NSG 55 Final Exam.Questions and
verified answers.
The nurse should instruct the client with a cast to avoid. (Select all that
apply)
- Direct pressure on the cast during the drying period
- Allowing dirt to get inside the cast
- Washing the cast with bleach
- Using a coat hanger to scratch a itch inside the cast
- Storing M&Ms inside my cast for a snack later - ✔✔- Direct pressure
on the cast during the drying period
- Allowing dirt to get inside the cast
- Washing the cast with bleach
- Using a coat hanger to scratch a itch inside the cast
- Storing M&Ms inside my cast for a snack later
Braces and splints are the same thing
- True
- False - ✔✔- False
The nurse develops a teaching plan for a patient needing a hinged knee
brace for an injury sustained after a fall. Which statement made by the
patient indicates effective teaching?
,- "I can use any type of powder under the brace to absorb perspiration"
- "I will apply lotion and thick layers of clothing before putting my brace
on"
- "I need to wear the brace until my recheck but I can take it off to look
at my skin"
- "I will tighten the brace as tight as I can make it" - ✔✔- "I need to
wear the brace until my recheck but I can take it off to look at my skin"
During the nurse's morning assessment, a patient has an absent
peripheral distal pulse and pain at rest after a splint was placed. What
should the nurse do first?
- Request that a venous Doppler exam be ordered
- Remove the splint until the provider makes their rounds
- Administer the ordered one time dose of pain medication
- Notify the healthcare provider (HCP) immediately - ✔✔-Notify the
healthcare provider (HCP) immediately
A client on in the hospital has a leg that is immobilized in traction.
Which observation by the nurse indicates that the client understands
actions to take to prevent muscle atrophy?
-The patient adducts the affected leg every 2 hours
-The patient rolls the affected leg away from the body's midline twice
per day
-The patient performs isometric exercises to the affected extremity
three times a day
,-The patient asks the nurse to add a 5-lb (2-3kg) weight to the traction
for 35 min a day - ✔✔The patient performs isometric exercises to the
affected extremity three times a day
The nurse is caring for a client who is 30 years of age with a fracture of
the right femur and left tibia. Both legs have casts. The nurse assesses
the following:
Respiration's are 35 per minute, rapid and shallow
Presence of faint expiratory wheeze
Cough that produces thin pink sputum
The client is yelling at the nurse and wants to be released from the
hospital. His behavior unlike that previously reported by other nurse
who have cared for him. The last dose of pain medication was
administered three hours ago. What should be the nurse's first action:
-Cut slits in the top of the casts
-Administer pain medication
-Notify the healthcare provider (HCP)
-Obtain a chest x-ray - ✔✔Notify the healthcare provider (HCP)
Which client statement identifies a knowledge deficit about cast care?
"I will elevate the cast above my heart initially"
"I will exercise my joints above and below the cast."
"I will apply ice for 10 minutes to control edema for the first 24 hours."
, "I can pull out cast padding to scratch inside the cast." - ✔✔"I can pull
out cast padding to scratch inside the cast."
After teaching the client about the use of traction, which statement
made by the patient about the purpose of the traction indicates the
client needs additional teaching?
- "I can move up and down in bed if I need to"
-"Traction will help align my injured bone"
-"Traction will provide constant pull"
-"Traction will help reduce muscle spasms" - ✔✔"I can move up and
down in bed if I need to"
The nurse should instruct the client with a cast to avoid. (Select all that
apply)
- Direct pressure on the cast during the drying period
- Allowing dirt to get inside the cast
-! Washing the cast with bleach
-Using a coat hanger to scratch a itch inside the cast
- Storing M&Ms inside my cast for a snack later - ✔✔- Direct pressure
on the cast during the drying period
- Allowing dirt to get inside the cast
-! Washing the cast with bleach
-Using a coat hanger to scratch a itch inside the cast
- Storing M&Ms inside my cast for a snack later
verified answers.
The nurse should instruct the client with a cast to avoid. (Select all that
apply)
- Direct pressure on the cast during the drying period
- Allowing dirt to get inside the cast
- Washing the cast with bleach
- Using a coat hanger to scratch a itch inside the cast
- Storing M&Ms inside my cast for a snack later - ✔✔- Direct pressure
on the cast during the drying period
- Allowing dirt to get inside the cast
- Washing the cast with bleach
- Using a coat hanger to scratch a itch inside the cast
- Storing M&Ms inside my cast for a snack later
Braces and splints are the same thing
- True
- False - ✔✔- False
The nurse develops a teaching plan for a patient needing a hinged knee
brace for an injury sustained after a fall. Which statement made by the
patient indicates effective teaching?
,- "I can use any type of powder under the brace to absorb perspiration"
- "I will apply lotion and thick layers of clothing before putting my brace
on"
- "I need to wear the brace until my recheck but I can take it off to look
at my skin"
- "I will tighten the brace as tight as I can make it" - ✔✔- "I need to
wear the brace until my recheck but I can take it off to look at my skin"
During the nurse's morning assessment, a patient has an absent
peripheral distal pulse and pain at rest after a splint was placed. What
should the nurse do first?
- Request that a venous Doppler exam be ordered
- Remove the splint until the provider makes their rounds
- Administer the ordered one time dose of pain medication
- Notify the healthcare provider (HCP) immediately - ✔✔-Notify the
healthcare provider (HCP) immediately
A client on in the hospital has a leg that is immobilized in traction.
Which observation by the nurse indicates that the client understands
actions to take to prevent muscle atrophy?
-The patient adducts the affected leg every 2 hours
-The patient rolls the affected leg away from the body's midline twice
per day
-The patient performs isometric exercises to the affected extremity
three times a day
,-The patient asks the nurse to add a 5-lb (2-3kg) weight to the traction
for 35 min a day - ✔✔The patient performs isometric exercises to the
affected extremity three times a day
The nurse is caring for a client who is 30 years of age with a fracture of
the right femur and left tibia. Both legs have casts. The nurse assesses
the following:
Respiration's are 35 per minute, rapid and shallow
Presence of faint expiratory wheeze
Cough that produces thin pink sputum
The client is yelling at the nurse and wants to be released from the
hospital. His behavior unlike that previously reported by other nurse
who have cared for him. The last dose of pain medication was
administered three hours ago. What should be the nurse's first action:
-Cut slits in the top of the casts
-Administer pain medication
-Notify the healthcare provider (HCP)
-Obtain a chest x-ray - ✔✔Notify the healthcare provider (HCP)
Which client statement identifies a knowledge deficit about cast care?
"I will elevate the cast above my heart initially"
"I will exercise my joints above and below the cast."
"I will apply ice for 10 minutes to control edema for the first 24 hours."
, "I can pull out cast padding to scratch inside the cast." - ✔✔"I can pull
out cast padding to scratch inside the cast."
After teaching the client about the use of traction, which statement
made by the patient about the purpose of the traction indicates the
client needs additional teaching?
- "I can move up and down in bed if I need to"
-"Traction will help align my injured bone"
-"Traction will provide constant pull"
-"Traction will help reduce muscle spasms" - ✔✔"I can move up and
down in bed if I need to"
The nurse should instruct the client with a cast to avoid. (Select all that
apply)
- Direct pressure on the cast during the drying period
- Allowing dirt to get inside the cast
-! Washing the cast with bleach
-Using a coat hanger to scratch a itch inside the cast
- Storing M&Ms inside my cast for a snack later - ✔✔- Direct pressure
on the cast during the drying period
- Allowing dirt to get inside the cast
-! Washing the cast with bleach
-Using a coat hanger to scratch a itch inside the cast
- Storing M&Ms inside my cast for a snack later
