CMSRN Medical-Surgical Nursing

Category - Neuro/Muscular

A client is awaiting surgery for reduction of a fractured right femur. Skeletal traction has been applied. Which nursing diagnosis requires the nurse to function collaboratively to achieve the best outcome for the client?
  1. Risk for impaired skin integrity
  2. Pain (acute)
  3. Impaired physical mobility
  4. Risk for fracture deformity
Explanation
Answer - B - Pain management requires the nurse and physician to collaborate to achieve optimal relief for the client, i.e., analgesics as prescribed by the physician and the nurse to monitor the client’s response to drug therapy and alert the MD to needed changes. Choices A and C are manageable by independent nursing actions-careful assessment, ROM, and proper positioning. Choice D is not a nursing diagnosis, but a medical problem to be corrected by surgery.
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