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Exam (elaborations)

EAQ with NGN Question and answers correctly solved

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  • Module
  • Musculoskeletal
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  • Musculoskeletal

EAQ with NGN Question and answers correctly solved 1. 1300: Client is a 16-year-old male who arrived in the emergency department (ED) with reports of acute, severe pain in left lower extremity. The client also states that he cannot feel his toes on his left foot. Client was involved in a motorcy...

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Document information

  • August 18, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • eaq with ngn
  • eaq with ngn question and answers correctly solve

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  • Musculoskeletal
  • Musculoskeletal

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EAQ with NGN: Musculoskeletal
1. 1300:
Client is a 16-year-old male who arrived in the emergency department (ED)
with reports of acute, severe pain in left lower extremity. The client also states
that he cannot feel his toes on his left foot. Client was involved in a motorcycle
accident 2 days prior and sustained multiple fractures in the left leg. He was
treated in the ED with a bone reduction and immobilization with a temporary
cast placed on his left lower leg. Client was instructed to follow up with the
orthopedic surgeon next week, but because of the increased pain and
numbness he came into the ED for treatment. No significant medical history
noted.


Vital signs:
Temperature: 98.6°F (37°C)
Heart rate: 108 beats/min
Respiratory rate: 18 breaths/min
Blood pressure: 130/70 mm Hg
Pulse oximetry reading of 96%


1300:
Removed the temporary cast on the left lower extremity per prescription and
completed an admission assessment. Client alert and ori - correct answer
✔The nurse is preparing a plan of care for the client.


Potential complications:
Compartment syndrome


Actions to take:

, -prepare for a surgical decompression
-notify healthcare provider immediately


Parameters to monitor:
-neurovascular changes
-pain intensity


2. 1100:
A 32-year-old female client is admitted to the emergency department reporting
acute pain in the right upper arm. The client reports that she was roller skating
with her children when she felt herself lose balance, and she landed on her
right arm. She denies hitting her head or losing consciousness.


The client reports pain 9/10 in the right arm. She uses her left arm to hold her
right arm still against her chest. The right upper arm appears swollen and
bunched up compared with the left arm. The right upper arm is purple. She
reports of numbness and tingling in her right fingers.


1115:
Physical assessment performed. Reviewed the client's medical history and
current medications. Client is alert and oriented and demonstrating signs of
pain and anxiety. She denies any previous significant medical problems. She
had two vaginal deliveries 8 and 10 years ago. She had an intrauterine device
inserted 6 months ago wi - correct answer ✔The nurse is preparing to
complete a physical assessment on the client.


-The nurse would assess vital signs as a way to measure the client's general
status, and [sensation], [capillary refill], and [finger movement] to assess
perfusion to the injured arm.

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