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1. The nurse is preparing for a home visit to a patient after surgery for a
compound fracture. Which specific care does the nurse anticipate for this
patient? - Correct Answer: Changing wound dressings
2. A patient experiences a fracture of the lower leg and undergoes a closed
reduction and placement of a fiberglass cast. The patient is 65 years old and
has a medical 30-year history of diabetes mellitus. Which condition does
the nurse recognize as a possible complication for this patient? - Correct
Answer: Delay or absence of healing
3. An older adult patient is postoperative for a total hip joint replacement.
Which nursing care is inappropriate for this patient on the day of surgery? -
Correct Answer: Medicated with oral pain medications
4. The nurse is providing care for a patient who is scheduled for joint
replacement the next day. Which patient care goals are appropriate at this
time? - Correct Answer: Manage preoperative pain.
,5. The nurse is providing care for a patient following an open reduction of a
compound fracture. Which neurologic finding does the nurse report
immediately to the HCP or registered nurse (RN)? - Correct Answer:
There exists numbness and tingling sensations
6. A patient with gout has been instructed on the prescribed medication
allopurinol (Zyloprim). Which patient statement indicates understanding of
the action of this medication? - Correct Answer: "It blocks formation of
uric acid."
7. The nurse is contributing to the plan of care for a patient who has an upper
extremity amputation. Which factor does the nurse keep in mind about this
type of amputation being more debilitating than a lower extremity
amputation? - Correct Answer: The upper extremity is more specialized.
8. A patient who has a displaced midshaft fracture of the left femur is in
balanced suspension skeletal traction with 35 pounds of weight. The patient
reports calf pain with right foot dorsiflexion. Which action does the nurse
take? - Correct Answer: Notify the RN.
9. The home-care nurse is attending to a patient with osteomyelitis in a lower
extremity from a traumatic bone fracture. The patient has an open wound
that is infected. Which observation prompts the nurse to provide additional
information to the patient and family? - Correct Answer: Clean
technique is used when the dressing is changed.
10.The nurse is providing care for a patient being treated after a complicated
femur fracture. The nurse has noticed drowsiness, tachycardia, and a low-
, grade fever. Which additional manifestation alerts the nurse to the
possibility of a fat emboli? - Correct Answer: Presence of a petechial
rash on chest and neck
11.The nurse is assisting with the preparation of materials for a health fair
aimed at promoting health in women. Which reason does the nurse
recognize as a probable cause of an increase in the incidence of
osteoporosis? - Correct Answer: The ages of adults have increased.
12.The nurse is providing care for a patient who experienced a closed
reduction to a fracture of the ulna. Which manifestation does the nurse
recognize as an early symptom of acute compartment syndrome? -
Correct Answer: Pallor with extremity warmth
13.The nurse is providing care for a patient after an above-the-knee
amputation because of ischemia related to diabetes mellitus complications.
Which nursing care is essential for promoting ambulation? - Correct
Answer: Lying on the abdomen as prescribed
14.A patient is being prepared for a prosthesis following surgery for an
amputation. Which information will the nurse provide to the client
regarding the use of a prosthesis? - Correct Answer: Skin inspection is
performed each time the sock is removed.
15.The nurse is providing care for a patient with external fixation for a fracture
involving severe bone damage. Which is the most important focus for the
nurse during care of this patient? - Correct Answer: Monitoring pin and
wound sites for signs of infection
, 16.The nurse is assisting with the care of a patient with rheumatoid arthritis
(RA). The nurse must remember in which way RA care is different from
osteoarthritis care. Which nursing care does the nurse specifically provide
for the patient with RA? - Correct Answer: It is essential to monitor all
body systems for effects of the disease.
17.The nurse is assisting with patients on an orthopedic unit. Which is an
important factor to remember when caring for patients after a total hip
replacement? - Correct Answer: A triangular pillow is used between the
legs to avoid adduction.
18.The nurse is assisting with the care of patients who have had joint
replacement surgery. Which action is unnecessary for the patient after a
total knee replacement (TKR)? - Correct Answer: Maintain proper joint
alignment.
19.A patient asks the difference between osteoarthritis and RA. Which
manifestations does the nurse explain are characteristic of RA? (Select all
that apply.) - Correct Answer: Early morning stiffness
Autoimmune disease
Low-grade fever
20.The nurse is collecting data from a patient suspected of developing a fat
embolus from a fracture of the right femur. Which manifestations does the
nurse expect? (Select all that
apply.) - Correct Answer: Tachycardia
Mental confusion