In the care of a client in the first 24 hours of a below the knee amputation (BKA), what is the nurse’s priority intervention?

The nurse has taught a client with rheumatoid arthritis about energy conservation and coping strategies to help with activities of daily living. What statement by the client indicates the need for additional teaching? 

Case Study Question 2  The nurse is caring for a 23-year-old client admitted to the medical-surgical unit following surgery for a compound fracture of the right tibia and fibula. Nurses’ Notes   0830: Admitted from Post Anesthesia Care Unit following surgery to repair an open fracture with internal fixation with application of a fiberglass cast. R lower extremity elevated. IV infusing as ordered. Client medicated for pain prior to transport. Vital Signs BP 110/72, HR 90, RR 29, Temp 99F (37.2C). Unable to assess pedal pulse on R lower extremity due to cast. Motion of toes limited by pain and cast. Will monitor for signs of acute complications. 0930: Client resting at this time. Will continue to monitor. 1100: Client reporting pain 10/10 in R lower extremity. Updated neurovascular checks.    Neurovascular Flowsheet   Right Lower Extremity Pain Score  0-10/10 Motion F = full L = limited N = none Sensation F = full P = partial N = none Capillary Refill B = brisk < 3 seconds S = sluggish > 3 seconds Color N = normal P = pale D = dusky C = cyanotic Warmth H = hot W = warm T = tepid C = cold   Pulse 4+ bounding 3+ increased 2+ normal 1+ weak 0 absent UTA unable to assess     Time:  0830 3/10 L F B N W UTA 0930 3/10 L F B N W UTA 1030 4/10 L F B N W UTA 1100 10/10 N N S P T UTA Orders   0830: Admission Orders: Bedrest with right leg elevated on 2 pillows May use bedside commode with assistance, no weight bearing to R lower extremity Advance to Regular diet as tolerated VS and neurovascular checks every hour for 4 hours then every 4 hours   *Please select ALL the signs of “acute complications” you may find during your patient assessment. 

The emergency room nurse is caring for a client who has sustained a fracture.  Following the application of a fiberglass cast, what is the priority assessment?

The client has suffered an ankle sprain and the nurse is preparing the client for discharge. Which plan is appropriate for the nurse to teach the client? 

When a client is placed in balanced skeletal traction, what is the priority nursing action for the client?

The client is taking methotrexate.  The nurse should evaluate the client for which adverse effect?

A client twists the right lower extremity during a soccer match.  The area is tender and mildly swollen.  What is the priority nursing action?

In what section of the syllabus would you look to find the textbook(s) needed for the course? 

Match the software with the correct use case.