A client has a metastatic bone tumor. What action by the nurse ...

[Davideckstein7]

A client has a metastatic bone tumor. What action by the nurse takes priority?
 
  a. Administer pain medication as prescribed.
  b. Elevate the extremity and apply moist heat.
  c. Handle the affected extremity with caution.
  d. Place the client on protective precautions.

Question 2

A nurse is caring for four clients. After the hand-off report, which client does the nurse see first?
 
  a. Client with osteoporosis and a white blood cell count of 27,000/mm3
  b. Client with osteoporosis and a bone fracture who requests pain medication
  c. Post-microvascular bone transfer client whose distal leg is cool and pale
  d. Client with suspected bone tumor who just returned from having a spinal CT

[Sammyo]

Answer to Question 1

ANS: C
Bones invaded by tumors are very fragile and fracture easily. For client safety, the nurse handles the affected extremity with great care. Pain medication should be given to control pain. Elevation and heat may or may not be helpful. Protective precautions are not needed for this client.

Answer to Question 2

ANS: C
This client is the priority because the assessment findings indicate a critical lack of perfusion. A high white blood cell count is an expected finding for the client with osteoporosis. The client requesting pain medication should be seen second. The client who just returned from a CT scan is stable and needs no specific postprocedure care.

[Davideckstein7]

Excellent

[Alyson.hiatt@yahoo.com]

Gracias!