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.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.The nurse is planning care for a 14-year-old client whose x-ray shows a comminuted fracture with the need for external appliance stabilization. Which nursing action is most important? assessing the color and movement of the hand and fingers. An infant was born with a severely deformed hand. He is now 6 months old. 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.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.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.Study with Quizlet and memorize flashcards containing terms like An overweight adolescent client has lost 12 lb (5.4 kg) in 8 weeks using diet strategies. The client reaches a weight loss plateau and is discouraged. The nurse instructs the client to keep a food diary for what purpose?, An adolescent is on the football team and practices in the morning and afternoon before school starts for the ... 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 ... Violence & Abuse Review Questions. A nurse is working in the emergency department. Which situation would lead the nurse to suspect possible abuse of a client? (Select all that apply.) A. A 6-year-old is being seen for the 5th time for a urinary tract infection. B. A 3-month-old with a fractured femur. C.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a fractured hip and was placed in Buck's traction 4 hr ago. Which of the following actions should the nurse take? a. Inspect the client's skin underneath the boot every 12 hr b. Encourage the client to perform dorsiflexion of the affected extremity every 2 hr c. Remove the weights from the ...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.Apr 29, 2023 · 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? Study with Quizlet and memorize flashcards containing terms like nurse admits a patient who has a fracture of the nose that has resulted in a skin tear and involvement of the mucous membranes of the nasal passages., patient has sustained a long bone fracture and the nurse is preparing the patient's care plan. Which of the following should the nurse include in the care plan, nurse's assessment ... 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. Study with Quizlet and memorize flashcards containing terms like A client experiences a muscle sprain of the ankle. When assessing the injury, the nurse discovers that a hematoma is developing, edema is present and that the client reports tenderness when the ankle is palpated. The nurse anticipates that the plan of care will include the applying of a/an: 1. Binder 2. Ice bag 3. Elastic bandage ...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. 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.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 ... A client has just been admitted to the hospital with a fractured femur and pelvic fractures. The nurse should plan to carefully monitor the client for which signs/symptoms? 1.Fever and bradycardia 2.Fever and hypertension 3.Tachycardia and hypotension 4.Bradycardia and hypertension 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.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. The nurse is planning care for a client with a fractured femur who was placed in balanced suspension skeletal traction 2 hours ago. Which of the following interventions should the nurse include? Select all that apply.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 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 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 ...The surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins. A nurse is caring for a client who has a leg cast. The nurse observes that the client uses a pencil to scratch the skin under the edge of the cast. 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.1. The client adducts the affected leg every 2 hours. 2. The client rolls the affected leg away from the body's midline twice per day. 3. The client performs isometric exercises to the affected extremity three times per day. 4. The client asks the nurse to add a 5-lb weight to the traction for 30 minutes/ day. 3.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 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. Bone 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.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 ... 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).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.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 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.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 A client experiences a muscle sprain of the ankle. When assessing the injury, the nurse discovers that a hematoma is developing, edema is present and that the client reports tenderness when the ankle is palpated. The nurse anticipates that the plan of care will include the applying of a/an: 1. Binder 2. Ice bag 3. Elastic bandage ... 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 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 Pediatric Nursing - Adolescent. The nurse reviews the plan of care of an adolescent client with diabetes using an insulin pump. This is the second visit that the client has come without his parent. The client's hemoglobin A1C and blood glucose levels are normal. The client reports that he is playing a sport and has not had any hypoglycemic ... 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 👆. 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. 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 restStudy 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 patient broke his arm in a sports accident and required the application of a cast. Shortly following application, the patient complained of an inability to straighten his ...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 ...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 ...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 ...Study with Quizlet and memorize flashcards containing terms like An overweight adolescent client has lost 12 lb (5.4 kg) in 8 weeks using diet strategies. The client reaches a weight loss plateau and is discouraged. The nurse instructs the client to keep a food diary for what purpose?, An adolescent is on the football team and practices in the morning and afternoon before school starts for the ...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. 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 ...Apr 29, 2023 · 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? 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 Study with Quizlet and memorize flashcards containing terms like The new graduate nurse provides care for a client with a halo external fixation device. Which actions by the new nurse are appropriate?, Cane info, A registered nurse is precepting a new graduate nurse on the orthopedic unit. Which action by the graduate nurse requires the registered nurse to intervene? and more.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 A nurse is caring for a client who has balanced skeletal traction with a Thomas splint for the treatment of a fracture of the femur. Which of the following actions should the nurse take to prevent skin breakdown?, A nurse is collecting data from an older adult client who is preoperative for a total hip arthroplasty. For which of ...A femur fracture is a condition that involves a broken thigh bone and usually happens due to a strong force or a major accident. The femur consists of two femora connected to the pelvis via the hip joint and to the tibia via the knee joint. 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 ... Requires frequent pin care A child with a fractured femur is placed in Buck's skin traction, and the nurse is planning care for the client. Which information about this type of traction is correct? Which information about this type of traction is correct?Bone 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.Antimicrobial dressing, A client has a fractured tibia as a result of a fall. The x-ray shows that the bone is splintered into several pieces around the shaft. The nurse knows that this client's fracture is 1. impacted. 2. transverse. 3. comminuted. 4. oblique., A nurse caring for a client who has pelvic fractures suspects fat embolism syndrome.Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a fractured left femur and is in skeletal traction. 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, A nurse is caring for a client who is scheduled to ... 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 ...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 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.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., plaster cast teaching, A client is being discharged to home after application of a plaster leg cast. Which statement indicates that the client understands proper care of the cast? and ...Study with Quizlet and memorize flashcards containing terms like An overweight adolescent client has lost 12 lb (5.4 kg) in 8 weeks using diet strategies. The client reaches a weight loss plateau and is discouraged. The nurse instructs the client to keep a food diary for what purpose?, An adolescent is on the football team and practices in the morning and afternoon before school starts for the ...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. Study with Quizlet and memorize flashcards containing terms like A client experiences a muscle sprain of the ankle. When assessing the injury, the nurse discovers that a hematoma is developing, edema is present and that the client reports tenderness when the ankle is palpated. The nurse anticipates that the plan of care will include the applying of a/an: 1. Binder 2. Ice bag 3. Elastic bandage ... 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 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 patient broke his arm in a sports accident and required the application of a cast. Shortly following application, the patient complained of an inability to straighten his ...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 ... 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-perceptionChapter 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.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 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.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 ...Study with Quizlet and memorize flashcards containing terms like A client experiences a muscle sprain of the ankle. When assessing the injury, the nurse discovers that a hematoma is developing, edema is present and that the client reports tenderness when the ankle is palpated. The nurse anticipates that the plan of care will include the applying of a/an: 1. Binder 2. Ice bag 3. Elastic bandage ...
Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a construction worker who fell from the second story of a building site and fractured the femoral neck. Which nursing diagnosis is a priority for the client? Select all that apply. A. Risk for infection B.Impaired physical mobility C. Risk for injury D. Urinary incontinence E. Disturbed body image, Which .... Spoiler yandr
Study with Quizlet and memorize flashcards containing terms like The nurse is preparing discharge instructions for a client with a history of alcohol abuse on the third day after an emergency appendectomy. The nurse suspects delirium tremens based on which assessment data?, See google docs for chart on DT and alcohol withdrawal syndrome s/s, A client with a diagnosis of antisocial personality ...Violence & Abuse Review Questions. A nurse is working in the emergency department. Which situation would lead the nurse to suspect possible abuse of a client? (Select all that apply.) A. A 6-year-old is being seen for the 5th time for a urinary tract infection. B. A 3-month-old with a fractured femur. C.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 The new graduate nurse provides care for a client with a halo external fixation device. Which actions by the new nurse are appropriate?, Cane info, A registered nurse is precepting a new graduate nurse on the orthopedic unit. Which action by the graduate nurse requires the registered nurse to intervene? and more.Bone 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 planning care for a 14-year-old client whose x-ray shows a comminuted fracture with the need for external appliance stabilization. Which nursing action is most important? assessing the color and movement of the hand and fingers. An infant was born with a severely deformed hand. He is now 6 months old. 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 ... 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 ...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 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. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client diagnosed with diabetes. The nurse notes that the client has a mild tremor, slight diaphoresis and is fully oriented. Which of the following nursing actions should have the highest priority?, A client is admitted to the surgical unit after sustaining a compound fracture of the left femur. The client ...A client has just been admitted to the hospital with a fractured femur and pelvic fractures. The nurse should plan to carefully monitor the client for which signs/symptoms? 1.Fever and bradycardia 2.Fever and hypertension 3.Tachycardia and hypotension 4.Bradycardia and hypertensionStudy with Quizlet and memorize flashcards containing terms like An overweight adolescent client has lost 12 lb (5.4 kg) in 8 weeks using diet strategies. The client reaches a weight loss plateau and is discouraged. The nurse instructs the client to keep a food diary for what purpose?, An adolescent is on the football team and practices in the morning and afternoon before school starts for the ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has balanced skeletal traction with a Thomas splint for the treatment of a fracture of the femur. Which of the following actions should the nurse take to prevent skin breakdown?, A nurse is collecting data from an older adult client who is preoperative for a total hip arthroplasty. For which of ...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 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-perceptionA 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%. 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.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. 1. The client adducts the affected leg every 2 hours. 2. The client rolls the affected leg away from the body's midline twice per day. 3. The client performs isometric exercises to the affected extremity three times per day. 4. The client asks the nurse to add a 5-lb weight to the traction for 30 minutes/ day. 3.A nurse is caring for a patient with a fractured femur. The health care provider finds that the patient has fat embolism syndrome. What treatment (or treatments) of fat embolism syndrome should the nurse anticipate for this patient? Select all that apply..