Nokea
An elderly female is admitted with a fractured right femoral neck. Which clinical manifestation would the nurse expect to find?
- A. Free movement of the right leg
- B. Abduction of the right leg
- C. Internal rotation of the right hip
- D. Shortening of the right leg
Correct Answer: D
Rationale: A femoral neck fracture typically causes shortening of the affected leg due to muscle contraction pulling the bone fragments together, along with external rotation and limited movement.
You may also like to solve these questions
A child with achondroplasia will likely have which of the following physical characteristics?
- A. alopecia, failure to thrive, small face, recessed jaw
- B. enlarged hands and feet, skull expansion at fontanelle, enlarged tongue
- C. poor muscle tone, slanted eyes, single palmar crease
- D. dwarf stature, short fingers and toes, short proximal limbs
Correct Answer: D
Rationale: Achondroplasia causes dwarfism, short fingers/toes, and short proximal limbs due to impaired cartilage growth.
The charge nurse in a cardiac ICU is precepting a student nurse. Which action by the student nurse requires immediate intervention by the charge nurse?
- A. The student nurse stops the tube feeding to measure residual.
- B. The student nurse lifts the urinary catheter bag up and over the client while turning her.
- C. The student nurse scans the client armband and the medication barcode when administering medication.
- D. The student nurse observes two other nurses verifying and administering blood to the client while the student nurse records the vital signs just prior to administration.
Correct Answer: B
Rationale: Lifting the urinary catheter bag above the bladder risks backflow of urine, increasing infection risk, and requires immediate intervention.
A client with otosderosis is scheduled for a stapedectomy. Which finding suggests a complication involving the seventh cranial nerve?
- A. Diminished hearing
- B. Sensation of fullness in the ear
- C. Inability to move the tongue side to side
- D. Changes in facial sensation
Correct Answer: D
Rationale: The seventh cranial (facial) nerve controls facial movements and sensation; changes in facial sensation post-stapedectomy suggest nerve involvement.
The nurse is providing instruction to a client's family regarding home safety with thrombocytopenia. Which statement by the client's family indicates a need for further education?
- A. He should use an electric razor for shaving instead of a razor.
- B. We will use soft-bristled toothbrushes or tooth sponges for oral care.
- C. He can no longer take aspirin or aspirin-containing products for a headache.
- D. We should put rugs down on the hardwood floors to prevent his feet from getting cold.
Correct Answer: D
Rationale: Rugs pose a tripping hazard, increasing bleeding risk in thrombocytopenia. Other statements reflect safe practices to minimize bleeding.
The physician has prescribed Cobex (cyanocobalamin) for a client following a gastric resection. Which lab result indicates that the medication is having its intended effect?
- A. Neutrophil count of 4500
- B. Hgb of 14.2 g
- C. Platelet count of 250,000
- D. Eosinophil count of 200
Correct Answer: B
Rationale: Cyanocobalamin (vitamin B12) treats pernicious anemia post-gastric resection; a hemoglobin of 14.2 g indicates effective correction of anemia.