The nurse is caring for a patient after a motorcycle accident. He broke his left arm and right leg, both of which are in casts. An IV line is infusing in his right hand; the patient complains that his left hand is cool. Which of the following findings reported by the NAP would indicate the need for further assessment?

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Question 1 of 5

The nurse is caring for a patient after a motorcycle accident. He broke his left arm and right leg, both of which are in casts. An IV line is infusing in his right hand; the patient complains that his left hand is cool. Which of the following findings reported by the NAP would indicate the need for further assessment?

Correct Answer: D

Rationale: A left radial pulse of 1+ strength (weak) combined with a cool hand suggests possible circulatory compromise (e.g., arterial occlusion or cast pressure) in the injured arm, warranting further assessment. The other findings are within normal limits (temp 36.2°C, HR 92, BP 118/84).

Question 2 of 5

The Fowler's position is most commonly used for patients who:

Correct Answer: B

Rationale: Fowler’s (head elevated 45-60°) aids breathing by expanding the chest, ideal for dyspnea. Prone (A) is face-down, unconscious patients (C) may need lateral, and surgery (D) uses supine.

Question 3 of 5

An enema is typically given to:

Correct Answer: A

Rationale: Enemas stimulate bowel evacuation for constipation. They don’t affect urination (B), blood pressure (C), or infections (D).

Question 4 of 5

The purpose of using gloves during patient care is to:

Correct Answer: B

Rationale: Gloves maintain sterility and protect against pathogens. They don’t avoid touch (A), speed up (C), or limit PPE (D).

Question 5 of 5

The primary purpose of bed bathing is to:

Correct Answer: B

Rationale: Bed bathing ensures hygiene and comfort. Bed appearance (A), workload (C), or infection-only (D) isn’t the primary goal.

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