A 25-year-old male presents to the emergency room with a suspected femoral shaft fracture following a car accident. The nurse is preparing to assess for neurovascular compromise. Which assessment finding is indicative of neurovascular compromise in the affected leg?
A. Warm and pink foot
B. Capillary refill less than 3 seconds
C. Strong dorsalis pedis pulse
D. Paresthesia and weakened pulses
E. Absence of pain on passive movement
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Rationale: Paresthesia and weakened pulses are signs of neurovascular compromise, indicating potential damage to nerves and impaired blood flow. Immediate intervention is necessary to prevent complications such as ischemia and tissue damage.
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A 48-year-old female sustains a fractured clavicle. The nurse is providing education on home care. What advice should the nurse give regarding the affected arm?
A. Encourage active range of motion exercises
B. Apply ice directly to the fractured area
C. Support the arm with a sling at the elbow
D. Elevate the arm above heart level
E. Avoid any movement to prevent pain
Rationale: Supporting the arm with a sling at the elbow helps immobilize the fractured clavicle and promotes healing. It also reduces pain and prevents further injury, allowing for optimal recovery.
A 30-year-old male is diagnosed with a stress fracture in the tibia. What activity is commonly associated with stress fractures, and how should the nurse advise the patient?
A. High-impact running; encourage continued running with proper footwear
B. Low-impact cycling; recommend cross-training to maintain fitness
C. Swimming; advise against any weight-bearing activities
D. Weightlifting; suggest incorporating more resistance training
E. Yoga; promote flexibility exercises to alleviate stress on the tibia
Rationale: Stress fractures often result from repetitive impact, and proper footwear can help absorb shock. Advising the patient to continue running with suitable footwear is essential for maintaining fitness while minimizing stress on the fractured tibia.
Understanding the Osteoarthritis: NCLEX Priority Questions
A 60-year-old female with osteoporosis fractures her wrist after a minor fall. The nurse is discussing strategies to prevent future fractures. What dietary recommendation should the nurse emphasize to enhance bone health?
A. High sodium intake for bone mineralization
B. Calcium-rich foods for bone strength
C. Low vitamin D intake to reduce bone density
D. Caffeine consumption to prevent bone loss
E. Excessive alcohol intake for bone remodeling
Rationale: Calcium is essential for bone strength, and a diet rich in calcium helps prevent osteoporosis-related fractures. Emphasizing calcium-rich foods supports bone health and reduces the risk of further fractures in individuals with osteoporosis.
Understanding the Osteoarthritis: NCLEX Delegation Questions
A 55-year-old patient presents with joint pain, crepitus, and morning stiffness that improves with activity. Physical examination reveals Heberden’s nodes. Which joint is most likely affected in this patient?
A) Knee
B) Elbow
C) Hip
D) Finger
E) Shoulder
Rationale: Heberden’s nodes are bony swellings that occur at the distal interphalangeal joints (DIP) of the fingers, commonly associated with osteoarthritis. This type of joint involvement is characteristic of osteoarthritis, especially in older adults. The presence of Heberden’s nodes aids in diagnosing and differentiating osteoarthritis from other joint disorders.
Understanding Osteoarthritis: Causes and Symptoms
A patient with osteoarthritis is prescribed an intra-articular corticosteroid injection for joint pain relief. What teaching point is essential for the nurse to provide to the patient?
A) Inject the medication into the muscle
B) Apply ice immediately after the injection
C) Avoid weight-bearing activities for 24 hours
D) Expect rapid and long-lasting pain relief
E) Limit fluid intake before the injection
Rationale: Applying ice after an intra-articular corticosteroid injection helps minimize post-injection pain and swelling. It is a standard practice to reduce discomfort at the injection site. Ice application can also contribute to local vasoconstriction, reducing the risk of bleeding or hematoma formation. Educating the patient on proper post-injection care is crucial for optimal outcomes.
NCLEX Practice Questions: Understanding Osteoarthritis Causes and Symptoms
A nurse is providing education to a group of patients with osteoarthritis. Which dietary modification should be recommended to help manage symptoms?
A) High sodium intake
B) Low calcium intake
C) Omega-3 fatty acids supplementation
D) Increased caffeine consumption
E) Excessive alcohol intake
Rationale: Omega-3 fatty acids, found in fish oil, have anti-inflammatory properties and may help reduce joint pain and stiffness associated with osteoarthritis. Encouraging patients to incorporate omega-3 fatty acids into their diet or take supplements can contribute to the management of symptoms. This dietary modification aligns with a holistic approach to osteoarthritis care, focusing on lifestyle and nutritional interventions for improved outcomes.
NCLEX Questions: Focus on Medications for Osteoarthritis
A 62-year-old patient reports joint pain and stiffness that worsens throughout the day. The healthcare provider suspects osteoarthritis. Which joint is commonly affected in the early stages of osteoarthritis?
A) Knee
B) Shoulder
C) Ankle
D) Elbow
E) Hip
Rationale: Osteoarthritis often affects weight-bearing joints, and the knee is commonly involved in the early stages. The gradual breakdown of cartilage in the knee joint leads to pain and stiffness, especially after periods of inactivity. Understanding the typical joint manifestations in osteoarthritis aids in early identification and intervention.
NCLEX Focus Exploring Osteoarthritis: Causes and Diagnosis
A patient with osteoarthritis is prescribed a nonsteroidal anti-inflammatory drug (NSAID) for pain management. What information should the nurse prioritize when educating the patient about NSAID use?
A) Take on an empty stomach
B) Use for long-term pain relief
C) Monitor for signs of gastrointestinal bleeding
D) Combine with alcohol for enhanced efficacy
E) Discontinue abruptly if side effects occur
Rationale: NSAIDs can increase the risk of gastrointestinal bleeding and ulcers. Patients need to be aware of warning signs, such as dark stools or abdominal pain, and report them promptly. Monitoring for gastrointestinal complications is crucial for patient safety when using NSAIDs for osteoarthritis pain management.
NCLEX Review: Osteoarthritis Disease Treatments
A 70-year-old patient is scheduled for joint replacement surgery due to severe osteoarthritis. What preoperative assessment is essential for the nurse to perform before the surgery?
A) Checking blood pressure
B) Assessing respiratory rate
C) Evaluating cognitive function
D) Measuring joint range of motion
E) Reviewing dietary preferences
Rationale: Cognitive function assessment is crucial before joint replacement surgery to ensure the patient can actively participate in postoperative care instructions. Understanding the patient’s cognitive status helps determine their ability to adhere to rehabilitation protocols and reduces the risk of postoperative complications.
NCLEX Questions Critical Thinking: Osteoarthritis Symptoms
A patient with osteoarthritis is attending a physical therapy session. Which exercise is most beneficial for improving joint flexibility and reducing stiffness in osteoarthritis?
A) High-impact aerobics
B) Isometric exercises
C) Resistance training with heavy weights
D) Low-impact activities like swimming
E) Prolonged sitting without movement
Rationale: Low-impact exercises, such as swimming, are beneficial for osteoarthritis as they help improve joint flexibility without causing excessive stress on the joints. Swimming allows a range of motion and helps maintain joint function without exacerbating pain. Recommending appropriate exercises aligns with a comprehensive approach to managing osteoarthritis symptoms through physical activity.
