A patient is seen in the clinic complaining of pain in the left wrist. There is no deformity of the wrist, the left radial pulse is strong, and there is no history of a fall or injury. What does the nurse expect to see ordered?
1. an x-ray of both arms to ensure there is no injury present
2. rest and comfort measures for several days unless pain worsens
3. lab work to assess calcium and phosphorus levels
4. a computerized tomography (CT) scan of the wrist to check for soft tissue injury
Correct Answer: 2
Based on the history and objective findings, there is not a present need to order x-rays or lab work. A CT scan of a wrist is not expected. Initially, rest and comfort measures are best to see if the pain resolves. If the pain persists over several days or if other signs and symptoms emerge, a more aggressive approach would be expected.
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