Author Question: In which order will the nurse take these actions when caring for a patient in the emergency ... (Read 53 times)

tsand2 · **on:** Jun 25, 2018

In which order will the nurse take these actions when caring for a patient in the emergency department with a right leg fracture after a motor vehicle accident? (Put a comma and a space between each answer choice A, B, C, D, E, F.)

a. Obtain x-rays.
b. Check pedal pulses.
c. Assess lung sounds.
d. Take blood pressure.
e. Apply splint to the leg.
f. Administer tetanus prophylaxis.

Question 2

A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic irrigation. Which intervention will be included in the initial plan of care?

a. Immobilization of the left leg
b. Positioning the left leg in flexion
c. Assisted weight-bearing ambulation
d. Quadriceps-setting exercise repetitions

6ana001 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS:
C, D, B, E, A, F
The initial actions should be to ensure that airway, breathing, and circulation are intact. This should be followed by checking the neurovascular status of the leg (before and after splint application). Application of a splint to immobilize the leg should be done before sending the patient for x-rays. The tetanus prophylaxis is the least urgent of the actions.

Answer to Question 2

ANS: A
Immobilization of the affected leg helps decrease pain and reduce the risk for pathologic fractures. Weight-bearing exercise increases the risk for pathologic fractures. Flexion of the affected limb is avoided to prevent contractures.