NUR233: Exam 2- Davis Questions With Correct Answers.
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Course
Nurs 233
Institution
Nurs 233
NUR233: Exam 2- Davis Questions With
Correct Answers.
You enter the room of a 75-year-old male client, Bob, admitted with a diagnosis of left femur
fracture who is in skeletal traction. Bob fell off a ladder at his home. He is going into surgery in
12 hours for an open reduction internal fixati...
Client's history of traumatic injury - answer✔gender
You are completing your shift assessment on Bob. He states there is a soreness and moderate
pain in the right calf under the sequential compression device (SCD). You gently palpate the
right calf and note hardening along the blood vessel and warmer skin than that of the left calf.
What action should the nurse take next?
Perform a visual assessment.
Gently massage the left calf.
Assist the client with range of motion exercises.
Review the client's medication list. - answer✔prefrom a visual assessment
A thorough assessment needs to take place before contacting the provider. Direct visualization is
required. You would not massage the leg, nor assist the client with range of motion exercises.
Both options are contraindicated nursing actions. You may review the client's medication list, but
this would not be the priority action.
You remove Bob's sequential compression device (SCD) from the right leg to continue the
assessment. Which finding is most concerning?
A positive Homan's sign
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