Nokea
To immobilize the suspected fracture, how should the nurse apply a splint?
- A. Below the knee to above the hip
- B. Above the knee to below the hip
- C. Above the ankle to below the knee
- D. Below the ankle to above the knee
Correct Answer: C
Rationale: A suspected tibia fracture requires splinting from above the ankle to below the knee to stabilize the fracture site without unnecessarily immobilizing the hip or knee, which could restrict mobility or complicate transport.
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What should the nurse admitting the child with autism do about the room assignment?
- A. Request that the child be transferred to a private room.
- B. Request that the child be transferred to a double room.
- C. Admit the child to the room that has been preassigned.
- D. Request that the child be assigned to an isolation room.
Correct Answer: A
Rationale: A private room is preferred for a child with autism to minimize sensory overload and ensure a calm environment.
The 50-year-old female client is being evaluated for osteoporosis. Which data should the nurse assess? Select all that apply.
- A. Family history of osteoporosis.
- B. Estrogen or androgen deficit.
- C. Exposure to secondhand smoke.
- D. Level and amount of exercise.
- E. Alcohol intake.
Correct Answer: A,B,C,D,E
Rationale: Family history, hormonal deficits, smoking, exercise, and alcohol are all risk factors for osteoporosis, requiring comprehensive assessment.
Which nursing intervention is most appropriate for preventing a pathological fracture?
- A. Encouraging a high fluid intake
- B. Providing a nutritional diet
- C. Supporting the limb during movement
- D. Relieving pressure on bony prominences
Correct Answer: C
Rationale: Supporting the limb prevents stress on weakened bone, reducing fracture risk.
Which information should the nurse teach the client regarding sports injuries?
- A. Apply heat intermittently for the first 48 hours.
- B. An injury is not serious if the extremity can be moved.
- C. Only return to the health-care provider if the foot becomes cold.
- D. Keep the injury immobilized and elevated for 24 to 48 hours.
Correct Answer: D
Rationale: Immobilization and elevation reduce swelling in sports injuries. Heat worsens swelling, movement does not rule out severity, and cold feet are a late sign.
The nurse is discharging the client home with a plaster of Paris cast to the lower leg. Which self-care recommendation should the nurse include?
- A. Sprinkle powder in the cast to decrease moisture from sweating.
- B. Direct cool air from a hair dryer into the cast to relieve itching.
- C. Cover the cast with a plastic wrap before you bathe in a tub.
- D. Use hot, soapy water to wash the cast if it becomes very soiled.
Correct Answer: B
Rationale: B. Cool air from a hair dryer helps to control itching on the skin within a cast. Hot air is not recommended because it could burn the skin.