a client is experiencing numbness and tingling distal to a new arm cast with no increase in pain the nurse assesses that the clients fingers are pale

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client is experiencing numbness and tingling distal to a new arm cast with no increase in pain. The nurse assesses that the client's fingers are pale, cool and swollen. What action does the nurse take next?

A. Remove the cast to decrease pressure
B. Raise the arm above the level of the heart
C. Apply heat to the affected hand
D. Encourage range of motion

Correct answer: B

Rationale:

2. What may be a cause of conductive hearing loss?

A. Prolonged exposure to loud noises
B. Medications
C. Presbycusis
D. Otitis media

Correct answer: D

Rationale: Otitis media can cause conductive hearing loss by affecting the middle ear.

3. What is a sign of inadequate perfusion?

A. Intact sensation
B. Pallor in toes
C. Bounding pulses
D. Pink fingers

Correct answer: B

Rationale:

4. Unlicensed assistive personnel (UAP) is assisting a client in traction. Which of these actions requires immediate intervention?

A. The unlicensed assistive personnel carefully lower the traction weights to hang freely
B. The unlicensed assistive personnel provides small pillows to cushion the unaffected extremities
C. The UAP carefully empties the indwelling catheter bag
D. The UAP shows the client how to use the call light

Correct answer: A

Rationale: The correct answer is A because traction weights should hang freely to maintain their effectiveness. Choice B is incorrect because providing pillows to cushion unaffected extremities is appropriate. Choice C is also incorrect as emptying the catheter bag is a routine nursing task. Choice D is incorrect as teaching the client to use the call light promotes client safety.

5. What is the priority nursing diagnosis after surgery to repair a fracture?

A. Disturbed body image
B. Risk for infection
C. Risk for impaired skin integrity
D. Acute pain

Correct answer: B

Rationale: The correct answer is B: Risk for infection. After surgery to repair a fracture, the priority nursing diagnosis is to monitor for the risk of infection to promote proper healing. Infections can significantly delay the healing process and lead to further complications. Choices A, C, and D are not the priority immediately post-surgery. Disturbed body image, risk for impaired skin integrity, and acute pain may be concerns but are not the priority in the immediate post-operative period following fracture repair.