NCLEX-RN
RN NCLEX Questions for Musculoskeletal Disorders Questions
Extract:
The following scenario applies to the next 1 items
The nurse in the emergency department (ED) is caring for a 17-year-old male client.
Item 1 of 1
History and Physical
1722: The client has had an external fixation on the left wrist for the past two weeks. Today, he noticed swelling, increased pain, fever, and reports purulent drainage from the pin sites. The client reports poor adherence to performing pin care at home. On exam, the client is febrile and has an oral temperature of 103.4° F (39.7° C). The left wrist is erythemic, swollen, and tender to the touch.
Question 1 of 5
The nurse has reviewed the history and physical. For each potential intervention, click to specify whether the intervention is indicated or not indicated for the client.
| Potential Interventions | Indicated | Not Indicated |
|---|---|---|
| Obtain a prescription for an antibiotic | ||
| Culture the pin sites | ||
| Apply a pressure dressing over the pins | ||
| Obtain a prescription for analgesia | ||
| Position the client's wrist so it is extended |
Correct Answer: A: Indicated, B: Indicated, C: Not Indicated, D: Indicated, E: Not Indicated
Rationale: A: Antibiotics treat infection suggested by fever and drainage. B: Cultures identify the organism. C: Pressure dressings may damage pins or tissue. D: Analgesia addresses pain. E: Extension may worsen swelling and pain.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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