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Dif cognitive level apply application ref 1472 top

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DIF:Cognitive Level: Apply (application)REF:1472TOP: Nursing Process: ImplementationMSC: NCLEX: Physiological Integrity10.Which statement by the patient indicates a good understanding of the nurse‘s teaching about anew short-arm synthetic cast?a.―Ican get the cast wet as long as I dry it right awaywith a hair dryer.‖b.―Ishould avoid moving my fingers and elbow until the cast is removed.‖c.―Iwill apply an ice pack to the cast over the fracture site off and on for24 hours.‖d.―Ican use a cotton-tipped applicator to rub lotion on any dry areas under thecast.‖Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: aaalishba | [email protected]Distribution of this document is illegal
Stuvia.com - The Marketplace to Buy and Sell your Study MaterialANS: CIce application for the first 24 hours after a fracture will help reduce swelling and can beplaced over the cast. Plaster casts should not get wet. The patient should be encouraged tomove the joints above and below the cast. Patients should not insert objects inside the cast.DIF:Cognitive Level: Apply (application)REF:1477TOP: Nursing Process: EvaluationMSC: NCLEX: Physiological Integrity11.A patient who is to have no weight bearing on the left leg is learning to walk using crutches.Which observation by the nurse indicates the patient can safely ambulate independently?a.The patient moves the right crutch with the right leg and then the left crutch withthe left leg.b.The patient advances the left leg and both crutches together and then advances theright leg.c.The patient uses the bedside chair to assist in balance as needed when ambulatingin the room.d.The patient keeps the padded area of the crutch firmly in the axillary area whenambulating.ANS: BPatients are usually taught to move the crutches and the injured leg forward at the same timeand then to move the unaffected leg. Patients are discouraged from using furniture to assistwith ambulation. The patient is taught to place weight on the hands, not in the axilla, to avoidbrachial plexus damage. If the 2- or 4-point gaits are to be used, the crutch and leg on oppositesides move forward, not the crutch and same-side leg.DIF:Cognitive Level: Apply (application)REF:1484TOP: Nursing Process: EvaluationMSC: NCLEX: Safe and Effective Care Environment12.A patient who has had open reduction and internal fixation (ORIF) of left lower leg fracturescontinues to complain of severe pain in the leg 15 minutes after receiving the prescribed IVmorphine. Pulses are faintly palpable and the foot is cool to the touch. Which action shouldthe nurse takenext?a.Notify the health care provider.b.Assess the incision for redness.c.Reposition the left leg on pillows.d.Check thepatient‘sblood pressure.

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Term
Summer
Professor
JWR

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