Nursing Elites

1. 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:

2. A nurse is caring for a client who is post-operative following an open reduction internal fixation (ORIF) of a femur fracture. What is NOT included in the evaluation of the neurovascular status of the client's affected extremity?

• A. Color
• B. Temperature
• C. Sensation
• D. Skin integrity

Correct answer: D

Rationale:

3. A client is recovering from a fractured radius that occurred 7weeks ago. Which state of bone healing occurs at this time as the callus is restored and transformed into bone?

• A. Stage 3
• B. Stage 5
• C. Stage 1
• D. Stage 4

Correct answer: D

Rationale:

4. The nurse is performing a psychosocial assessment on a client with a severe rheumatoid arthritis. What would be the most appropriate statement by the nurse?

• A. "Tell me about what medication you are taking"?
• B. "What physical limitations are you experiencing?"?
• C. "How does this impact your role in your family?"?
• D. "What therapies are you using to reduce swelling?"?

Correct answer: C

Rationale:

5. Which finding is not typically associated with inflammation in a client?

• A. Pain
• B. Heat
• C. Polyuria
• D. Erythema

Correct answer: C

Rationale: Polyuria is excessive urination and is not a typical assessment finding in inflammation. Inflammation commonly presents with pain (A), heat (B), and erythema (D) which are classic signs of an inflammatory response. Pain results from the release of inflammatory mediators, heat is due to increased blood flow, and erythema is caused by vasodilation and increased blood flow to the area. Polyuria is more likely associated with conditions such as diabetes or renal issues, rather than inflammation.

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