the nurse is preparing communication for a provider the client is experiencing acute pain greater than the severity of the fracture distal to the inju

ATI RN

Multi Dimensional Care | Exam | Rasmusson

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 client just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?

A. "This must be hard news to hear. Tell me more about it."?
B. "I believe you can overcome this because I have seen how strong you are."?
C. "Tomorrow will be better."
D. "What is your biggest fear about this diagnosis?"?

Correct answer: A

Rationale:

3. 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:

4. What is a priority intervention when caring for a client in Buck’s traction?

A. Adjust the size of the traction weights PRN as needed
B. Discontinue the traction once the client has pain relief
C. Ensure the traction weights rest on the floor
D. Assess skin integrity

Correct answer: D

Rationale: The correct answer is to assess skin integrity when caring for a client in Buck’s traction. This is crucial as it helps prevent pressure ulcers and other skin-related complications. Choice A is incorrect because changing the size of the traction weights should be done based on healthcare provider orders, not as needed. Choice B is incorrect because discontinuing traction should be done only under healthcare provider direction, not solely based on pain relief. Choice C is incorrect as allowing the traction weights to rest on the floor is not a priority intervention compared to assessing skin integrity.