What intervention should the nurse implement first when a client with a fractured femur has 'globs' floating in the urinal?

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Chapter 4 Skin and the Integumentary System Review Questions Questions

Question 1 of 5

What intervention should the nurse implement first when a client with a fractured femur has 'globs' floating in the urinal?

Correct Answer: A

Rationale: Fat emboli can cause respiratory distress and altered mental status, necessitating immediate assessment.

Question 2 of 5

Which information should the nurse teach the client regarding sports injuries?

Correct Answer: D

Rationale: Immobilization and elevation reduce swelling and promote healing in the first 48 hours post-injury.

Question 3 of 5

The client is complaining of left shoulder pain. Which intervention should the nurse implement first?

Correct Answer: A

Rationale: Assessing neurovascular status first ensures no underlying circulatory or nerve issues (e.g., from injury or referred pain) are present, which could require urgent intervention before addressing pain.

Question 4 of 5

The client is scheduled for laser-assisted in situ keratomileusis (LASIK) surgery for severe myopia. Which instruction should the nurse discuss prior to the client's discharge from day surgery?

Correct Answer: D

Rationale: Corticosteroid drops reduce inflammation and promote healing post-LASIK, a key discharge instruction for this outpatient procedure.

Question 5 of 5

The student nurse asks the nurse,"Which type of hearing loss involves damage to the cochlea or vestibulocochlear nerve?" Which statement is the best response of the nurse?

Correct Answer: D

Rationale: Sensorineural hearing loss involves damage to the cochlea or vestibulocochlear nerve, distinguishing it from conductive and other types of hearing loss.

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