Page 2139 - Saunders Comprehensive Review For NCLEX-RN

4. Elevated on pillows continuously for 24 to 48 hours
743. 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?
1. “I need to avoid getting the cast wet.”
2. “I need to cover the casted leg with warm blankets.”
3. “I need to use my fingertips to lift and move my leg.”
4. “I need to use something like a padded coat hanger end to scratch
under the cast if it itches.”
744. A client being measured for crutches asks the nurse why the crutches cannot
rest up underneath the arm for extra support. The nurse responds knowing
that which would most likely result from this improper crutch
measurement?
1. A fall and further injury
2. Injury to the brachial plexus nerves
3. Skin breakdown in the area of the axilla
4. Impaired range of motion while the client ambulates
745. The nurse has given the client instructions about crutch safety. Which
statements indicate that the client understands the instructions? Select all
that apply.
1. “I should not use someone else’s crutches.”

2. “I need to remove any scatter rugs at home.”

3. “I can use crutch tips even when they are wet.”
4. “I need to have spare crutches and tips available.”

5. “When I’m using the crutches, my arms need to be

completely straight.”
746. The nurse is caring for a client being treated for fat embolus after multiple
fractures. Which data would the nurse evaluate as the most favorable
indication of resolution of the fat embolus?
1. Clear mentation
2. Minimal dyspnea
3. Oxygen saturation of 85%
4. Arterial oxygen level of 78 mm Hg
747. The nurse has conducted teaching with a client in an arm cast about the signs
and symptoms of compartment syndrome. The nurse determines that the
client understands the information if the client states that he or she should
report which early symptom of compartment syndrome?
1. Cold, bluish-colored fingers
2. Numbness and tingling in the fingers
3. Pain that increases when the arm is dependent
4. Pain that is out of proportion to the severity of the fracture
748. A client with diabetes mellitus has had a right below-knee amputation.
Given the client’s history of diabetes mellitus, which complication is the
client at most risk for after surgery?
1. Hemorrhage

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