NCLEX RN Practice Question # 686
NCLEX Examination.
Practice Question # 686.
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1. Question
A client has sustained a closed fracture and has just had a cast applied to the affected arm. The client is complaining of intense pain. The nurse elevates the limb, applies an ice bag, and administers an analgesic, with little relief. Which problem may be causing this pain?
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Answer: Option 3 is the correct answer:
Rationale: Most pain associated with fractures can be minimized with rest, elevation, application of cold, and administration of analgesics. Pain that is not relieved by these measures should be reported to the health care provider because pain unrelieved by medications and other measures may indicate neurovascular compromise. Because this is a new closed fracture and cast, infection would not have had time to set in. Intense pain after casting is normally not associated with anxiety or the recent occurrence of the injury. Treatment following the fracture should assist in relieving the pain associated with the injury.
Test-Taking Strategy: Focus on the subject, intense pain, and focus on the data in the question. Use of the ABCs—airway– breathing–circulation—will direct you to the correct option.
Review: Care of the client with a fracture and new cast
• Level of Cognitive Ability: Analyzing
• Client Needs: Physiological Integrity
• Integrated Process: Nursing Process—Assessment
• Content Area: Adult Health—Musculoskeletal
• Priority Concepts: Pain; Tissue IntegrityIncorrect
Answer: Option 3 is the correct answer:
Rationale: Most pain associated with fractures can be minimized with rest, elevation, application of cold, and administration of analgesics. Pain that is not relieved by these measures should be reported to the health care provider because pain unrelieved by medications and other measures may indicate neurovascular compromise. Because this is a new closed fracture and cast, infection would not have had time to set in. Intense pain after casting is normally not associated with anxiety or the recent occurrence of the injury. Treatment following the fracture should assist in relieving the pain associated with the injury.
Test-Taking Strategy: Focus on the subject, intense pain, and focus on the data in the question. Use of the ABCs—airway– breathing–circulation—will direct you to the correct option.
Review: Care of the client with a fracture and new cast
• Level of Cognitive Ability: Analyzing
• Client Needs: Physiological Integrity
• Integrated Process: Nursing Process—Assessment
• Content Area: Adult Health—Musculoskeletal
• Priority Concepts: Pain; Tissue Integrity