UNDERSTANDING MEDICAL-
SURGICAL NURSING WITH DAVIS
EDGE CHAPTER 45 & 46 QUESTIONS
& DETAILED ANSWERS PASSED
ALREADY GRADED A+
The nurse is assigned to care for a patient who has been diagnosed with a
musculoskeletal disease that causes decreased bone density. Which data collection
questions are most appropriate by the nurse? Select all that apply. - Correct Answer
✔✔ "What forms of physical activity are you able to participate in?"
"Do you exercise regularly?"
"What is typically included in your daily diet?"
The nurse is caring for a patient with a fractured left leg. Which of the following findings
during a neurovascular assessment of the lower extremities would the nurse recognize
as a priority to report to the health care provider? - Correct Answer ✔✔ Pallor of the left
leg
A patient is scheduled for magnetic resonance imaging of the pelvis. Which of the
following actions would the nurse take if during data collection it was revealed that the
patient had had a previous surgery for heart problems? - Correct Answer ✔✔ Ask if
there is any metal in the patient's body
The nurse is caring for a patient who has undergone a right knee arthroscopy. Two
hours after the procedure, the patient's right pedal pulse is diminished compared with
the previous assessment. What action should the nurse take? - Correct Answer ✔✔
Notify the surgeon
The nurse is caring for a patient who is undergoing an arthroscopy of the knee with
ligament repair. Which of the following would be included in nursing preoperative care
for the patient the morning of surgery? Select all that apply. - Correct Answer ✔✔
Provide toast and clear juice 6 hours before surgery
Provide clear liquids up to 2 hours before surgery
Reinforce how to perform coughing and deep-breathing exercises
, The nurse is caring for a patient being transferred into bed who has just had a plaster
long-leg cast applied. The patient reports pain of 6 on a scale of 0 to 10. Place the
nursing interventions in order of priority. - Correct Answer ✔✔ 1. Palm cast as
positioned upon pillow
2. Expose cast to air dry
3. Check circulation, sensory, and mobility status
4. Obtain vital signs
5. Administer oral analgesic
The nurse is caring for a patient with an external fixation device. Which of the following
actions should the nurse implement? Select all that apply. - Correct Answer ✔✔ Follow
agency protocol for pin care
Monitor pin sites at least daily
Use strict aseptic technique for pin care
The nurse is caring for a patient with an open fracture. Which of the following actions
are essential for the nurse to perform to help prevent osteomyelitis? Select all that
apply. - Correct Answer ✔✔ Perform hand hygiene before dressing change
Use aseptic technique
Wear sterile gloves to apply new dressing
The nurse is caring for a patient who is 72 years old, postmenopausal, has
osteoporosis, lost 2 inches of height, is thin, and has never exercised regularly. Which
of these interventions should be included in the plan of care to prevent further bone
loss? - Correct Answer ✔✔ Avoid smoking
Encourage muscle strengthening exercise
Encourage vitamin D 800 IU daily
The nurse is caring for a male patient with gout. Which of the following lab values would
be a priority for the nurse to report to the physician? - Correct Answer ✔✔ Uric acid
10.2 mg/dL
A patient with osteoarthritis who had a right total knee replacement tells the nurse that
the other knee is becoming painful. Which of the following is the most appropriate
instruction to help the patient preserve function of the left knee? - Correct Answer ✔✔
Maintain ideal body weight
A patient is scheduled for a right total hip replacement. The nurse should teach which of
the following postoperative leg positions? - Correct Answer ✔✔ Maintain legs in
abduction
SURGICAL NURSING WITH DAVIS
EDGE CHAPTER 45 & 46 QUESTIONS
& DETAILED ANSWERS PASSED
ALREADY GRADED A+
The nurse is assigned to care for a patient who has been diagnosed with a
musculoskeletal disease that causes decreased bone density. Which data collection
questions are most appropriate by the nurse? Select all that apply. - Correct Answer
✔✔ "What forms of physical activity are you able to participate in?"
"Do you exercise regularly?"
"What is typically included in your daily diet?"
The nurse is caring for a patient with a fractured left leg. Which of the following findings
during a neurovascular assessment of the lower extremities would the nurse recognize
as a priority to report to the health care provider? - Correct Answer ✔✔ Pallor of the left
leg
A patient is scheduled for magnetic resonance imaging of the pelvis. Which of the
following actions would the nurse take if during data collection it was revealed that the
patient had had a previous surgery for heart problems? - Correct Answer ✔✔ Ask if
there is any metal in the patient's body
The nurse is caring for a patient who has undergone a right knee arthroscopy. Two
hours after the procedure, the patient's right pedal pulse is diminished compared with
the previous assessment. What action should the nurse take? - Correct Answer ✔✔
Notify the surgeon
The nurse is caring for a patient who is undergoing an arthroscopy of the knee with
ligament repair. Which of the following would be included in nursing preoperative care
for the patient the morning of surgery? Select all that apply. - Correct Answer ✔✔
Provide toast and clear juice 6 hours before surgery
Provide clear liquids up to 2 hours before surgery
Reinforce how to perform coughing and deep-breathing exercises
, The nurse is caring for a patient being transferred into bed who has just had a plaster
long-leg cast applied. The patient reports pain of 6 on a scale of 0 to 10. Place the
nursing interventions in order of priority. - Correct Answer ✔✔ 1. Palm cast as
positioned upon pillow
2. Expose cast to air dry
3. Check circulation, sensory, and mobility status
4. Obtain vital signs
5. Administer oral analgesic
The nurse is caring for a patient with an external fixation device. Which of the following
actions should the nurse implement? Select all that apply. - Correct Answer ✔✔ Follow
agency protocol for pin care
Monitor pin sites at least daily
Use strict aseptic technique for pin care
The nurse is caring for a patient with an open fracture. Which of the following actions
are essential for the nurse to perform to help prevent osteomyelitis? Select all that
apply. - Correct Answer ✔✔ Perform hand hygiene before dressing change
Use aseptic technique
Wear sterile gloves to apply new dressing
The nurse is caring for a patient who is 72 years old, postmenopausal, has
osteoporosis, lost 2 inches of height, is thin, and has never exercised regularly. Which
of these interventions should be included in the plan of care to prevent further bone
loss? - Correct Answer ✔✔ Avoid smoking
Encourage muscle strengthening exercise
Encourage vitamin D 800 IU daily
The nurse is caring for a male patient with gout. Which of the following lab values would
be a priority for the nurse to report to the physician? - Correct Answer ✔✔ Uric acid
10.2 mg/dL
A patient with osteoarthritis who had a right total knee replacement tells the nurse that
the other knee is becoming painful. Which of the following is the most appropriate
instruction to help the patient preserve function of the left knee? - Correct Answer ✔✔
Maintain ideal body weight
A patient is scheduled for a right total hip replacement. The nurse should teach which of
the following postoperative leg positions? - Correct Answer ✔✔ Maintain legs in
abduction
