a client has a fractured right arm which of these should the nurse complete first

ATI RN

Multi Dimensional Care | Final Exam

1. A client has a fractured right arm. What should the nurse do first?

A. Apply ice to the fracture site
B. Administer pain medications
C. Remove the clientâ€™s bracelet and rings from the right arm
D. Send the client to radiology for an x-ray

Correct answer: C

Rationale: The nurse should first remove the client's bracelet and rings from the right arm. This action is crucial to prevent complications such as swelling and restricted blood flow, which could worsen the condition. Applying ice, administering pain medications, and sending the client for an x-ray are important steps but should come after ensuring the client's jewelry is removed to avoid any further issues.

2. The nurse educates a client about how to reduce their risk for osteoporosis. Which of these statements by the nurse is correct? (Select all that apply)

A. You can decrease your risk of osteoporosis by avoiding vitamin D.
B. You can decrease your risk of osteoporosis by reducing caffeine intake.
C. You can decrease the risk of osteoporosis by decreasing alcohol intake.
D. You can decrease your risk of osteoporosis by reducing protein intake.

Correct answer: B

Rationale: Reducing caffeine and alcohol intake, and quitting smoking can help decrease the risk of osteoporosis.

3. What is the likely reason that a client with acquired immunodeficiency syndrome (AIDS) would succumb to pneumonia while a healthy person exposed to the same infection did not?

A. The client with AIDS is a susceptible host
B. The client with AIDS has greater immune defenses
C. The client with AIDS was not as careful
D. The client with AIDS has more portals of entry

Correct answer: A

Rationale:

4. A nurse working in an orthopedic unit is caring for 4 clients. Which of the following clients should the nurse identify as being at highest risk for skin breakdown?

A. An adolescent who has a patella fracture and is in an immobilizer
B. A young adult who has a femur fracture and is going to surgery in two hours
C. A middle-aged adult who has fractured his radius and has a cast
D. An older adult who has a hip fracture and is immobile

Correct answer: D

Rationale:

5. What occurs during stage three of bone healing?

A. Consolidation
B. Callus formation
C. Granulation formation
D. Hematoma formation

Correct answer: B

Rationale: During stage three of bone healing, callus formation occurs. This process involves the formation of a soft callus made of collagen and cartilage, which bridges the gap between bone fragments. Choice A, consolidation, typically happens in later stages and involves the hardening of the callus into mature bone. Choices C and D are incorrect as granulation formation and hematoma formation occur in earlier stages of bone healing, specifically stages one and two, respectively.