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The nurse is caring for a client with a fractured tibia and fibula.
Eight hours after a long leg cast was applied, the client began
to report an increase in pain level even after administration of
the prescribed dose of opioid analgesic. Which is the initial
nursing action?
1.
Elevate the casted
leg.
2.
Contact the primary health care
provider.
3.
,Administer another dose of pain
medication.
4.
Check the neurovascular status of the toes on the casted leg.
- ANSWER-4
A client is receiving anticonvulsant therapy with phenytoin.
The nurse plans to
monitor the results of which laboratory tests closely?
Select all that apply.
1.
Urinalysis
2.
Serum 3.
sodium Serum
4.
calcium
Alkaline
phosphatase
5.
,Complete blood cell count - ANSWER-
1, 3, 4, 5
The nurse documents that the client has a stage 2
pressure injury on the
decubitus area. Which describes a stage 2
pressure injury?
1.
The area has a deep crater-like
appearance.
2.
There is tissue necrosis with damage to
the muscle.
3.
The ulcer is superficial and characterizes
an abrasion.
4.
, The area is red and does not blanch with external pressure.
- ANSWER-3
The nurse admitting a client to the hospital is reviewing the
client's history and
medications taken at home. Which condition in the client's
history is being
treated with tamoxifen
citrate?
1.
Diabetes
mellitus
2.
Positive
tuberculin test
3.
Metastatic breast
cancer