This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient comes to the emergency department complaining of right knee pain after being knocked down ... (Read 76 times)

burton19126

  • Hero Member
  • *****
  • Posts: 532
on: Jun 25, 2018
A patient comes to the emergency department complaining of right knee pain after being knocked down while playing basketball.
 
  The exam reveals the patient experiences difficulty when stepping down on the right leg due to acute pain around the knee and slight swelling of the right knee. What should the nurse expect to be prescribed for this patient?
 
  1. The patient will be sent home with instructions to use ice for one week.
  2. The patient will be admitted to the hospital and seen by an orthopedic specialist.
  3. The patient will be scheduled to see an orthopedic physician and a tentative appointment for a magnetic resonance imaging (MRI) scan.
  4. The patient will be admitted to the hospital and scheduled for exploratory surgery.

Question 2

A patient is seen in the clinic complaining of pain in the left wrist. There is no deformity of the wrist, the left radial pulse is strong, and there is no history of a fall or injury. What does the nurse expect to see ordered?
 
  1. an x-ray of both arms to ensure there is no injury present
  2. rest and comfort measures for several days unless pain worsens
  3. lab work to assess calcium and phosphorus levels
  4. a computerized tomography (CT) scan of the wrist to check for soft tissue injury


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Edwyer

  • Sr. Member
  • ****
  • Posts: 337
Reply #1 on: Jun 25, 2018
Answer to Question 1

Correct Answer: 3

This injury would not be considered an emergency if alterations in sensation, perfusion, and movement of the leg are present. Since these changes are not noted on assessment, hospitalization or surgery would not be indicated. The possible injury to the knee (likely cartilage injury) will be evaluated by a specialist and a decision will be made regarding the need for the MRI. An MRI would evaluate tears of a ligament or cartilage.

Answer to Question 2

Correct Answer: 2
Based on the history and objective findings, there is not a present need to order x-rays or lab work. A CT scan of a wrist is not expected. Initially, rest and comfort measures are best to see if the pain resolves. If the pain persists over several days or if other signs and symptoms emerge, a more aggressive approach would be expected.


burton19126

  • Member
  • Posts: 532
Reply 2 on: Jun 25, 2018
Excellent

cdmart10

  • Member
  • Posts: 332
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

There are over 65,000 known species of protozoa. About 10,000 species are parasitic.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Street names for barbiturates include reds, red devils, yellow jackets, blue heavens, Christmas trees, and rainbows. They are commonly referred to as downers.

Did you know?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Bronchoscopy. Figure illustrates physician using a bronchoscope to inspect the patient’s bronchial t Bronchoscopy. Figure illustrates physician using a bronchoscope to inspect the patient’s bronchial t
Patient with rheumatoid arthritis Patient with rheumatoid arthritis
Calipers being used to measure body fat on the triceps of a patient. Calipers being used to measure body fat on the triceps of a patient.
Risk assessment codes for an HIV-infected patient. Risk assessment codes for an HIV-infected patient.
The yellow, blue, and green sections of the Emergency Response Guidebook (ERG). The yellow section ... The yellow, blue, and green sections of the Emergency Response Guidebook (ERG). The yellow section ...
A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ... A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ...
Video: PET Scan Animation

For a complete list of videos, visit our video library