1 d
The nurse is planning care for a client with a fractured femur?
Follow
11
The nurse is planning care for a client with a fractured femur?
Which action should the nurse include in the postoperative care plan?, Which nursing intervention is essential in caring for a client with compartment syndrome? and more The client with a fractured left humerus reports dyspnea and chest pain. An incarcerated client is admitted to the hospital after sustaining multiple contusions and a fractured femur in an assault. To assist in meeting. The registered nurse (RN) is caring for an older client who recently experienced a fractured pelvis from a fall. A patient with a fractured head of the right femur is placed in Buck extension. Disturbed body image, Which. Remove traction weights once per shift for 30 minutes and then replace them c. Which suggestions would be helpful for this family to reduce the risk of injury? The registered nurse (RN) is caring for an older client who recently experienced a fractured pelvis from a fall. Know the assessment, goals, related factors, and nursing interventions with rationale for fracture in this guide. Which potential adverse effect unique to pediatric clients should the nurse anticipate?, A nurse is caring for a group of clients with myasthenia gravis, Guillain-Barré syndrome. The cast will dry in about 12 hours. what should the nurse tell this client, what should the nurse teach the client with an external fixation device, the nurses caring. Ensure that the weights hang freely without touching the ground. Client is a white woman with a body mass index (BMI) of 19 b. Which of the following would the nurse be least likely to include in the plan of care? 1. , The nurse is preparing the plan of care for the client with a closed fracture of the right arm. If you decide insurance is for you, here's what to do to keep down the price. Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client newly admitted to the unit with a fractured right femur. Hospice nursing notes play a crucial role in providing comprehensive care for patients nearing the end of their lives. Which of the following actions should the nurse include in the client's plan of care? The nurse is caring for a client who was admitted to the hospital with a fractured right femur sustained from a fall 5 hours ago. A client has sustained a long bone fracture and the nurse is preparing the client's care plan. What intervention should the nurse include in the plan of care to prevent fat emboli? The nurse is explaining discharge instructions to a client with a fractured right femur who lives alone. The greatest risk to this client is injury from a pressure injury. A child with a fractured femur is placed in Buck's skin traction, and the nurse is planning care for the client. These will hold the broken ends of bone in place while they heal. The cast has a window cut in it for viewing of the incision. 5. Hip fractures can occur at the head, neck, or upper shaft of the femur. Which action will the nurse complete while caring for this client?, The student nurse is developing a care plan for a child who suffered a fractured tibia and will have a cast on his lower leg for approximately 6 weeks. These will hold the broken ends of bone in place while they heal. lower extremity spasticity. Which action will the nurse complete while caring for this client?, The student nurse is developing a care plan for a child who suffered a fractured tibia and will have a cast on his lower leg for approximately 6 weeks. Places the child at risk for infection 3. If you’re interested in pursuing a trusted, compassionate career in health care, you might be wondering “what do I need to become a nurse?” Though not necessarily as time consuming. A nurse is caring for a child following an open reduction and internal fixation of a fractured femur and application of a cast. The nurse is helping to set up Buck's traction on an orthopedic client. a) The client requires simple and direct explanations about the traction and its purpose. The nurse is creating a plan of care for a client scheduled for a left total hip arthroplasty. A nursing diagnosis associated with the client's procedure is "Impaired Tissue Integrity related to puncture wound from pin placement. The client has a prison guard assigned to his bedside. D. Which nursing intervention has the highest priority? Nursing care of the client in skeletal traction includes ensuring the trapeze is within the client's reach and the pins or wires are covered with caps. Study with Quizlet and memorize flashcards containing terms like A client with a fractured femur is being prepared for surgery. 2 Increasing the consumption of eggs and cheese. A nurse cares for a frail, elderly client with osteoporosis in a nursing home. Progressive leg exercises to obtain 90-degree flexion B Offering the client a diet high in fluid and fiber. The orthopedic healthcare provider instructs a client with the fractured right femur, Who has been non-weight bearing for the past five weeks, to progress to full weight bearing on the right leg. When planning care, the nurse should take into account the client's need to achieve what developmental milestone? A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur. For which type of child should the nurse begin to plan care? obese preadolescent male. The client asks why a splint is being applied instead of a cast. A hairline hip fracture, also commonly called a stress fracture, is a crack in the femur or femoral neck that, if not treated properly, can get larger over time, according to Houst. A pillow to keep the right leg abducted during turning C. which is the nurse trying to prevent by placing pillows around the. Dunlop is a form of skeletal traction. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient who has undergone left knee arthroplasty with prosthetic replacement of the knee joint to relieve the pain of severe osteoarthritis. my child was riding a bicycle and fell off. On assessment of the pin site, the nurse notes the presence of serous drainage. apply cream daily to the residual limb b. The nurse monitors this client for signs and symptoms of a fat embolism. With numerous options available, it can be overwhelming to. The nurse interprets that the client probably has experienced fat embolus because of the result of. Postoperatively, what does the nurse expect to be included in the care of the affected leg? A. Which of the following interventions should the nurse include in the plan? - Instruct the client to flex and extend the ankle twice daily. Nursing Management Cover any breaks in the skin with clean or sterile dressing. A nurse is caring for a client placed in traction to treat a fractured femur. A set of arterial blood gas tests reveals the following: pH. Ensure that the pressure injury prevention score and plan is assessed every shift and documented. Which of the following interventions should the nurse delegate to an assistive personnel? D. A nurse is assisting with the plan of care for an older adult client who is 4 hr postoperative following an open reduction and internal fixation of a fractured femur. The best response by the nurse is: "CPM increases range of motion of the joint. Hip Fracture Nursing Care Plans Diagnosis and Interventions Hip Fracture NCLEX Review and Nursing Care Plans Considering the different types of injury that the hip may endure, having a hip fracture is recognized as a serious injury that can have potential life-threatening complications. Elevate the affected extremity Contact the nursing supervisor Administer oxygen -They must be written on the nursing plan of care. The nurse would plan to use which method to reposition the client? A. Immediately postapplication, the nurse should provide what teaching to the patient? A) The cast will feel cool to touch for the first 30 minutes. A hip fracture, as known as a femoral fracture, occurs on the proximal end of the femur. , A 75-year-old client had surgery for a left hip fracture yesterday The client interaction for a fractured femur is having difficulty managing self-care activities. The health care provider has requested a nitrogen balance determination. The client is scheduled for surgical repair of a fractured femur following a motor vehicle accident. Study with Quizlet and memorize flashcards containing terms like A client is diagnosed with several fractured ribs after a motor vehicle crash. "Taking my medicine at night will help me sleep "It is important to wear a medical alert bracelet all of the time "My medication dose may change based on my. Which suggestions would be helpful for this family to reduce the risk of injury? A 14-year-old girl in skeletal traction for treatment of a fractured femur is expected to be hospitalized for several weeks. During the 48 to 72 hours after the fracture the nurse should monitor the patient for the development of what? Fat emboli Renal calculi Muscle atrophy Bone demineralization, A patient with a fracture of the femur has the extremity in skeletal traction and is encouraged. Absence of radial pulse, Which statement by the nurse describes a. Incidence increases with age, and the average age of clients presenting with. A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur. Which condition best reflects a nursing diagnosis?, Research has demonstrated that a common source of hospital. 20 gauge earrings Study with Quizlet and memorize flashcards containing terms like 1. Hospitals are often the first image that com. After surgery, the client questions why he must go to a rehabilitation center because he has family who can care for him. which is the nurse trying to prevent by placing pillows around the. Nursing notes serve as a comprehensi. Use a cloth-covered pillow to elevate the clients leg Handle the cast with your fingertips to prevent indentations A nurse obtains the health history of a client with a fractured femur. 3 The self-adhering closures should be fairly loose to. Calculators Helpful Gui. Hip fractures often occur after a fall, whether you have osteoporosis or not. Which of the following actions should the nurse take to prevent skin break down ? Click the card to flip 👆. Which of the following an open reduction an internal fixation of a fractures femur. Which of the following would the nurse be least likely to include in the plan of care? Use of a fracture bedpan Checks for redness over the ischial tuberosity Elevation of the head of bed no more than 25 degrees Study with Quizlet and memorize flashcards containing terms like A client with a fractured femur is being prepared for surgery. Postoperatively, what does the nurse expect to be included in the care of the affected leg? A. Some of these include the services provided, location and length of care. A nurse is assisting with the plan of care for an older adult client who is 4 hr postoperative following an open reduction and internal fixation of a fractured femur. A 14-year-old client in skeletal traction for treatment of a fractured femur is expected to be hospitalized for several weeks. worst boarding school punishment One hour later, the client reports relief of pain. Which action would the nurse take?, Which principle would the nurse incorporate in planning care for a patient with a history of opioid abuse who has a fractured femur?, Which psychologic or physiologic effects does the nurse anticipate in a patient addicted to opioids? SATA and. The client with a fractured femur is upset and agitated that skeletal traction will be. Make use of this in-depth nursing care plan and management roadmap to aid in the care of patients with fracture. When planning this client's care, the nurse should anticipate which measure? a) Instructing the client to ambulate twice daily b) Administering large doses of I antibiotics as ordered c) Withholding all oral intake d. NursesZone. Nursing Diagnosis: Acute Pain related to femur fracture secondary to soft tissue injury as evidenced by swelling, limited range of motion, and verbalization of pain on an 8/10 pain scale. A dry plaster cast is dull and gray. Nursing notes serve as a comprehensi. Which of the following interventions should the nurse include in the plan? Which intervention should the nurse include in the plan of care (select all that apply), Five days after surgical fixation of a fractured femur a client suddenly reports chest pain and difficulty breathing the nurse suspects that the client may have a pulmonary embolism which action should the nurse take first?, When assessing the surgical. Fractures can be minor such as a broken toe only requiring splinting or major such as a hip, neck, or femur fracture requiring surgery, inpatient care, and months of recovery. Study with Quizlet and memorize flashcards containing terms like The nurse is explaining how the body uses amino acids and proteins. Chapter 46: Nursing care of pt with muskulo. The nurse is developing a plan of care for a client with a fractured femur who is in traction and will be restricted to bed for some time. Which of the following interventions should the nurse include in the plan? A. b) A total hip replacement. The child also has attention-deficit hyperactivity disorder, predominantly inattentive type. craigslist camden south carolina The nurse interprets that the client probably has experienced fat embolus because of the result of. B) The cast should be wrapped snuggly with a towel until the patient gets home. During the 48 to 72 hours after the fracture the nurse should monitor the patient for the development of what? Fat emboli Renal calculi Muscle atrophy Bone demineralization, A patient with a fracture of the femur has the extremity in skeletal traction and is encouraged. b) The nurse points out activities that are allowed or contraindicated. The client with a fractured femur is upset and agitated that skeletal traction will be. Calculators Helpful Guid. LOS ANGELES, Nov. Which of the following information should the nurse include in the teaching? Sit upright or stand for at least 30 min after taking the medication. Which domain should the nurse consider when developing a nursing diagnosis based on this client's musculoskeletal health problems? The nurse is developing a plan of care for a client with a fractured femur who is in traction and will be restricted to bed for some time. A dry plaster cast is dull and gray. The nurse creates a plan of care and should include which intervention? and more. The boy will be receiving a cast. Study with Quizlet and memorize flashcards containing terms like Which is a characteristic of person-centered care?, The nurse is performing an assessment on a client who reports having a rash on the back that is red and raised. They provide essential support and guidance to patients as they navigate.
Post Opinion
Like
What Girls & Guys Said
Opinion
67Opinion
Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient who has undergone left knee arthroplasty with prosthetic replacement of the knee joint to relieve the pain of severe osteoarthritis. Which action would the nurse take first ?, An 11 - month - old infant is admitted to the pediatric hospital with a fractured right femur and is placed in Bryant traction. There are many routes nurses can take, including. The nurse should be especially vigilant in monitoring for which complication related to the client. Most pain can be relieved by elevating the involved part, applying ice or cold packs, and administering analgesic. 29. Which instructions would the charge nurse provide to the staff nurse about the plan of care of this client?1. The hip is a ball-and-socket joint where the femur joins the pelvis. This type of broken leg almost always requires surgery to heal. When planning care, the nurse should take into account the girl's need to achieve what developmental milestone? Study with Quizlet and memorize flashcards containing terms like Two days after application of a cast to treat a fractured femur, the client reports severe, deep, and constant pain in the leg. the nurse makes a home health care visit to a client with a fractured right femur. Not only do they help clien Self-care is vital for well-being, and no group knows that better tha. Which action will the nurse complete while caring for this client?, The student nurse is developing a care plan for a child who suffered a fractured tibia and will have a cast on his lower leg for approximately 6 weeks. Which of the following interventions should the nurse delegate to an assistive personnel? D. , A nurse obtains the health history of a client with a fractured femur. craigslist gigs durham nc Which domain should the nurse consider when developing a nursing diagnosis based on this client's musculoskeletal health problems? The nurse is assessing the pain level of a 2-year-old child receiving care after the repair of a fractured femur. Which action by the graduate nurse requires the registered nurse to intervene? and more. inspiratory and expiratory wheezing. The femur consists of two femora connected to the pelvis via the hip joint and to the tibia via the knee joint. When stating the location of the fracture on the long shaft of the femur, the nurse would be most correct to state which terminology locating the fractured site? The fracture is on the diaphysis. What is the first action the nurse should take? The nurse is developing a plan of care for a client with a fractured femur who is in traction and will be restricted to bed for some time. nursing assistants, child life specialist, and physicians should be involved in pediatric client care to ensure that physical, emotional, social, and spiritual issues are addressed. Which action would the nurse take?, Which principle would the nurse incorporate in planning care for a patient with a history of opioid abuse who has a fractured femur?, Which psychologic or physiologic effects does the nurse anticipate in a patient addicted to opioids? SATA and. Following a total knee replacement, the surgeon orders a continuous passive motion (CPM) device. Which action would the nurse take first ?, An 11 - month - old infant is admitted to the pediatric hospital with a fractured right femur and is placed in Bryant traction. Progressive leg exercises to obtain 90-degree flexion B Offering the client a diet high in fluid and fiber. Ensure that the knots are at the pulleys Check the weights to ensure that they are off of the floor Ensure that the head of the bed is kept at a 45- to 90-degree angle A client undergoes a muscle biopsy. This paper describes how an integrated care pathway was introduced for patients with fractured neck of femur in an acute hospital. Study with Quizlet and memorize flashcards containing terms like Which statement made by a client diagnosed with Addison's disease indicates to the nurse that the client needs further teaching about fludrocortisone therapy? 1. Which nursing diagnosis is a priority for the client? Select all that apply. Which interventions should the nurse include in the plan to prevent complications of the surgery?. which physiological change should the nurse anticipate, the nurse performs discharge teaching for a. The nurse is planning care for an adolescent client who will be hospitalized for several weeks following a traumatic brain injury. which is the nurse trying to prevent by placing pillows around the. Which of the following interventions should the nurse include in the plan? A. Study with Quizlet and memorize flashcards containing terms like The nurse plans care for a patient who has a fractured femur. Which interventions will enhance family-centered care for this client and family? (Select all that apply) 1. channel 12 radar milwaukee Monitoring for which potential complication must be included by the nurse in the client's plan of care? For Answer/Rationale: https://goo 1 2. The client displays manifestations of compartment syndrome. When monitoring to determine if the traction is appropriately assembled, the nurse expects to observe which of the following? Jun 29, 2024 · A nurse's developing a care plan for a client who is in Buck's traction and is scheduled for surgery for a fractured femur of the right leg. the nurse is caring for a client with a fractured hip. The nurse is developing a plan of care for a client with a fractured femur who is in traction and will be restricted to bed for sometime. Which outcome indicates a successful completion of a goal promoting independence for this client? A) The client assess it as much as possible in care, demonstrating increased participation over time. Limit hip flexion of the client's hip when the client sits up. A patient with a fractured head of the right femur is placed in Buck extension. The client asks why a splint is being applied instead of a cast. Nursing Diagnosis: Acute Pain related to femur fracture secondary to soft tissue injury as evidenced by swelling, limited range of motion, and verbalization of pain on an 8/10 pain scale. The nurse notes that the client has a mild tremor, slight diaphoresis and is fully oriented. He is scheduled to undergo an open reduction internal-fixation of his right femur. Question: A nurse is developing a care planfor a client who is in Buck'straction and is scheduled forsurgery for a fractured femur ofthe right leg. Study with Quizlet and memorize flashcards containing terms like A nurse is monitoring a client following a thyroidectomy for the presence of hypoparathyroidism. Keep the client resting in bed Ask the client to restate directions Clear objects from the client's walking area Evaluate the client's ability to swallow. nj com football Apr 30, 2024 · 11 Fracture Nursing Care Plans. c) An open reduction. Study with Quizlet and memorize flashcards containing terms like The new graduate nurse provides care for a client with a halo external fixation device. Which of the following an open reduction an internal fixation of a fractures femur. Which response by the nurse is best?, Which goal is the priority for a client with a fractured femur who is in traction at this time? and more. The nurse would plan to use which method to reposition the client? A. Apply suction for 10 seconds C. Adding the use of hot or cold packs for pain control b. This paper describes how an integrated care pathway was introduced for patients with fractured neck of femur in an acute hospital. Paresthesia distal to area of injury 3. What intervention should the nurse include in the plan of care to prevent fat emboli? The nurse is explaining discharge instructions to a client with a fractured right femur who lives alone. Motor vehicle accidents are the most common cause of f. Hospitals are often the first image that com. A client with a fractured femur experiences sudden dyspnea, tachypnea, and tachycardia. Which of the following findings should the nurse expect? A. Which assessment findings indicate that the child is developing an infection?. The nurse is teaching a patient with a 3-day-old newborn about a perfusion lung scan The nurse is planning care for a patient with a pulmonary embolism (PE) who requires supplemental oxygen The nurse is caring for a patient who has a fractured femur and suddenly reports dyspnea, chest pain, cough, anxiety, and petechiae on the chest A client fractured his femur yesterday. Which of the following an open reduction an internal fixation of a fractures femur.
A nursing diagnosis associated with the client's procedure is "Impaired Tissue Integrity related to puncture wound from pin placement. The nurse notes that the client has a mild tremor, slight diaphoresis and is fully oriented. A client has sustained a long bone fracture and the nurse is preparing the client's care plan. In addition, multiple soft-tissue contusions are present. A client who is experiencing frequent incontinent diarrheal stools C. bethany washable area rug Which information about this type of traction is correct? Which information about this type of traction is correct? A nurse is assisting with the plan of care for an older adult client who is 4 hour postoperative following an open reduction and internal fixation of a fractured femur. Which domain should the nurse consider when developing a nursing diagnosis based on this client's musculoskeletal health problems? - Study with Quizlet and memorize flashcards containing terms like A client with a fractured femur is being prepared for surgery. which task can the nurse delegate to the LPN, the nurse provides care for a client who has taken aspirin in high school, prolonged dosages. The nurse is planning care to prevent complications for a client with multiple myeloma. naomi swanb The client's plan of care includes interventions related to monitoring for signs/symptoms of fat embolism. which action would the nurse take first? administer oxygen by mask. Nurses may care for patients with fractures in many settings such as emergency departments, urgent care centers, or inpatient units following surgical repairs. Nurses in the neonatal intensive care unit can spend an entire s. lower extremity spasticity. The nurse is assigned to care for a client who is in Buck's traction. wrestling spankbang Intravenous calcitonin d. A nursing diagnosis associated with the client's procedure is "Impaired Tissue Integrity related to puncture wound from pin placement. ) Provide optimal nutrition and hydration for the client 3. client's level of discomfort, A client is admitted to the labor and delivery unit. A 14-year-old client in skeletal traction for treatment of a fractured femur is expected to be hospitalized for several weeks. d) A total knee replacement.
When assessing a client's lower limbs, what sign or symptom is suggestive of deep vein thrombosis (DVT)?, A client with a fractured ulna has a plaster cast applied to the forearm. 2 Increasing the consumption of eggs and cheese. Instruct the client to flex and extend the ankle twice daily B. What intervention should the nurse include in the plan of care to prevent fat emboli? A client who has a fractured femur has been put in traction and requires assistance with care activities. Which prescribed medication should the nurse administer first? a. A 24-hour urinary urea nitrogen collection result was 18 The nurse recognizes that this client is in which of the following states? The nurse is providing care to a patient with a fractured femur who is in traction. In an effort to prevent future fractures, the nurse should encourage what actions? The nurse knows that chlorzoxazone, a centrally acting skeletal muscle relaxant, is commonly used to treat: muscle spasm caused by cerebral palsy. The client's heel is reddened and tender. This type of broken leg almost always requires surgery to heal. Which of the following statements should the nurse identify as an indication that the client understands the discharge instructions?, A nurse is caring or a client who has a fractured right femur and is balance suspension traction. A 24-hour urinary urea nitrogen collection result was 18 The nurse. c. A nurse is assessing a child after a fractured femur. -Remove the traction at least every 8 hours. , Which of the following are associated with compartment syndrome? Select all that apply. Which factor identified in the clients history should the nurse recognize as an aspect that may impede healing of the fracture? a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient who has had a plaster arm cast applied. Study with Quizlet and memorize flashcards containing terms like The nurse educator on an orthopedic trauma unit is reviewing the safe and effective use of traction with some recent nursing graduates. Advance the catheter 2 cm (0. Nursing is an excellent career path if you’re interested in working in the healthcare industry and strive to provide quality care to patients. Motor vehicle accidents are the most common cause of f. Study with Quizlet and memorize flashcards containing terms like A client fell off a ladder and the healthcare provider suspects a fracture of the right wrist. Which response by the nurse is best?, Which goal is the priority for a client with a fractured femur who is in traction at this time? and more. which action would the nurse take first? administer oxygen by mask. spanish mauser serial number database During repositioning, what should the nurse do?. Which action will the nurse complete while caring for this client? a. The client is scheduled for surgical repair of a fractured femur following a motor vehicle accident. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient who has undergone left knee arthroplasty with prosthetic replacement of the knee joint to relieve the pain of severe osteoarthritis. Which of the following interventions should the nurse include in the plan? - Instruct the client to flex and extend the ankle twice daily. The best response by the nurse is: "CPM increases range of motion of the joint. Which domain should the nurse consider when developing a nursing diagnosis based on this client's musculoskeletal health problems? A nurse is planning care for a client who develops dyspnea and feels tired after completing her morning care. Assess and document the condition of skin throughout care in the progress notes and care plan. Critical Care Fundamentals. Which domain should the nurse consider when developing a nursing diagnosis based on this client's musculoskeletal health problems? The nurse is assessing the pain level of a 2-year-old child receiving care after the repair of a fractured femur. Intravenous calcitonin d. and connective tissue disorders Maintain Immobilization of the right leg. The care, rehabilitation and discharge of patients with hip fracture are a significant challenge for many services, but the quality and cost-effectiveness of such care vary considerably. Which action will the nurse complete while caring for this client?, The student nurse is developing a care plan for a child who suffered a fractured tibia and will have a cast on his lower leg for approximately 6 weeks. Study with Quizlet and memorize flashcards containing terms like After the physician performs an amniotomy, the nurse's first action should be to assess the: a. Following a total knee replacement, the surgeon orders a continuous passive motion (CPM) device. my child was riding a bicycle and fell off. stabbing in nottingham Hospitals are often the first image that com. Hospice nursing notes play a crucial role in providing comprehensive care for patients nearing the end of their lives. Which of the following interventions should the nurse include in the plan? The nurse is caring for a comatose client at risk for fat embolism because of a fractured femur and pelvis sustained in a fall. Visible deformity C Cyanosis of nail beds E. cisplatin Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur. The nurse is developing a plan of care for a client with a fractured femur who is in traction and will be restricted to bed for some time. Adding the use of hot or cold packs for pain control b. Which of the following would the nurse be least likely to include in the plan of care? A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur. Later in the day the nurse discusses the plan of care for a patient who is dying with the patient's family A patient has a fractured femur that is placed in skeletal traction with a fresh plaster cast applied. The nurse provides appropriate care by performing which action? Select all that apply. Apply suction for 10 seconds C. The nurse is planning care for an adolescent client who will be hospitalized for several weeks following a traumatic brain injury. When planning care, the nurse should take into account the client's need to achieve what developmental milestone? autonomy initiative industry identity Study with Quizlet and memorize flashcards containing terms like A nurse enters a client's room, and observes that the client is agitated and pacing rapidly. Which nursing intervention. - Remove the weights every four hours. Asking the adolescent what. Making all ADL decisions for the adolescent and family 2. Which of the following nursing actions should have the highest priority?, A client is admitted to the surgical unit after sustaining a compound fracture of the left femur Requires frequent pin care A child with a fractured femur is placed in Buck's skin traction, and the nurse is planning care for the client. The term March fracture was first applied to leg fractures to the tibia or shinbone of soldiers during the 1855 Crimean War, as a result of the harsh marching conditions Hip fracture surgery is done to repair a break in the upper part of your thigh bone. The nurse is preparing to perform pin site care for a client in skeletal traction. A client is admitted to the orthopedic unit for treatment of a fractured right femur caused by a motor vehicle crash. Which of the following would the nurse be least likely to include in the plan of care? 1.