Nokea
A client has been prescribed nonsteroidal anti-inflammatory medications for treatment of carpal tunnel syndrome. What should the nurse be sure to include when educating the client about taking this medication?
- A. Take the medication on an empty stomach to assist in faster absorption.
- B. Take the medication with food.
- C. The medication may cause drowsiness, so do not operate machinery or drive a vehicle.
- D. The dosage may be exceeded if pain is not relieved by the prescribed dose.
Correct Answer: B
Rationale: If the client is taking NSAIDs, the nurse stresses to take these medications with food. The most common adverse effects of NSAIDs are related to the gastrointestinal tract. The medication should not be taken on an empty stomach and taking it that way does not cause more rapid absorption. The medication does not generally cause drowsiness, and the dosage should never be exceeded.
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A client is admitted to the emergency department after being hit by a car while riding a bicycle. The client sustained a fracture of the left femur, and the bone is protruding through the skin. What type of fracture does the nurse recognize requires emergency intervention?
- A. Compound
- B. Greenstick
- C. Oblique
- D. Spiral
Correct Answer: A
Rationale: A compound fracture is a fracture in which damage also involves the skin or mucous membranes with the risk of infection great. A greenstick fracture is where one side of the bone is broken and the other side is bent; it does not protrude through the skin. An oblique fracture occurs at an angle across the bone but does not protrude through the skin. A spiral fracture twists around the shaft of the bone but does not protrude through the skin.
A client has delayed bone healing in a fractured right humerus. What should the nurse prepare the client for that promotes bone growth?
- A. Electrical stimulation
- B. Administration of low-dose heparin
- C. Joint fusion
- D. Administration of antibiotics
Correct Answer: A
Rationale: Delayed union may require surgical interventions to promote bone growth and correct the incorrect union. If necessary, prepare the client for use of electrical stimulation measures that promote bone growth, or for a bone graft. Administration of low-dose heparin would be used to prevent pulmonary embolism. Joint fusion may be used in the case of avascular necrosis. Administration of antibiotics would be used for the potential of infection or to treat an actual infection.
The nurse is caring for a client with a fracture. Which assessment would take priority?
- A. Neurovascular compromise
- B. Hormonal imbalances
- C. Cardiac problems
- D. Altered kidney function
Correct Answer: A
Rationale: When caring for a client with a fracture, the nurse assesses for the neurovascular compromise. A fracture or a treatment for fracture is not known to lead to hormonal imbalances, cardiac problems, or an altered kidney function.
A client has a history of dislocations of the same joint. The nurse understands that this is most likely due to an insufficient deposit of collagen during the healing process leading to what complication?
- A. Loss of function
- B. Allergic reaction
- C. Lack of mobility
- D. Reduced tensile strength
Correct Answer: D
Rationale: A possible complication of dislocation during the healing process involves an insufficient deposit of collagen during the repair stage. The end result is that the ligaments may have reduced tensile strength and future instability, leading to recurrent dislocations of the same joint. An insufficient deposit of collagen does not lead to a loss of function necessarily, allergic reaction, or a complete lack of mobility.
A client has had surgery to repair a fractured hip. What intervention is important for the nurse to perform when turning the client from side to side?
- A. Place abductor pillows between the legs
- B. Place 2 pillows between the legs
- C. Place 6 to 8 pillows between the legs
- D. Have client put weight on the operated side
Correct Answer: A
Rationale: The nurse places abductor pillows between the client's legs when turning the client from side to side to avoid dislocating the hip. Regular pillows do not provide the support required to avoid a dislocation. The client should not bear weight on the operated side immediately after surgery.