Fund Ch 39

Question 1

cut in half lengthwise

Answer 1

bivalve

Question 2

rigid dressing, molded to the body while pliable, that hardens as it dries to give firm support

Answer 2

cast

Question 3

the weight pulling against the weight of the traction

Answer 3

counter traction force

Question 4

back

Answer 4

dorsum

Question 5

metal device inserted into or through one or more bones to stabilize fragments of a fracture while it heals

Answer 5

external fixator

Question 6

muscular weakness or partial paralysis affecting one side of the body

Answer 6

hemiparesis

Question 7

one-sided paralysis

Answer 7

hemiplegia

Question 8

massage or debridement by moving water

Answer 8

hydrotherapy

Question 9

pneumonia caused by stasis of lung secretions due to inactivity, which provides a medium for bacterial growth

Answer 9

hypostatic pneumonia

Question 10

exercises performed against resistance

Answer 10

isometric exercises

Question 11

moving

Answer 11

kinetic

Question 12

soft material, often with an adhesive backing, used especially on the feet to protect against chafing

Answer 12

moleskin

Question 13

rectangular frame to which traction equipment may be attached

Answer 13

over-the-bed frame

Question 14

person who is paralyzed in the legs and lower part of the body

Answer 14

paraplegic

Question 15

feeling of numbness or tingling

Answer 15

paresthesia

Question 16

the act of pouring over or through, especially the passage of a fluid through the vessels of a specific organ; circulation of blood through tissue

Answer 16

perfusion

Question 17

individuals who are paralyzed in all four limbs

Answer 17

quadriplegics

Question 18

figure-of-eight cast

Answer 18

spica cast

Question 19

bandage for supporting a part

Answer 19

sling

Question 20

device that protects an injured body part by immobilizing it

Answer 20

splint

Question 21

the act of drawing or exerting a pulling force, as along the axis of a structure

Answer 21

traction

Question 22

overhead bar on a bed, which the patient can grab

Answer 22

trapeze bar

Question 23

The nurse irrigating an infected wound of the hand would: Prioritize the steps:

Answer 23

1. Open sterile irrigation basin and solution.
2. Pour irrigating solution in basin.
3. Place pad under the infected hand.
4. Don sterile gloves to apply dressing.
5. Irrigate keeping the syringe tip 1 inch from the wound surface.
6. Pat wound dry and redress.
7. Document procedure.

Question 24

The nurse explains that range-of-motion exercises are necessary so that movement improves venous circulation by:

Answer 24

compression of muscles on venous walls.

Question 25

The nurse directs the immobilized patient in frequent deep breathing exercises during the day in order to combat:

Answer 25

hypostatic pneumonia.

Question 26

A nurse enters the room of a patient who is in Bucks traction (skin traction). An error in the traction setup observed would be:

Answer 26

feet resting against the foot of the bed.

Question 27

The daughter of an elderly woman with a diagnosis of a fractured tibia asks why her mother is in Bucks traction. The nurses most informative response would be that Bucks traction:

Answer 27

reduces muscle spasm that accompanies fractures.

Question 28

An anxious patient in skeletal traction is distressed by the clear fluid drainage that is oozing from the pin sites. The nurse’s best intervention would be to:

Answer 28

assure the patient that such drainage is expected.

Question 29

A patient who just underwent a left arm cast change to a synthetic fiberglass cast asks when the cast should be dry. The best response is that it should be hardened enough to be durable within:

Answer 29

30 minutes

Question 30

When handling a freshly applied plaster cast while assisting a patient from stretcher to bed, the nurse should handle the cast using:

Answer 30

palms and flat parts of fingers.

Question 31

A patient who fractured a leg several weeks ago is scheduled for cast removal after he returns home. The nurse should explain to the patient to expect the skin underneath the cast to appear:

Answer 31

dry and dirty.

Question 32

The nurse explains that an air-fluidized mattress would not be advocated for the patient with:

Answer 32

a spinal cord injury.

Question 33

The nurse points out that the major advantage of the low-air-loss mattress is that it reduces the incidence of:

Answer 33

friction.

Question 34

The nurse placing a patient following knee replacement surgery into a continuous passive motion (CPM) machine has the responsibility to:

Answer 34

set the proper flexion and extension limits.

Question 35

A nurse performing a head-to-toe neurovascular check on a patient in a long leg cast notes an indication of altered perfusion as evidenced by:

Answer 35

numbness of distal limb.

Question 36

The nurse assesses an elderly patient as having delayed capillary refill if the blanching lasts longer than _____ second(s).

Answer 36

5

Question 37

A patient has just had a leg cast applied with plaster of Paris. The nurse can best reduce the incidence of edema by:

Answer 37

elevating the leg on one to two pillows.

Question 38

A nurse is applying an elasticized bandage to the leg of a patient. To perform this procedure correctly, the nurse should:

Answer 38

overlap turns of the bandage equally.

Question 39

A nurse applying a pressure bandage for a patient should terminate the wrap by a _____ turn.

Answer 39

circular

Question 40

A patient needs to have a triangular bandage applied. The nurse should position the sling so that the hand is _____ inches below the elbow.

Answer 40

4

Question 41

When transferring a patient from bed to chair using a mechanical lift, the nurse should:

Answer 41

widen the stance of the lifts base and lock it.

Question 42

A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient’s elbows are bent to which angle while the patient is upright and grasping the handgrips?

Answer 42

15 to 30 degrees

Question 43

A nurse giving instructions to a patient who will be using stairs while ambulating with crutches will instruct the patient:

Answer 43

Bring the good leg up first when going up stairs.

Question 44

A certified nursing assistant (CNA) is assisting a patient into a wheelchair. The nurse intervenes if the CNA has:

Answer 44

left the brakes of the wheelchair unlocked.

Question 45

The nurse is aware that the maximum weight that can be applied with a skin traction is ______ pounds.

Answer 45

15

Question 46

The nurse demonstrates a crutch walking technique by advancing the left crutch and the right foot and then the right crutch and the left foot. This is the _____ gait.

Answer 46

two-point

Question 47

The nurse, in order to prevent the cast from chafing, will instruct the patient for home care to _______ the rough edges with adhesive tape.

Answer 47

petal

Question 48

The nurse plans for an immobilized patient who suffered a cerebrovascular accident to be protected from skin disruption by the use of: (Select all that apply.)

Answer 48

sheepskin pads.
water mattresses.
pulsating air pads.

Question 49

A patient has a hip spica cast and will be discharged home to family. The nurse would include in the home teaching plan information relative to: (Select all that apply.)

Answer 49

• protecting the cast from soiling.
• grasping the cast over the leg to help in turning.
• turning frequently to the prone position.

Question 50

The nurse designs care for the immobilized patient to help combat the major dangers of immobilization, which include: (Select all that apply.)

Answer 50

• pressure injuries.
• loss of bone mass.
• pneumonia.
• permanent loss of function.

Question 51

When cleaning the pins on a patient in skeletal traction, the nurse should: (Select all that apply.)

Answer 51

• clean closest to the skin puncture site in a circular motion.
• secure ends of wire with cork or adhesive tape.

Question 52

A certified nursing assistant (CNA) is assisting a patient into a wheelchair. The nurse intervenes if the CNA has:

Answer 52

left the brakes of the wheelchair unlocked.