A nurse notes crepitation when performing range-of-motion exercises on a client with a fractured left humerus. Which action should the nurse take next?
a. Immobilize the left arm.
b. Assess the client's distal pulse.
c. Monitor for signs of infection.
d. Administer prescribed steroids.
ANS: A
A grating sound heard when the affected part is moved is known as crepitation. This sound is created by bone fragments. Because bone fragments may be present, the nurse should immobilize the client's arm and tell the client not to move the arm. The grating sound does not indicate circulation impairment or infection. Steroids would not be indicated.
You might also like to view...
A weak, rapid pulse; profuse perspiration; and slower pupil response to light are indications of
a. An impending heart attack b. Impending diabetic coma c. Impending death d. Impending cerebrovascular accident
Home care provides nursing challenges involving short- and/or long-term services for children and families. Which of the following best describes the focus of home care?
A) Coordinating professional services in the home B) Meeting the child's needs and involving the family C) Enlisting support from community resources D) Educating the family on caring and coping
How should the nurse communicate with a toddler?
1. Talk to the child as an adult so as not to baby the child. 2. Speak only to the parents because small children are not capable of communicating their needs. 3. Use both verbal and nonverbal techniques to adequately assess the child. 4. Allow the parents to communicate for the child.
When teaching a mother to care for her newborn's umbilical cord, which of the following instructions would you include?
A) Keeping it dry B) Washing it with soap and water C) Applying petroleum jelly to it daily D) Covering it with dry gauze