NCLEX PN Practice Test with NGN Practice Question
Potential Prescription, Expected, Not Expected,, Radio
Scenario/Extract:
The nurse is caring for a 52-year-old client on the orthopedic unit.
Nurses' Notes
Postoperative Day 1
0900:
The client's left leg was placed in balanced suspension skeletal traction for a fractured femur 12 hours ago. The client is positioned supine in the center of the bed with the foot of the bed elevated 15 degrees. Traction ropes are free of frays, centered in the pulleys, and moving freely with attached weights resting on the bed frame.
Serous drainage noted around the pin sites. Left foot slightly cool to the touch with posterior tibial and dorsalis pedis pulses palpable at 2+ and capillary refill <2 seconds in the toes. Client has normal sensation and movement of the left toes. Client rates left leg pain as 8 on a scale of 0-10.
Vital signs are T 100.4 F (38 C), P 110, RR 18, and BP 132/68. Weight is 173 lb (78.5 kg).
For each potential prescription, click to specify if the prescription is expected or not expected for the care of the client.
Correct Answer: C,D,E
Rationale: Expected prescriptions include using an incentive spirometer (C) to prevent atelectasis, administering a stool softener (D) for constipation, and an anticoagulant (E) for DVT prevention. Fluid restriction (A) and low-fiber diet (B) are not indicated.
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