NU272 HESI Case Study: Compound
Fracture (Latest Update )
Questions & Answers {Grade A} 100%
Correct
The nurse notes that in addition to the pain, the child's foot is cool and pale. What
additional assessment should the nurse perform? (Select all that apply. One, some, or
all options may be correct.) - correct answer Toe movement.
- Neurovascular assessment includes the "5 Ps." They are pain, pallor, pulse,
paresthesia, and paralysis. Changes indicate increasing pressure on the blood vessels
and nerves supplying the extremity distal to the cast or injury.
The integrity of the skin would not add any assessment data related to compartment
syndrome.
- Capillary refill should be checked when compartment sydrome is suspected.
,Management Considerations: Delegation - correct answer The nurse administers an
additional dose of analgesic to the client after conferring with the healthcare provider
and the client reports that her pain is tolerable. Other clients require assistance, so
the nurse needs to utilize her team members to effectively care for all clients. A client
with a pelvic fracture is being transferred from the ED and a postoperative client with
crutches needs assistance ambulating to the bathroom. A licensed practical nurse
(LPN) and an unlicensed assistive personnel (UAP) are available to work with the
nurse.
Given the available medical personnel, what staff assignment is best? - correct answer
Ongoing monitoring of the client's foot by the LPN, while the UAP assists the
postoperative client with crutches and the nurse determines if the new client has any
immediate problems.
- Ongoing monitoring of the client's foot can be performed by the LPN since the nurse
has already made an assessment and taken action. The UAP can assist the client with
, crutches, which allows the nurse to assess the problems of a new client. The nurse is
the only member of the team who has the expertise to perform an admission
assessment and determine client needs and problems.
After resolving the other client care needs, the nurse returns to the client's room.
Which task should be delegated to the LPN at this time? - correct answer Spend time
with the client to distract her from the discomfort.
- This is an appropriate nursing responsibility for the LPN.
The client reports that her pain is still controlled and she is starting to get hungry. The
nurse sends the UAP to provide her with a snack. Which snack selection is the best
choice for the client while she is immobilized? - correct answer Yogurt.
- Immobilization creates a state of decreased metabolic rate. The diet should be high in
protein, with small frequent feedings.
Fracture (Latest Update )
Questions & Answers {Grade A} 100%
Correct
The nurse notes that in addition to the pain, the child's foot is cool and pale. What
additional assessment should the nurse perform? (Select all that apply. One, some, or
all options may be correct.) - correct answer Toe movement.
- Neurovascular assessment includes the "5 Ps." They are pain, pallor, pulse,
paresthesia, and paralysis. Changes indicate increasing pressure on the blood vessels
and nerves supplying the extremity distal to the cast or injury.
The integrity of the skin would not add any assessment data related to compartment
syndrome.
- Capillary refill should be checked when compartment sydrome is suspected.
,Management Considerations: Delegation - correct answer The nurse administers an
additional dose of analgesic to the client after conferring with the healthcare provider
and the client reports that her pain is tolerable. Other clients require assistance, so
the nurse needs to utilize her team members to effectively care for all clients. A client
with a pelvic fracture is being transferred from the ED and a postoperative client with
crutches needs assistance ambulating to the bathroom. A licensed practical nurse
(LPN) and an unlicensed assistive personnel (UAP) are available to work with the
nurse.
Given the available medical personnel, what staff assignment is best? - correct answer
Ongoing monitoring of the client's foot by the LPN, while the UAP assists the
postoperative client with crutches and the nurse determines if the new client has any
immediate problems.
- Ongoing monitoring of the client's foot can be performed by the LPN since the nurse
has already made an assessment and taken action. The UAP can assist the client with
, crutches, which allows the nurse to assess the problems of a new client. The nurse is
the only member of the team who has the expertise to perform an admission
assessment and determine client needs and problems.
After resolving the other client care needs, the nurse returns to the client's room.
Which task should be delegated to the LPN at this time? - correct answer Spend time
with the client to distract her from the discomfort.
- This is an appropriate nursing responsibility for the LPN.
The client reports that her pain is still controlled and she is starting to get hungry. The
nurse sends the UAP to provide her with a snack. Which snack selection is the best
choice for the client while she is immobilized? - correct answer Yogurt.
- Immobilization creates a state of decreased metabolic rate. The diet should be high in
protein, with small frequent feedings.
