Question

24. Which nursing intervention should the nurse implement first for a client diagnosed with an ulnar fracture? A) Treat the client for shock B) Assess the pulses in the affected arm C) Cover the site of the suspected fracture D) Apply ice to the injury site. 25. A nurse in a local healthcare facility is caring for a client suspected of bleeding internally. Which observation should the nurse report to a physician immediately? A) Extreme hunger B) Blood pressure that is rising C) A pulse rate of 80 beats per minute D) Breathing that is becoming shallow and rapid

Answer 1

Ans 24 - Which nursing intervention should the nurse implement first for a client diagnosed with an ulnar fracture?
Ans is  B) Assess the pulses in the affected arm

explanation - In Unlnar fracture , vascular injury is rare though in ulnar fracture but still can be associated. Now going by the options, A) treat with shock, without assessing pulse nurse wont come to know about. shock so that clang be first think to do. C) Covering site with suspected fracture is of no sense. D) Applying ice will give some comfort but should not be the first step as vitals monitoring's of prior importance, so first step is assessing pulse.

Ans 25 - client suspected of bleeding internally, Which observation should the nurse report to a physician immediately?

Ans - D) Breathing that is becoming shallow and rapid

Explanation - In patient suspected with internal bleeding, there is loss of blood volume, which will cause HYPOTENSION and REFLEX TACHYCARDIA ( so option B and C are ruled out), Option A hunger has nothing to do with Internal bleeding so ruled out. Option D - due to hypotension there is tissue hypoxia which results in rapid and shallow breathing