Application of RICE (rest, ice, compression, and elevation) is indicated for initial management of which type of injury?

Correct Answer: B

Rationale: The correct answer is B) Sprains and strains. RICE (rest, ice, compression, and elevation) is a standard protocol for the initial management of acute injuries like sprains and strains. Rest helps prevent further damage and allows the body to begin the healing process. Ice reduces pain, inflammation, and swelling by constricting blood vessels. Compression helps control swelling and provides support to the injured area. Elevation reduces swelling by aiding in the drainage of excess fluid. Option A) Muscle spasms do not typically require RICE as they are more related to muscle contractions and not acute injuries requiring the same level of management. Option C) Repetitive strain injury is a chronic overuse injury that may require rest and activity modification but does not typically call for the immediate RICE protocol. Option D) Dislocations and subluxations are more severe injuries that typically require immediate medical attention and possible reduction techniques, rather than just RICE. In an educational context, understanding the application of RICE is crucial for nurses and healthcare professionals in managing acute injuries effectively. Knowing when to implement this protocol can help promote optimal recovery and prevent further complications in patients with sprains and strains.

Correct Answer: B

Rationale: In this NCLEX question on the neurological system, the correct answer is B) "When I begin to feel better." This response indicates a misunderstanding of the discharge teaching. Here's the detailed rationale: Correct Answer (B): The statement "When I begin to feel better" suggests that the patient plans to stop the treatment or follow-up care once they start feeling improved. This response is incorrect because neurological conditions often require ongoing management and adherence to treatment regimens even when symptoms improve. This highlights the importance of emphasizing the need for continuity in care and following through with the prescribed treatment plan. Incorrect Answers: A) "It is important for me to avoid exposure to people with upper respiratory infections": This statement shows an understanding of the importance of infection control measures to prevent complications, which is relevant to neurological conditions that may be exacerbated by infections. Therefore, this is a correct statement and does not indicate a need for additional instruction. C) "I should stop taking the prednisone to prevent side effects": Stopping prednisone suddenly can lead to adverse effects and complications. Patients should be advised on proper tapering schedules and the importance of not discontinuing medications abruptly to prevent rebound symptoms or side effects. This response is incorrect and could lead to harm. D) "I plan to use vitamin supplements and a high-protein diet to help manage my condition": While nutrition and supplements can play a supportive role in managing certain conditions, solely relying on these measures without following the prescribed medical treatment can be detrimental. This response indicates a lack of understanding of the primary treatment plan and the necessity of medical interventions in managing neurological conditions. Educational Context: This question underscores the importance of patient education and the nurse's role in ensuring that patients comprehend and adhere to their treatment plans. It highlights the potential consequences of misconceptions or non-adherence to medical advice in the context of neurological conditions. Nurses must provide clear, concise, and repeated instructions to facilitate patient understanding and promote optimal outcomes in managing neurological disorders.

Correct Answer: C

Rationale: In this NCLEX question regarding the type of loss being recognized by the nurse, the correct answer is C) Normal forgetfulness. Educational Rationale: 1. Correct Answer: Normal Forgetfulness Normal forgetfulness is a common occurrence in individuals of all ages. It is characterized by occasional lapses in memory such as forgetting names, where you placed your keys, or an appointment time. It is considered part of the normal aging process and is not indicative of a serious neurological condition. 2. Incorrect Answers: A) Delirium: Delirium is a sudden state of confusion and altered consciousness. It is often caused by an underlying medical condition, medication side effects, or drug intoxication. B) Memory loss in AD: Memory loss in Alzheimer's Disease (AD) is progressive and severe, affecting multiple cognitive functions beyond just forgetfulness. D) Memory loss in mild cognitive impairment: Mild Cognitive Impairment (MCI) is a condition that falls between normal age-related cognitive decline and dementia. Memory loss in MCI is more pronounced and consistent compared to normal forgetfulness. Educational Context: Understanding the differences between normal forgetfulness, delirium, memory loss in Alzheimer's Disease, and memory loss in mild cognitive impairment is crucial for nurses caring for patients with neurological conditions. Recognizing the subtle distinctions between these conditions can help nurses provide appropriate care, support, and interventions tailored to the individual's needs. This knowledge is essential for the accurate assessment and management of patients experiencing cognitive changes.

Correct Answer: A

Rationale: Rationale: The correct answer is option A) The fracture heals in an unsatisfactory position. Malunion is a complication that occurs when a fracture heals in a position that is not anatomically correct or functional. In this case, the fractured femur has healed in a way that results in misalignment or improper positioning, leading to potential long-term consequences such as altered limb function, pain, and decreased mobility. Option B) The fracture fails to heal properly despite treatment is incorrect because malunion specifically refers to a situation where the fracture does heal, but in an unsatisfactory position. It is not about the failure of the fracture to heal at all. Option C) Fracture healing progresses more slowly than expected is incorrect as it describes delayed union, which is a separate complication where the fracture takes longer to heal than normal, but does not necessarily result in malalignment. Option D) Loss of bone substances occurs as a result of immobilization is incorrect because it describes disuse osteoporosis, a condition where bone loss occurs due to lack of weight-bearing activity, rather than the specific complication of malunion. In an educational context, understanding complications like malunion is crucial for nurses caring for patients with fractures. Recognizing the signs and symptoms of malunion can prompt timely interventions such as surgical correction to optimize outcomes and prevent long-term complications associated with improper bone healing. This knowledge is essential for providing comprehensive and effective care to patients with musculoskeletal injuries.

Correct Answer: A

Rationale: In the context of NCLEX questions on the neurological system, understanding the types of hip fractures and their respective treatments is crucial. The correct answer is A) Intracapsular. Intracapsular hip fractures occur within the capsule of the hip joint and are often repaired with a hip prosthesis due to the compromised blood supply to the femoral head. This type of fracture typically affects the neck of the femur. Extracapsular (Option B), subtrochanteric (Option C), and intertrochanteric (Option D) hip fractures involve areas outside the hip joint capsule. Extracapsular fractures occur below the neck of the femur, while subtrochanteric fractures occur just below the lesser trochanter, and intertrochanteric fractures happen between the greater and lesser trochanters. These fractures are usually treated with other methods such as internal fixation devices like screws, plates, or nails. Understanding the specific characteristics and treatments for each type of hip fracture is crucial for nurses as they care for patients with these injuries. It helps in providing appropriate care, understanding postoperative management, and recognizing potential complications. This knowledge also aids in patient education and rehabilitation guidance post-surgery.