A 42-year-old patient is admitted to the emergency department with a left femur fracture. Which information obtained by the nurse is most important to report to the health care provider?

a. Ecchymosis of the left thigh
b. Complaints of severe thigh pain
c. Slow capillary refill of the left foot
d. Outward pointing toes on the left foot


ANS: C
Prolonged capillary refill may indicate complications such as arterial damage or compartment syndrome. The other findings are typical with a left femur fracture.

Nursing

You might also like to view...

While providing a hospital tour, the perinatal nurse shows the compact disc player stored in the birthing room. The nurse explains that music is encouraged during labor because it does which of the following? (Select all that apply.)

A. Decreases the production of catecholamines B. Increases maternal distraction C. Increases maternal oxygen demands D. Increases the production of endorphins E. Increases the woman's ability to focus

Nursing

The nurse understands that the professional liability insurance provided by the hospital where he works is a claims-made policy. Which claim would the nurse expect this policy to cover?

1. A claim that was filed 3 months after the hospital purchased the policy 2. A claim that was filed while the hospital and insurance company were negotiating about the policy 3. A claim filed for an event that occurred during the coverage period that was filed after the hospital changed carriers 4. Any claim filed as long as it was within 30 days of the end of the policy

Nursing

A patient with an inflammatory response is prescribed ranitidine (Zantac) 75 mg once a day. What is your best action?

a. Give the drug as ordered. b. Hold the drug and notify the prescriber. c. Teach the patient to take the drug first thing in the morning. d. Ask the patient if he or she is allergic to any drugs or other substances.

Nursing

In working with parents who have just learned that their child has a hearing loss, the nurse will realize that before working on the goal of promoting the child's communication, the nurse must do which of the following?

a. Explain everything about all the various causes of hearing loss to the parents. b. Get the parents to accept that they are not to blame for the child's loss of hearing. c. Help the family to realize that their child is not the only child who ever suffered hearing loss. d. Assist the caregivers to accept and adapt to the impairment and go through the grieving process.

Nursing