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Exam (elaborations)

nsb236 terms Questions and Correct Answers the Latest Update

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The second day after admission with a fractured pelvis, a 64-year-old patient suddenly develops confusion. Which action should the nurse take first? Check the oxygen saturation. A 42-year-old patient is admitted to the emergency department with a left femur fracture. Which information obtain...

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  • November 7, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NSB236
  • NSB236
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nsb236 terms Questions and Correct
Answers the Latest Update
The second day after admission with a fractured pelvis, a 64-year-old patient

suddenly develops confusion. Which action should the nurse take first?


✓ Check the oxygen saturation.



A 42-year-old patient is admitted to the emergency department with a left

femur fracture. Which information obtained by the nurse is most important to

report to the health care provider?


✓ Slow capillary refill of the left foot



A patient undergoes a left above-the-knee amputation with an immediate

prosthetic fitting. When the patient arrives on the orthopedic unit after surgery,

the nurse should


✓ check the surgical site for hemorrhage.



Before assisting a patient with ambulation 2 days after a total hip replacement,

which action is most important for the nurse to take?


✓ Administer the ordered oral opioid pain medication.



When assessing for Tinel's sign in a patient with possible right-sided carpal

tunnel syndrome, the nurse will ask the patient about

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✓ tingling in the right thumb and fingers.



Which action will the urgent care nurse take when caring for a patient who has

a possible knee meniscus injury?


✓ Apply a knee immobilizer to the affected leg.



Which finding in a patient with a Colles' fracture of the left wrist is most

important to communicate to the health care provider?


✓ Capillary refill to the fingers is prolonged.



Which information obtained by the nurse about a 29-year-old patient with a

lumbar vertebral compression fracture is most important to report to the

health care provider?


✓ Patient has been incontinent of urine and stool.



When a patient arrives in the emergency department with a facial fracture,

which action will the nurse take first?


✓ Use a cervical collar to stabilize the spine



After change-of-shift report, which patient should the nurse assess first?


✓ Patient with right femoral shaft fracture whose thigh is swollen and ecchymotic




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When caring for a patient who is using Buck's traction after a hip fracture,

which action can the nurse delegate to unlicensed assistive personnel (UAP)?


✓ Ensure that the weight for the traction is off the floor.



Based on the information shown in the accompanying figure and obtained for a

patient in the emergency room, which action will the nurse take first?


✓ Check the patient's oxygen saturation using pulse oximetry.



The nurse suspects an ankle sprain when a patient at the urgent care center

relates


✓ twisting his ankle while running bases during a baseball game.



The nurse explains to a patient with a fracture of the distal shaft of the humerus

who is returning for a 4-week checkup that healing is indicated by


✓ formation of callus.



A patient with a comminuted fracture of the tibia is to have an open reduction

with internal fixation (ORIF) of the fracture. The nurse explains that ORIF is

indicated when


✓ adequate alignment cannot be obtained by other nonsurgical methods.



An indication of a neurovascular problem noted during assessment of the

patient with a fracture is
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