Practice Quiz

NCLEX-RN

Category - Care Management

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Nina the New Nurse is completing the care plan for a 34-year-old client, admitted for treatment of fractures to her left femur, left tibia/fibula, and left humerus. Nina the New Nurse has planned the priority nursing action of this client: closely monitoring her for signs and symptoms of infection. After reviewing Nina the New Nurse’s care plan, the charge nurse suggests Nina the New Nurse consider another nursing priority for this client. Nina the New Nurse is stumped! Can you help her determine the priority for this client’s care plan?
  1. Educate client and family on client needs after discharge.
  2. Medicate for pain when client requests and thirty minutes before physical therapy.
  3. Monitor fluid intake and output.
  4. Monitor for signs and symptoms of fat embolism.
Explanation
Answer: D - Fat embolism may be a complication of long bone fractures and/or multiple fractures. Helping the client with pain management, participation in physical therapy, and preparing the client and her family for discharge are important aspects of this client’s care; however, they are not the priority.
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