63MD Flashcards
When teaching seniors at a community recreation center, which information will the nurse include about ways to prevent fractures?
a. Tack down scatter rugs in the home.
b. Most falls happen outside the home.
c. Buy shoes that provide good support and are comfortable to wear.
d. Range-of-motion exercises should be taught by a physical therapist.
c. Buy shoes that provide good support and are comfortable to wear.
A factory line worker has repetitive strain syndrome in the left elbow. The nurse will plan to teach the patient about
a. surgical options.
b. elbow injections.
c. wearing a left wrist splint.
d. modifying arm movements.
d. modifying arm movements.
The occupational health nurse will teach the patient whose job involves many hours of typing about the need to
a. obtain a keyboard pad to support the wrist.
b. do stretching exercises before starting work.
c. wrap the wrists with compression bandages every morning.
d. avoid using nonsteroidal antiinflammatory drugs (NSAIDs) for pain.
a. obtain a keyboard pad to support the wrist.
Which discharge instruction will the emergency department nurse include for a patient with a sprained ankle?
a. Keep the ankle loosely wrapped with gauze.
b. Apply a heating pad to reduce muscle spasms.
c. Use pillows to elevate the ankle above the heart.
d. Gently move the ankle through the range of motion.
c. Use pillows to elevate the ankle above the heart.
A 22-year-old tennis player has an arthroscopic repair of a rotator cuff injury performed in same-day surgery. When the nurse plans postoperative teaching for the patient, which information will be included?
a. “You will not be able to serve a tennis ball again.”
b. “You will work with a physical therapist tomorrow.”
c. “The doctor will use the drop-arm test to determine the success of surgery.”
d. “Leave the shoulder immobilizer on for the first 4 days to minimize pain.”
b. “You will work with a physical therapist tomorrow.”
The nurse will instruct the patient with a fractured left radius that the cast will need to remain in place
a. for several months.
b. for at least 3 weeks.
c. until swelling of the wrist has resolved.
d. until x-rays show complete bony union.
b. for at least 3 weeks.
A 48-year-old patient with a comminuted fracture of the left femur has Buck’s traction in place while waiting for surgery. To assess for pressure areas on the patient’s back and sacral area and to provide skin care, the nurse should
a. loosen the traction and help the patient turn onto the unaffected side.
b. place a pillow between the patient’s legs and turn gently to each side.
c. turn the patient partially to each side with the assistance of another nurse.
d. have the patient lift the buttocks by bending and pushing with the right leg.
d. have the patient lift the buttocks by bending and pushing with the right leg.
Which nursing intervention will be included in the plan of care after a patient with a right femur fracture has a hip spica cast applied?
a. Avoid placing the patient in prone position.
b. Ask the patient about abdominal discomfort.
c. Discuss remaining on bed rest for several weeks.
d. Use the cast support bar to reposition the patient.
b. Ask the patient about abdominal discomfort.
A patient has a long-arm plaster cast applied for immobilization of a fractured left radius. Until the cast has completely dried, the nurse should
a. keep the left arm in dependent position.
b. avoid handling the cast using fingertips.
c. place gauze around the cast edge to pad any roughness.
d. cover the cast with a small blanket to absorb the dampness.
b. avoid handling the cast using fingertips
Which statement by the patient indicates a good understanding of the nurse’s teaching about a new short-arm plaster cast?
a. “I can get the cast wet as long as I dry it right away with a hair dryer.”
b. “I should avoid moving my fingers and elbow until the cast is removed.”
c. “I will apply an ice pack to the cast over the fracture site off and on for 24 hours.”
d. “I can use a cotton-tipped applicator to rub lotion on any dry areas under the cast.”
c. “I will apply an ice pack to the cast over the fracture site off and on for 24 hours.”
A patient who is to have no weight bearing on the left leg is learning to walk using crutches. Which observation by the nurse indicates that the patient can safely ambulate independently?
a. The patient moves the right crutch with the right leg and then the left crutch with the left leg.
b. The patient advances the left leg and both crutches together and then advances the right leg.
c. The patient uses the bedside chair to assist in balance as needed when ambulating in the room.
d. The patient keeps the padded area of the crutch firmly in the axillary area when ambulating.
b. The patient advances the left leg and both crutches together and then advances the right leg.
A 32-year-old patient who has had an open reduction and internal fixation (ORIF) of left lower leg fractures continues to complain of severe pain in the leg 15 minutes after receiving the prescribed IV morphine. Pulses are faintly palpable and the foot is cool. Which action should the nurse take next?
a. Notify the health care provider.
b. Assess the incision for redness.
c. Reposition the left leg on pillows.
d. Check the patient’s blood pressure.
a. Notify the health care provider.
A patient with a complex pelvic fracture from a motor vehicle crash is on bed rest. Which nursing assessment finding is important to report to the health care provider?
a. The patient states that the pelvis feels unstable.
b. Abdomen is distended and bowel sounds are absent.
c. There are ecchymoses across the abdomen and hips.
d. The patient complains of pelvic pain with palpation.
b. Abdomen is distended and bowel sounds are absent.
Which action will the nurse take in order to evaluate the effectiveness of Buck’s traction for a 62-year-old patient who has an intracapsular fracture of the right femur?
a. Check peripheral pulses.
b. Ask about hip pain level.
c. Assess for hip contractures.
d. Monitor for hip dislocation.
b. Ask about hip pain level.
A patient with a right lower leg fracture will be discharged home with an external fixation device in place. Which information will the nurse teach?
a. “You will need to check and clean the pin insertion sites daily.”
b. “The external fixator can be removed for your bath or shower.”
c. “You will need to remain on bed rest until bone healing is complete.”
d. “Prophylactic antibiotics are used until the external fixator is removed.”
a. “You will need to check and clean the pin insertion sites daily.”
A patient who has had an open reduction and internal fixation (ORIF) of a hip fracture tells the nurse that he is ready to get out of bed for the first time. Which action should the nurse take?
a. Use a mechanical lift to transfer the patient from the bed to the chair.
b. Check the postoperative orders for the patient’s weight-bearing status.
c. Avoid administration of pain medications before getting the patient up.
d. Delegate the transfer of the patient to nursing assistive personnel (NAP).
b. Check the postoperative orders for the patient’s weight-bearing status.
When doing discharge teaching for a 19-year-old patient who has had a repair of a fractured mandible, the nurse will include information about
a. administration of nasogastric tube feedings.
b. how and when to cut the immobilizing wires.
c. the importance of high-fiber foods in the diet.
d. the use of sterile technique for dressing changes.
b. how and when to cut the immobilizing wires.
After the health care provider has recommended amputation for a patient who has nonhealing ischemic foot ulcers, the patient tells the nurse that he would rather die than have an amputation. Which response by the nurse is best?
a. “You are upset, but you may lose the foot anyway.”
b. “Many people are able to function with a foot prosthesis.”
c. “Tell me what you know about your options for treatment.”
d. “If you do not want an amputation, you do not have to have it.”
c. “Tell me what you know about your options for treatment.”
