The nurse is contributing to the plan of care for a patient who has a bone fracture that is splintered or shattered into numerous fragments. Which of the following describes this type of fracture?
a. Avulsion
b. Greenstick
c. Comminuted
d. Impacted
ANS: C
A bone splintered or shattered into numerous fragments is a comminuted fracture that often occurs in crushing injuries.
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The nurse is updating a care plan for a 65-year-old patient just admitted to the unit for uncontrolled blood glucose associated with type 2 diabetes. The patient has had diabetes for 5 years
While the nurse is obtaining a health history, the patient confides that he experiences erec-tile dysfunction. Select the best nursing diagnosis to add to the plan of care. a. Noncompliance related to ineffective control of blood glucose, as evidenced by erectile dysfunction and loss of libido b. Activity intolerance related to chronic disease processes secondary to type 2 di-abetes, as evidenced by erectile dysfunction c. Body image disturbance related to erectile dysfunction, as evidenced by the pa-tient's complaints of loss of libido d. Sexual dysfunction related to microvascular changes secondary to type 2 di-abetes, as evidenced by erectile dysfunction
An older adult diabetic patient is mildly hypertensive. The nurse prepares to educate the patient regarding angiotensin II–blocking agents. These drugs are especially useful in older adults be-cause they
a. protect the kidney's function. b. have a well-defined therapeutic window. c. are more effective than other drugs in the same class. d. can be given when liver function is com-promised.
After auscultating a patient's heart sounds and measuring vital signs, the nurse determines that which of the following assessment findings needs additional assessment?
1. split of S2 2. bounding, vigorous pulse 3. pulse pressure of 30 to 40 mm hg 4. apical pulse of 60 to 80
A student nurse is assisting with the care of a 50-year-old man who is being treated in the emergency department for hypothermia. The student asks the charge nurse why the patient is having his heart monitored. How should the nurse best respond?
a. Infusing intravenous (IV) fluids rapidly raise blood pressure (BP) and heart rate. b. Adrenal output of epinephrine increases in response to cold stress. c. Lactic acid from pooled blood in the ex-tremities shunts back to the heart. d. The warming process causes vasodilation.