Question

Use the following scenario and client data to answer the question. A nurse is caring for a client who has a right distal radius fracture. Findings upon admission: Assisted provider to splint the right wrist and hand. Client reports chronic numbness of the extremities. Client reports morning stiffness. Elevated client's right extremity on a pillow. Right arm circumference below the elbow Is 30 cm (12 In). Nurse Notes Medical History Rheumatold arthritis Diabetic neuropathy Metformin 500 mg PO twice per day Fentanyl 25 mcg IV boluS PRN every 4 hr Methotrexate 25 mg PO once each week Medication Administration Record x-ray shows a closed, nondisplaced right distal radius fracture Blood glucose 142 mg/du Reports pain level of 4 on a scale of O to 10 3+ brachial pulse in right arm WBC count 8 Diagnostic Results The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? (For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving, or an indication that the client's condition is worsening.)

Answer 1

Answer :

Nurse interpretation of finding after 24 hrs:

* always the fracture should need RICE.

* RICE means R- rest,

I - immobilization,

C - compression

E - elevation.

* according to nurses notes client is having splint it should be used like immobilizer.

* due to to fracture and he is take fentanyl 25 mcg as a anesthetic drug and also client is having diabetic neuropathy.

* so numbness can observed, or due to nerve comprehension also, the numbness may felt by client.

* the findings shows that mild edema on right hand and by elevation the edema may come down after 24 hrs.

* due to exposure cold the stiffness may find due to rheumatoid arthritis.

* according to the diagnostic results the fracture is non displaced closed fracture.

* and blood glucose levels are in control. That is 140 mg/dl. Up to 180 mg / dl is normal.

* and wbc levels 8800/mm3 , so these are also normal, because 4000-11000/mm3, is normal count.

* and on pain scale client is having moderate pain, that is 4. Because 1-3 mild, 4-6 moderate, and 7-10 is Indicates severe pain in visual analog scale.

* and bracheal pulse also feeling 3+.

So almost all findings are showing improvement of the client.