A 25-year-old male client complains of decreased range of motion and constant pain in his right lower leg. The client also states he has been limping while walking. An MRI and bone biopsy confirm stage III osteosarcoma of the right tibia. The client decides to have an elective below-the-knee amputation to prevent metastasis.  Indicate which nursing action is most appropriate to help prevent or monitor for each potential postoperative complication. Note: Each action can only be used once. Not all actions will be used. 

A 72-year-old female who has a history of osteoporosis presents to the emergency department (ED) with prolonged facial twitching and numbness. Her serum calcium is found to be 7.7 mg/dL. The ED provider prescribes calcium gluconate 1 g IV push. The pharmacy supplies calcium gluconate 100 mg/mL.  What volume will the nurse administer? _______ The literature states to administer 1 g over 5 minutes. How many milliliters will the nurse administer per minute? _______

A home health nurse is completing an admission for a new client. Upon entering, the nurse visualizes the client’s living environment: What fall hazards are present in the client’s home? Write your answer below in the blanks provided. Fall hazard #1: _______ Fall hazard #2: _______ Fall hazard #3: _______ Fall hazard #4: _______ Fall hazard #5: _______

A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a primary risk factor for osteoporosis?

A client was playing tennis when she twisted and lost her balance. The client fell and complained of severe upper left leg pain. Emergency medical services was called by the client’s friend. The client presents via ambulance to the emergency department (ED) for evaluation and treatment. Her left leg is in an air splint. The client has a history of juvenile osteoporosis and takes calcium carbonate 600 mg TID. Her significant other was notified and is on their way into the ED.  During her time in the ED, the client receives pharmacologic interventions based on her condition.  At 1120, the nurse reassess the client’s pain. The nurse finds the client sleepy with a respiratory rate of 10 breaths/min. What are the next two interventions the nurse should take?

The nurse is caring for a client who sustained a displaced, open humeral fracture. Which finding does the nurse correlate with an pulmonary embolism? Select all that apply. 

A client presents to the clinic after falling on ice and landing on his right shoulder. He reports shoulder pain and limited range of movement. What instruction will the nurse give in order to assess the client’s shoulder flexion?

A nurse and unlicensed assistive personnel (UAP) are caring for a client who is in Buck’s skin traction for a fractured right femur. Which action by the UAP will warrant the nurse to intervene?

A client with a history of essential hypertension and osteoporosis fell on the ice and fractured their distal fibula. The nurse is reviewing newly written prescriptions for the client after they returned from an open-reduction internal fixation. What is the one prescription the nurse should question? Write the number of the corresponding prescription in the blank.

The nurse is caring for a client who has left-sided weakness following a stroke. The nurse must teach the client how to stand and then ambulate with a cane.  Place the following steps in the correct order.