Questions All Solved Correct.
The RN is caring for a pt who is in traction. To prevent skin breakdown, what action should be
included? - Answer Assess the pin insertion site every 8 hours
A pt had a knee replacement. The affected leg has a decreased pedal pulse. What is the priority
diagnosis for this pt? - Answer Risk for ineffective peripheral tissue perfusion
A pt had a total hip sx and after moving, the patient has a new onset of pain at the surgical site.
What is the RN's best action? - Answer Assess the surgical site and the affected extremity
The RN observes a pt using a pencil to scratch the skin under their cast. How should the nurse
respond? - Answer Encourage the pt to avoid scratching, and give medication if itching
continues
A pt is in a cast w/ pain. RN gave meds and elevated the extremity, but the pain is unrelieved.
What complication is this? - Answer Compartment syndrome
When assessing a client's lower limbs, what sign and symptom is suggestive of DVT? - Answer
increased warmth of calf
The nurse is providing discharge education to a pt who is going home with a cast on his leg.
What topic should the nurse provide to the patient? - Answer Report signs of impaired
circulation
A pt with a right tibia fx is being d/c home after having a cast applied. What instructions are
priority to provide to the patient? - Answer Keep your right leg elevated above heart level
An elderly pt's hip joint is immobilized prior to surgery to correct femoral head fx. What is the
priority assessment? - Answer signs of neurovascular compromise
A pt has had a brace prescribed to facilitate recovery. What are the potential therapeutic
benefits of the brace? - Answer prevents additional injury
provides support
controls movement
RN is unable to palpate the pt's DP or PT pulse and the pt's foot is pale. What is the nurse's
most appropriate action? - Answer Inform primary provider immediately
, The RN is performing frequent assessments for s/s of infection after an ortho sx. The pt has a
high risk of which of the following?
1. Osteomyelitis
2. sepsis
3. cellulitis - Answer osteomyelitis
The nurse is planning the care of the pt who has undergone ortho sx. What main goal should
help guide the nurse?
1. administering medications safely
2. improving adherence to treatment
3. improving the patient's level of function - Answer improving the patient's level of function
In an effort to prevent osteoporosis, the RN should encourage patients to ensure that they
consume what nutrients? SATA
Calcium
vitamin d
vitamin b12
calcitonin - Answer calcium
vitamin d
What medication can we give to slow osteoporosis? SATA
calcium
vitamin d
alendronate
estrogen hormone supplements - Answer calcium
vitamin d
Which of the following pts should the nurse recognize as being at highest risk for developing
osteomyelitis? - Answer An elderly patient with an infected pressure ulcer in the sacral area