The nurse is performing an assessment on a client admitted with a fractured left humerus. When the client moves the extremity, the nurse notes the presence of a grating sound. What conclusion can the nurse draw from this data?
A. Bone fragments may be present at the fracture site.
B. Air is trapped beneath the skin of the fracture.
C. Blood is collected at the site of the fracture.
D. An open fracture is evolving.
A
The grating sound heard when the affected part is moved is known as crepitation. This sound is created by bone fragments.
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The moods of adolescents:
a. Are stable b. Vary widely c. Develop slowly d. Are not related to growth and development
Which best describes critical pathways?
A) Determines justifiable differences among clients B) Decreases the amount of paperwork required for reimbursement C) Reduces administrative costs D) Provides a means of standardizing care for clients with similar diagnoses
The nurse is preparing to ambulate an 11-year-old child who has had an appendectomy. In addition to pharmacologic pain management, the nurse can use which nonpharmacologic pain management strategy for this client?
1. A heating pad 2. A warm, moist pack 3. A pillow to splint the incisional area 4. An ice pack
The nurse is caring for patients who have experienced traumatic events. Which should the nurse identify as a goal of care for these patients? (Select all that apply.)
1. Understand symptoms as attempts to cope. 2. Provide regular medication education and monitoring. 3. Collaborate between provider and consumer at all phases of service delivery. 4. Protect patients with a history of trauma from physical harm and re-traumatization. 5. Focus on what has happened to the person rather than what is wrong with the person.