Have client advance the right leg. Explanation: First, perform hand hygiene. Next, secure a gait belt around client's waist. Then, place the cane in the client's right hand, because the right side is the unaffected side. Have the client advance the cane and the left leg about 4 to 8 inches (10 to 20 cm). Have client advance the right leg. Explanation: First, perform hand hygiene. Next, secure a gait belt around client's waist. Then, place the cane in the client's right hand, because the right side is the unaffected side. Have the client advance the cane and the left leg about 4 to 8 inches (10 to 20 cm).Make use of this in-depth nursing care plan and management roadmap to aid in the care of patients with fracture. Expand your knowledge base of nursing assessments, interventions, goal formulation, and nursing diagnoses, all customized to meet the distinct needs of patients with fracture. Table of Contents What is Fracture?Have client advance the right leg. Explanation: First, perform hand hygiene. Next, secure a gait belt around client's waist. Then, place the cane in the client's right hand, because the right side is the unaffected side. Have the client advance the cane and the left leg about 4 to 8 inches (10 to 20 cm). Study with Quizlet and memorize flashcards containing terms like To assess the joints, a nurse asks a client to perform various movements. As the client moves their arm away from the midline, the nurse evaluates their ability to perform, The client with rheumatoid arthritis has been taking large doses of aspirin to relieve joint pain. The nurse should assess the client for:, A client takes ...Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to administer a medication through a nasogastric (NG) tube that is connected to suction. Which interventions should be included to accurately administer the medication? Select all that apply., The nurse working in a prenatal clinic reviews a client's chart and notes that the primary health care provider ...3. "I will assess the skin using the Braden scale." 4. "A pillow will be placed between the knees when client is side lying." 5. "The incontinent client will be kept clean and dry." 1,3,4,5. The nurse is caring for a client in an outpatient clinic. The client is being treated with warfarin for prevention of a stroke due to atrial fibrillation.The office nurse for an orthopedic health care provider receives 4 telephone messages. Which client does the nurse call back first? 1. Client who had a left total knee replacement 7 days ago and reports cramping pain in the left calf 2. Client with a fractured wrist who reports severe itching under a cast that was applied 3 days ago 3.The nurse is caring for a patient whose fractured left femur was surgically managed with intramedullary (I-M) rodding. The nurse would explain which benefits of this type of fixation? (Select all that apply) 1. It results in only minimal skin scarring. 2. It does not interfere with range of motion. 3. It facilitates direct visualization of the ...Study with Quizlet and memorize flashcards containing terms like The nurse is one of several people who witness a vehicle hit a pedestrian at a fairly low speed on a small street. The individual is dazed and tries to get up, and the leg appears fractured. The nurse should plan to perform which action?, The nurse witnesses a client sustain a fall and suspects that the client's leg may be ... The nurse is planning care to prevent complications for a client with multiple myeloma. Which intervention is most important for the nurse to include? A. Safety precautions during activity. B. Assess for changes in size of lymph nodes. C. Maintain a fluid intake of 3 to 4 L per day. D. Administer narcotic analgesic around the clock. Make sure the head of the bed is kept at a 45- to 90-degree angle. Monitor the weights to be sure that they are resting on a firm surface. Inspect the skin under the boot. The nurse prepares to care for a client with acute cellulitis of the lower leg.A. Log rolling every 2 hours. B. Isometric exercises of both legs. C. Active range-of-motion exercises of the left leg. D. Passive range of motion to the right leg. C. Active range-of-motion exercises of the left leg. A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur.A nurse is assisting with the plan of care for an older adult client who is 4hr postoperative following an open reduction and internal fixation of a fractured femur. Which of the following interventions should the nurse include in the plan of care? Study with Quizlet and memorize flashcards containing terms like a nurse is planning care for a client who has thoughts of suicide which of the following goals should the nurse include in the clients plan of care, a nurse enters a clients room and observes that the client is agitated and pacing rapidly the client looks at the nurse and says back off and leave me alone which of the following ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient who has had a plaster arm cast applied. Immediately postapplication, the nurse should provide what teaching to the patient? A) The cast will feel cool to touch for the first 30 minutes. B) The cast should be wrapped snuggly with a towel until the patient gets home. C) The cast should be supported ...Make sure the head of the bed is kept at a 45- to 90-degree angle. Monitor the weights to be sure that they are resting on a firm surface. Inspect the skin under the boot. The nurse prepares to care for a client with acute cellulitis of the lower leg.The nurse is contributing to the plan of care for a patient who has a right fractured femur. What intervention should the nurse include in the plan of care to prevent fat emboli? a. Decrease dietary consumption of fats. b. Maintain immobilization of the right leg. c. Encourage coughing and deep breathing hourly. d.b. Right hand and placing the cane in front of the right foot. c. Left hand and 6 inches lateral to the left foot. d. Right hand and 6 inches lateral to the left foot. C. The nurse is repositioning the client who has returned to the nursing unit following internal fixation of a fractured right hip. The nurse uses a: a.Chapter 41. 4.5 (4 reviews) 1. The nurse is caring for a patient who has had a plaster leg cast applied. Immediately post-application, the nurse should inform the patient that: A) The cast will cool in 5 minutes. B) The cast should be covered with a towel. C) The cast should be supported on a board while drying. A nurse is assessing a client who has a fractured left femur and is in skeletal traaction, Which of the following findings should the nurse report to the provider>. A. Ecchymosis of the thigh. B. Serous drainage at the pin site. C. Chest petechiae. D. Muscle spasms in the left leg. C. Chest petechiae. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the clients level of strength?, A nurse is planning care for a client who has depression. The nurse notes that the client has weight loss, inability to concentrate, and inability to complete every day tasks, and a ... A nurse is caring for an adolescent client who has a newly fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take? A. Perform a neurovascular assessment. B. Explain the discharge instructions to the client and parents. C. Provide reassurance to the client and parents.C. "A bone fracture can be the direct result of excess pressure in the fibrous membrane or fascia." D. "Diseases such as neoplasms do not cause bone fractures." E. "The severity of a bone fracture depends on the force of the action against the bone and bone strength." Answer: B, E. The nurse is assigned to care for a client in traction. The nurse prepares a plan of care for the client and includes which nursing action in the plan? 1. Ensure that the knots are at the pulleys. 2. Check the weights to ensure that they are off of the floor. 3. Ensure that the head of the bed is kept at a 45- to 90-degree angle. 4.Study with Quizlet and memorize flashcards containing terms like The nurse is reinforcing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by a parent indicates the need for further teaching?, The mother of a child with juvenile idiopathic arthritis calls the nurse because the child is experiencing a painful exacerbation of the disease. The ...A nurse assesses an older adult client who was admitted 2 days ago with a fractured hip. The nurse notes that the client is confused and restless. The client’s vital signs are heart rate 98 beats/min, respiratory rate 32 breaths/min, blood pressure 132/78 mm Hg, and SpO2 88%.Which of the following responses by the nurse is an example of therapeutic communication?, A nurse is planning reminiscence therapy for an older adult client. The nurse should identify which of the following goals for the client's therapy?, A nurse is an emergency department is caring for an 18-month-old toddler who has a fractured left femur.Select all that apply. - Apply occlusive dressings after rewarming - Elevate affected extremities after rewarming - Massage the areas to increase circulation - Provide adequate analgesia - Provide continuous warm water soaks., The nurse is planning care for an 11-year-old admitted for surgical treatment of a fractured femur.Study with Quizlet and memorize flashcards containing terms like Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to the right forearm? Select all that apply. a. Keep the cast clean and dry b. Allow the cast 24 to 72 hours to dry c. Keep the cast and extremity elevated d. Expect tingling and numbness in extremity e. Use a hair dryer set on a ...Select all that apply. One, some, or all responses may be correct. *he nurse makes eye contact with the client. 2. The nurse leans backward during the interaction. 3. *The nurse smiles at the client during the interaction. 4. The nurse shrugs her shoulders in response to a client's question.Study with Quizlet and memorize flashcards containing terms like An older adult client slipped on an area rug at home and fractured the left hip. The client is unable to have surgery immediately and is having severe pain. What interventions should the nurse provide for the patient to minimize energy loss in response to pain?, The surgical nurse is admitting a client from postanesthetic ... Study with Quizlet and memorize flashcards containing terms like A client is confined to bed with a fracture of the left femur. He begins receiving subcutaneous heparin injections. What is the purpose of this medication? 1. To prevent thrombophlebitis and pulmonary emboli associated with immobility 2.To promote vascular perfusion by preventing formation of microemboli in the left leg 3.To ... c. "Use a cloth-covered pillow to elevate the client's leg." d. "Handle the cast with your fingertips to prevent indentations.", A nurse obtains the health history of a client with a fractured femur. Which factor identified in the client's history should the nurse recognize as an aspect that may impede healing of the fracture? a. Sedentary ...A nurse is assessing a client who has a fractured left femur and is in skeletal traaction, Which of the following findings should the nurse report to the provider>. A. Ecchymosis of the thigh. B. Serous drainage at the pin site. C. Chest petechiae. D. Muscle spasms in the left leg. C. Chest petechiae.Study with Quizlet and memorize flashcards containing terms like The nurse is reinforcing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by a parent indicates the need for further teaching?, The mother of a child with juvenile idiopathic arthritis calls the nurse because the child is experiencing a painful exacerbation of the disease. The ... A. Log rolling every 2 hours. B. Isometric exercises of both legs. C. Active range-of-motion exercises of the left leg. D. Passive range of motion to the right leg. C. Active range-of-motion exercises of the left leg. A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur.The nurse is developing a plan of care for a client with a fractured femur, is in traction, and will be restricted to bed for some time. Which domain should the nurse look to for developing a nursing diagnosis based on this client's musculoskeletal health problems? A. Nutrition B. Activity/Rest C. Health Promotion D. Self-perception Nursing Prep U The nurse is developing a plan of care for a client with a fractured femur who is in traction and will be restricted to bed for some time. Which domain should the nurse consider when developing a nursing diagnosis based on this client's musculoskeletal health problems? Click the card to flip 👆 Activity and rest ati practice mental health test 1. a nurse is planning care for a client who has thoughts of suicide which of the following goals should the nurse include in the clients plan of care. Click the card to flip 👆. the client agrees to notify a staff member of thought of self harm. Click the card to flip 👆. The nurse is planning care for a group of clients who have had total hip replacement. Of the clients listed below, which is at highest risk for infection and should be assessed first? 1. A 55-year-old client who is 6 feet tall and weighs 180 lb. 2. A 90-year-old who lives alone. 3. A 74-year-old who has periodontal disease with periodontitis. 4.Study with Quizlet and memorize flashcards containing terms like The nurse witnesses an accident on a highway and stops to provide assistance to the victim. The nurse notes that the client sustained a head injury and a compound fracture to the left leg. The nurse provides the appropriate care before transport of the victim to the hospital by ambulance. The client develops a severe bone ...Study with Quizlet and memorize flashcards containing terms like The nurse is contributing to the plan of care for a patient who has a right fractured femur. What intervention should the nurse include in the plan of care to prevent fat emboli? a. Decrease dietary consumption of fats. b. Maintain immobilization of the right leg. c. Encourage coughing and deep breathing hourly. d. Perform ...Chapter 41. 4.5 (4 reviews) 1. The nurse is caring for a patient who has had a plaster leg cast applied. Immediately post-application, the nurse should inform the patient that: A) The cast will cool in 5 minutes. B) The cast should be covered with a towel. C) The cast should be supported on a board while drying.Which of the following responses by the nurse is an example of therapeutic communication?, A nurse is planning reminiscence therapy for an older adult client. The nurse should identify which of the following goals for the client's therapy?, A nurse is an emergency department is caring for an 18-month-old toddler who has a fractured left femur. nclex practice test. 5.0 (6 reviews) after listening to the parents reports and seeing the following pediatric clients, the nurse knows that which clent demonstrates signs of abuse that may need reporting. 1. 1 year old with dyspnea, drooling, and a swollen tongue after eating part of houseplant. 2. 2 year old who is crying and has large ...Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the clients level of strength?, A nurse is planning care for a client who has depression. The nurse notes that the client has weight loss, inability to concentrate, and inability to complete every day tasks, and a ...A nurse is caring for a patient who is in skeletal traction. To prevent the complication of skin breakdown in a patient with skeletal traction, what action should be included in the plan of care? Ans: Assess the pin insertion site every 8 hours.Study with Quizlet and memorize flashcards containing terms like A client with a fractured femur is placed in skeletal traction. The nurse should do which to monitor for nerve injury?, A primary health care provider has given a prescription for dietary iron supplements to the client with osteoporosis who has an iron deficiency anemia. A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation which of the following intervention should the nurse include in the plan of care? A) Keep the head of the bed at a 30° angle. B) Reposition the client by logrolling every four hours.The nurse is planning care to prevent complications for a client with multiple myeloma. Which intervention is most important for the nurse to include? A. Safety precautions during activity. B. Assess for changes in size of lymph nodes. C. Maintain a fluid intake of 3 to 4 L per day. D. Administer narcotic analgesic around the clock.A nurse who is accompanying the group suspects a fracture of the tibia. To immobilize the suspected fracture, where is the best location to apply the splint?, The nurse is checking on a client with a fractured femur who is in skeletal traction. Which of the following actions is necessary to determine a client's neurovascular status? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient who has had a plaster arm cast applied. Immediately postapplication, the nurse should provide what teaching to the patient? A) The cast will feel cool to touch for the first 30 minutes. B) The cast should be wrapped snuggly with a towel until the patient gets home. C) The cast should be supported ... The nurse is planning care for a client with a femoral fracture who is in balanced suspension traction. Which nursing care can be included in the plan of care? A) Using a fracture bedpan when the client is in the trapeze to raise hips B) turning the client side decide to give back care C) raising the head of the bed to 90° to set the client up ... Study with Quizlet and memorize flashcards containing terms like a nurse is planning care for a client who has thoughts of suicide which of the following goals should the nurse include in the clients plan of care, a nurse enters a clients room and observes that the client is agitated and pacing rapidly the client looks at the nurse and says back off and leave me alone which of the following ...The office nurse for an orthopedic health care provider receives 4 telephone messages. Which client does the nurse call back first? 1. Client who had a left total knee replacement 7 days ago and reports cramping pain in the left calf 2. Client with a fractured wrist who reports severe itching under a cast that was applied 3 days ago 3.Discuss the complications that the client's may experience if they don't cooperate with the care plan. The nurse should discuss the care plan and its rationale with the client. Calling the physician to report the client's noncompliance won't alter the client's degree of participation and shouldn't be used to force the client to comply. A nurse is caring for a toddler who has a fractured right femur and is in Bryant's traction. When monitoring to determine if the traction is appropriately assembled, the nurse expects to observe which of the following? a. Skin straps maintaining the leg in an extended position b. Weights attached to a pin that is inserted in the femur c. The nurse is planning care for a group of clients who have had total hip replacement. Of the clients listed below, which is at highest risk for infection and should be assessed first? 1. A 55-year-old client who is 6 feet tall and weighs 180 lb. 2. A 90-year-old who lives alone. 3. A 74-year-old who has periodontal disease with periodontitis. 4.Nursing Prep U The nurse is developing a plan of care for a client with a fractured femur who is in traction and will be restricted to bed for some time. Which domain should the nurse consider when developing a nursing diagnosis based on this client's musculoskeletal health problems? Click the card to flip 👆 Activity and rest Study with Quizlet and memorize flashcards containing terms like The nurse witnesses an accident on a highway and stops to provide assistance to the victim. The nurse notes that the client sustained a head injury and a compound fracture to the left leg. The nurse provides the appropriate care before transport of the victim to the hospital by ambulance. The client develops a severe bone ... The nurse checks the client's alignment in bed and notes that proper alignment is maintained. Which is the priority nursing action? a. Provide pin care b. Medicate the client c. Call the healthcare provider d. Remove 2 pounds, A nurse is developing a plan of care for a client who has a fracture to achieve the outcome of functional healing. A nurse assesses an older adult client who was admitted 2 days ago with a fractured hip. The nurse notes that the client is confused and restless. The client’s vital signs are heart rate 98 beats/min, respiratory rate 32 breaths/min, blood pressure 132/78 mm Hg, and SpO2 88%.a. loosen the traction and help the patient turn onto the unaffected side. b. place a pillow between the patient's legs and turn gently to each side. c. have the patient lift the buttocks slightly by using a trapeze over the bed. d. turn the patient partially to each side with the assistance of another nurse. ANS: C.A nurse is caring for an adolescent client who has a newly fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take? A. Perform a neurovascular assessment. B. Explain the discharge instructions to the client and parents. C. Provide reassurance to the client and parents. The nurse recognizes that it is important to identify restrictions of mobility or neuromuscular abnormalities because: Shortening and eventual atrophy of the muscles will occur. X-ray films reveal that a client has sustained an intracapsular fracture of the left hip as a result of a fall.Study with Quizlet and memorize flashcards containing terms like The nurse is one of several people who witness a vehicle hit a pedestrian at a fairly low speed on a small street. The individual is dazed and tries to get up, and the leg appears fractured. The nurse should plan to perform which action?, The nurse witnesses a client sustain a fall and suspects that the client's leg may be ... A nurse is assisting with the plan of care for an older adult client who is 4hr postoperative following an open reduction and internal fixation of a fractured femur. Which of the following interventions should the nurse include in the plan of care? The nurse is developing a plan of care for a client with a fractured femur, is in traction, and will be restricted to bed for some time. Which domain should the nurse look to for developing a nursing diagnosis based on this client's musculoskeletal health problems? A. Nutrition B. Activity/Rest C. Health Promotion D. Self-perceptionBone scan impression indicative of infection, The nurse is caring for a client who was just admitted to the hospital with a diagnosis of a fractured right hip sustained from a fall 5 hours earlier. The nurse creates a plan of care for the client and includes interventions related to monitoring for signs of fat embolism. The nurse is assigned to care for a client in traction. The nurse prepares a plan of care for the client and includes which nursing action in the plan? 1. Ensure that the knots are at the pulleys. 2. Check the weights to ensure that they are off of the floor. 3. Ensure that the head of the bed is kept at a 45- to 90-degree angle. 4.Make sure the head of the bed is kept at a 45- to 90-degree angle. Monitor the weights to be sure that they are resting on a firm surface. Inspect the skin under the boot. The nurse prepares to care for a client with acute cellulitis of the lower leg. The nurse is developing a plan of care for a client with a fractured femur, is in traction, and will be restricted to bed for some time. Which domain should the nurse look to for developing a nursing diagnosis based on this client's musculoskeletal health problems? A. Nutrition B. Activity/Rest C. Health Promotion D. Self-perception C. "A bone fracture can be the direct result of excess pressure in the fibrous membrane or fascia." D. "Diseases such as neoplasms do not cause bone fractures." E. "The severity of a bone fracture depends on the force of the action against the bone and bone strength." Answer: B, E.Study with Quizlet and memorize flashcards containing terms like A client is confined to bed with a fracture of the left femur. He begins receiving subcutaneous heparin injections. What is the purpose of this medication? 1. To prevent thrombophlebitis and pulmonary emboli associated with immobility 2.To promote vascular perfusion by preventing formation of microemboli in the left leg 3.To ... 2.The patient must prove injury, damage, or loss occurred. 3.The person filing the lawsuit has to show a compensable damage, such as lost wages, occurred. 4.The patient must prove that a breach in the prevailing standard of care caused an injury. 5.The burden of proof is always the responsibility of the nurse. 1., 2., 3. Which action should the nurse take?, A child is placed in skeletal traction for treatment of a fractured femur. The nurse creates a plan of care and should include which intervention? and more. Study with Quizlet and memorize flashcards containing terms like A child with cerebral palsy is in a management program to achieve maximum potential for ...maintain a patent airway. A client undergoes total hip replacement. After surgery, the client questions why he must go to a rehabilitation center because he has family who can care for him. Which response by the nurse is best? the rehabilitation staff can evaluate your progress. Which goal is the priority for a client with a fractured femur who ...a. apply cream daily to the residual limb. b. cover the residual limb with a nylon sock. c. keep the residual limb elevated. d. expose the residual limb to air. d. expose the residual limb to air. the nurse teaches a client diagnosed with a fractured left femur that is in a cast. the client asks how to keep the muscles of the legs strong during ...Which of the following responses by the nurse is an example of therapeutic communication?, A nurse is planning reminiscence therapy for an older adult client. The nurse should identify which of the following goals for the client's therapy?, A nurse is an emergency department is caring for an 18-month-old toddler who has a fractured left femur. A. Log rolling every 2 hours. B. Isometric exercises of both legs. C. Active range-of-motion exercises of the left leg. D. Passive range of motion to the right leg. C. Active range-of-motion exercises of the left leg. A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur. Study with Quizlet and memorize flashcards containing terms like The nurse is contributing to the plan of care for a patient who has a right fractured femur. What intervention should the nurse include in the plan of care to prevent fat emboli? a. Decrease dietary consumption of fats. b. Maintain immobilization of the right leg. c. Encourage coughing and deep breathing hourly. d. Perform ...Select all that apply. - Apply occlusive dressings after rewarming - Elevate affected extremities after rewarming - Massage the areas to increase circulation - Provide adequate analgesia - Provide continuous warm water soaks., The nurse is planning care for an 11-year-old admitted for surgical treatment of a fractured femur.The nurse checks the client's alignment in bed and notes that proper alignment is maintained. Which is the priority nursing action? a. Provide pin care b. Medicate the client c. Call the healthcare provider d. Remove 2 pounds, A nurse is developing a plan of care for a client who has a fracture to achieve the outcome of functional healing. maintain a patent airway. A client undergoes total hip replacement. After surgery, the client questions why he must go to a rehabilitation center because he has family who can care for him. Which response by the nurse is best? the rehabilitation staff can evaluate your progress. Which goal is the priority for a client with a fractured femur who ...A. Schedule the child for an abdominal ultrasound. B.Instruct the parent to avoid pressing on the abdominal area. C.Determine if the child is having pain. D. Obtain a urine specimen for a urinalysis. B. A nurse is caring for a child who has acute glomerulonephritis.The nurse is planning care for a client with a femoral fracture who is in balanced suspension traction. Which nursing care can be included in the plan of care? A) Using a fracture bedpan when the client is in the trapeze to raise hips B) turning the client side decide to give back care C) raising the head of the bed to 90° to set the client up ...A nurse is assessing a client who has a fractured left femur and is in skeletal traaction, Which of the following findings should the nurse report to the provider>. A. Ecchymosis of the thigh. B. Serous drainage at the pin site. C. Chest petechiae. D. Muscle spasms in the left leg. C. Chest petechiae. The nurse knows that chlorzoxazone, a centrally acting skeletal muscle relaxant, is commonly used to treat: muscle spasm caused by cerebral palsy. chronic musculoskeletal disorder. lower extremity spasticity. (x) severe muscle spasm. The client sustained an open fracture of the femur from an automobile accident.
A nurse is caring for an adolescent client who has a newly fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take? A. Perform a neurovascular assessment. B. Explain the discharge instructions to the client and parents. C. Provide reassurance to the client and parents.. Aarp expects agents offering aarp branded products
The nurse is caring for a patient whose fractured left femur was surgically managed with intramedullary (I-M) rodding. The nurse would explain which benefits of this type of fixation? (Select all that apply) 1. It results in only minimal skin scarring. 2. It does not interfere with range of motion. 3. It facilitates direct visualization of the ...A nurse is caring for a toddler who has a fractured right femur and is in Bryant's traction. When monitoring to determine if the traction is appropriately assembled, the nurse expects to observe which of the following? a. Skin straps maintaining the leg in an extended position b. Weights attached to a pin that is inserted in the femur c. The nurse is planning care for a client with a femoral fracture who is in balanced suspension traction. Which nursing care can be included in the plan of care? A) Using a fracture bedpan when the client is in the trapeze to raise hips B) turning the client side decide to give back care C) raising the head of the bed to 90° to set the client up ... Chapter 41. 4.5 (4 reviews) 1. The nurse is caring for a patient who has had a plaster leg cast applied. Immediately post-application, the nurse should inform the patient that: A) The cast will cool in 5 minutes. B) The cast should be covered with a towel. C) The cast should be supported on a board while drying. Have client advance the right leg. Explanation: First, perform hand hygiene. Next, secure a gait belt around client's waist. Then, place the cane in the client's right hand, because the right side is the unaffected side. Have the client advance the cane and the left leg about 4 to 8 inches (10 to 20 cm). Study with Quizlet and memorize flashcards containing terms like The nurse witnesses an accident on a highway and stops to provide assistance to the victim. The nurse notes that the client sustained a head injury and a compound fracture to the left leg. The nurse provides the appropriate care before transport of the victim to the hospital by ambulance. The client develops a severe bone ...c. Use a cloth-covered pillow to elevate the clients leg. d. Handle the cast with your fingertips to prevent indentations., 3. A nurse obtains the health history of a client with a fractured femur. Which factor identified in the clients history should the nurse recognize as an aspect that may impede healing of the fracture? a. Sedentary ... Discuss the complications that the client's may experience if they don't cooperate with the care plan. The nurse should discuss the care plan and its rationale with the client. Calling the physician to report the client's noncompliance won't alter the client's degree of participation and shouldn't be used to force the client to comply. Study with Quizlet and memorize flashcards containing terms like Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to the right forearm? Select all that apply. a. Keep the cast clean and dry b. Allow the cast 24 to 72 hours to dry c. Keep the cast and extremity elevated d. Expect tingling and numbness in extremity e. Use a hair dryer set on a ... A nurse is caring for a client whose cultural background is different from her own. Which actions are appropriate? Select all that apply. A. Consider that nonverbal cues, such as eye contact, may have different meanings in different cultures B. Respect the client's cultural beliefs C. Ask the client if he has cultural or religious requirements that should be considered in his care D. Explain ... avoids holding the breath during activity. A client who suffered blunt chest trauma in a motor vehicle accident complains of chest pain, which is exacerbated by deep inspiration. On auscultation, the nurse detects a pericardial friction rub — a classic sign of acute pericarditis. The physician confirms acute pericarditis and begins ...A nurse is caring for a client admitted to the nursing unit from the PACU following a craniotomy. The initial nursing assessments should focus on A. intracranial pressure B. pupillary reflexes C. level of consciousness D. airway patency, 3. A nurse is planning to prioritize client care after receiving report and rounded on assigned patients. .