a client is experiencing numbness and tingling distal to a new arm cast with no increase in pain the nurse assesses that the clients fingers are pale

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client is experiencing numbness and tingling distal to a new arm cast with no increase in pain. The nurse assesses that the client's fingers are pale, cool and swollen. What action does the nurse take next?

A. Remove the cast to decrease pressure
B. Raise the arm above the level of the heart
C. Apply heat to the affected hand
D. Encourage range of motion

Correct answer: B

Rationale:

2. What is a negative effect of immobility on the musculoskeletal system?

A. Pressure injury
B. Contractures
C. Glucose intolerance
D. Incontinence

Correct answer: B

Rationale: Contractures are a negative effect of immobility on the musculoskeletal system.

3. A client has sustained an open fracture. How can the nurse best prevent osteomyelitis in this client?

A. Administer pain medication
B. Use proper hand hygiene and strict infection control
C. Delegate all client personal care to specific unlicensed assistive personnel
D. Plate the client in contact precautions

Correct answer: B

Rationale:

4. The following client come to the ophthalmology clinic. Which client needs to be seen first?

A. Client who had recent cataract surgery and has worsening vision
B. Client with an absent red reflex on ophthalmic examination
C. Client with an intraocular pressure of 24 mm Hg
D. Client with a tearing, reddened eye with exudate

Correct answer: A

Rationale: Worsening vision after cataract surgery requires immediate attention to prevent complications.

5. Which finding is not typically associated with inflammation in a client?

A. Pain
B. Heat
C. Polyuria
D. Erythema

Correct answer: C

Rationale: Polyuria is excessive urination and is not a typical assessment finding in inflammation. Inflammation commonly presents with pain (A), heat (B), and erythema (D) which are classic signs of an inflammatory response. Pain results from the release of inflammatory mediators, heat is due to increased blood flow, and erythema is caused by vasodilation and increased blood flow to the area. Polyuria is more likely associated with conditions such as diabetes or renal issues, rather than inflammation.