A client is in the hospital after an open reduction of the left forearm. The nurse should monitor the client closely for:
1. excessive sweating distal to the fracture.
2. pallor and decreased capillary refill of the hand.
3. pain relieved by narcotics.
4. bounding pulse in the wrist.
Answer: 2
1. Sweating is not a sign of problems with the fracture.
2. Pallor and decreased capillary refill are signs of compartment syndrome which is a medical emergency.
3. With compartment syndrome, the pain is unrelieved by narcotics.
4. The radial artery is absent with compartment syndrome.
You might also like to view...
A nurse is American-born and works in a large hospital with patients from many cultures. What must this nurse develop to provide the best care?
a. Another language b. Assessment skills c. Cultural competence d. Care planning ability
A nurse is caring for a patient who requires preoperative teaching and who does not speak the same language as the nurse. The nurse best demonstrates a caring demeanor by
1. Speaking more slowly to the patient. 2. Facing the patient when speaking to him or her. 3. Providing the patient with written communication. 4. Arranging for an interpreter or translator to be present.
In orientation, a new graduate is surprised to learn of workplace violence in health care agencies and asks, "What kind of violence is common in hospitals?" The educator describes workplace violence as: (Select all that apply.)
a. care of patients admitted who are victims of domestic violence. b. experienced nurses withholding pertinent information from co-workers to portray them as incompetent. c. co-workers participating in an employee assistance program (EAP) to learn more about anger management for adult children living at home. d. care of persons being held for treatment prior to be incarcerated for committing homicide. e. statements such as "The new nurse has book sense but can't perform an admission physical without the help of everyone on the unit."
While reviewing the laboratory results for a client, the RN notes that pulmonary function test values are as follows: residual volume: 1800 mL; vital capacity: 2300 mL; tidal volume: 275 mL
Identify the nursing action included in the care plan developed by the LPN that the RN would change. a. Increase fluid intake to 3500 mL per day. b. Position the client in the high-Fowler's position. c. Contact the dietitian to arrange for a six-feeding, small-portion diet. d. Increase the oxygen flow rate to 10 L/min by rebreather mask for shortness of breath.