a client has sustained an open fracture how can the nurse best prevent osteomyelitis in this client

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client has sustained an open fracture. How can the nurse best prevent osteomyelitis in this client?

A. Administer pain medication
B. Use proper hand hygiene and strict infection control
C. Delegate all client personal care to specific unlicensed assistive personnel
D. Plate the client in contact precautions

Correct answer: B

Rationale:

2. The nurse is preparing communication for a provider. The client is experiencing acute pain greater than the severity of the fracture. Distal to the injury, he is experiencing a 'pins and needles' sensation. The pulse is weak and thready but is bounding on all unaffected extremities. What emergent condition does the nurse suspect?

A. Ischial tuberosity
B. Compartment syndrome
C. Broken arm syndrome
D. Pulmonary embolism

Correct answer: B

Rationale:

3. What complication of wound healing is an abnormal passage that connects two body cavities or a cavity and the skin?

A. Fistula
B. Hemorrhage
C. Evisceration
D. infection

Correct answer: A

Rationale:

4. What nursing intervention is best to improve communication with a hearing-impaired client?

A. Speak slowly and clearly while facing the client
B. Write down the message
C. Talk in a regular voice in the good ear
D. Shout in the impaired

Correct answer: A

Rationale: Speaking slowly and clearly while facing the client improves communication with hearing-impaired clients.

5. 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 client’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.