident (CVA) has difficulty with visual perception and she only eats half of the food on her meal tray. Her family expresses concern about her nutritional status. How should the nurse respond to the family's concern?

A. Encourage the family to offer to feed the client when she does not eat her entire meal. B. Suggest that the family bring foods from home that the client enjoys C. Explain that weight loss will be reversed after the acute phase of the stroke has ended. D. Demonstrate the use of visual scanning during meals to the client and family.

Correct Answer: D

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

Question 3 of 5

A client with an acute exacerbation of rheumatoid arthritis (RA) has localized pain and inflammation of the fingers and feet; swelling, redness, and restricted joint motion; and reports feeling fatigued. Which nursing diagnosis has the highest priority for this client?

A. Pain related to joint inflammation B. Impaired physical mobility. C. Risk for infection. D. Disturbed sleep pattern.

Correct Answer: A

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

Question 4 of 5

A 70-year-old male client with type 2 diabetes mellitus (DM) is hospitalized with an infected ulcer on his great right toe. Which instruction should the nurse emphasize during discharge teaching?

A. Check the insides and linings of all enclosed shoes before putting the shoes on B. Wash the feet with soap and water, then apply a topical antibiotic ointment. C. Trim toenails weekly to prevent injury. D. Avoid wearing sandals or open-toed shoes.

Correct Answer: A

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

Question 5 of 5

An adult client is admitted with flank pain and is diagnosed with acute pyelonephritis. What is the priority nursing action?

A. Auscultate for presence of bowel sounds. B. Monitor hemoglobin and hematocrit C. Encourage turning and deep breathing D. Administer IV antibiotics as prescribed.

Correct Answer: D

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

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