Question

A client with a complete, unstable compound fracture of the left leg is in the ER department. The nurse charts that the bone is:

a) Broken into two pieces
b) Splintered into multiple fragments
c) Bent but not broken
d) Partially fractured but still aligned

Question 6369:
Subject: Health
The nurse is caring for a new client admitted with severe soft tissue damage. The nurse anticipates an order for:
a) Antibiotics
b) Pain medication
c) Physical therapy
d) Blood transfusion

Question 6370:
Subject: Health
The nurse is caring for a patient immediately after a below-the-knee amputation. Which data collection should the nurse consider a priority?
a) Assessing the patient's emotional response to the surgery
b) Monitoring blood pressure and heart rate
c) Examining the residual limb for signs of infection
d) Evaluating the patient's dietary preferences

Question 6371:
Subject: Health
When collecting a urinary health history, the nurse inquires regarding the odor of the urine:
a) To assess fluid intake
b) To determine kidney function
c) To identify possible infections
d) To evaluate dietary habits

Question 6372:
Subject: Health
The nurse is working in a long-term care facility. The client is confused and incontinent. The nurse further assesses the client, suspecting:
a) Urinary tract infection
b) Dementia
c) Dehydration
d) Medication side effects

Question 6373:
Subject: Health
The nurse monitors a client getting peritoneal dialysis for signs of peritonitis. Which of the following assessment findings should be reported to the doctor?
a) Clear dialysate drainage
b) Abdominal pain and cloudy dialysate
c) Mild fatigue after the procedure
d) Stable blood pressure

Question 6374:
Subject: Health
The nurse is giving discharge instructions to a client with renal calculi. How can the client prevent them?
a) Increase dietary calcium intake
b) Reduce fluid intake
c) Limit sodium intake
d) Avoid citrus fruits

Question 6375:
Subject: Health
When changing a stoma and it starts leaking urine, what should the nurse recommend?
a) Apply more adhesive to the stoma site
b) Change the ostomy pouch less frequently
c) Adjust the pouching system to ensure a proper fit
d) Use a smaller-sized ostomy pouch




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Answer 1

1. Client with a complete, unstable compound fracture of the left leg: splintered into multiple fragments (Option b).
2. The nurse is caring for a new client admitted with severe soft tissue damage. The nurse anticipates an order for: Antibiotics (Option a)
3. Patient immediately after a below-the-knee amputation. The nurse consider a priority Monitoring blood pressure and heart rate (Option b)
4. When collecting a urinary health history, the nurse inquires regarding the odor of the urine: to identify possible infections (Option c)
5. The nurse is working in a long-term care facility. The client is confused and incontinent. The nurse further assesses the client, suspecting Urinary tract infection (Option a)
6. The nurse monitors a client getting peritoneal dialysis for signs of peritonitis. The assessment findings should be reported to the doctor is Abdominal pain and cloudy dialysate (Option b)
7. The nurse is giving discharge instructions to a client with renal calculi. To prevent renal calculi, the client should Limit sodium intake (Option c)
8. If a stoma starts leaking urine during changing, the nurse should Adjust the pouching system to ensure a proper fit (Option c)

Step-by-step explanation:

An unstable compound fracture typically involves the bone being splintered into multiple fragments (Option b). This type of fracture results in multiple pieces of bone, making it unstable and requiring immediate medical attention.

Severe soft tissue damage might necessitate an order for Antibiotics (Option a) to prevent infection due to compromised tissue integrity.

The priority data collection post-amputation would likely involve Monitoring blood pressure and heart rate (Option b) to ensure the patient's stability and monitor for any immediate complications.

Inquiring about the odor of the urine is important to identify possible infections (Option c) in the urinary system, as certain odors might indicate an underlying infection.

With confusion and incontinence, the nurse might suspect Urinary tract infection (Option a) as a potential cause due to the common association between UTIs and confusion in elderly patients.

Monitoring a client undergoing peritoneal dialysis for signs of peritonitis:

Signs of peritonitis following peritoneal dialysis would include Abdominal pain and cloudy dialysate (Option b), which should be reported to the doctor as they indicate a potential infection.

To prevent renal calculi, the client should Limit sodium intake (Option c), as excessive sodium can contribute to the formation of kidney stones.

Recommendation for a leaking stoma during changing:

If a stoma starts leaking urine during changing, the nurse should Adjust the pouching system to ensure a proper fit (Option c) to prevent leaks and ensure proper adhesion.