NURS 120 Midterm
What characteristic of fluid noted during surgery is most concerning? - answer purulent
color
A patient with an (ORIF) of left shoulder C/O os severe pain at the site post pain med.
What action should the nurse take? - answerCall the MD
True or false: You should always assess the patients GI system post surgery. - answer
True
When planning care for a patient who had hip replacement surgery, which nursing
action should the nurse delegate to the CNA? - answer reposition the patient every 1 to
2 hours
A patient is admitted to the ED with possible left lower leg fracture. What is the initial
action? - answerCheck the popliteal, dorsalis pedis, and posterior tibial pulses
A patient that was admitted with a left femur fracture. What is the most important to
report to the health care provider? - answerCapillary refill longer than 5 secs
True or false: A patient comes to the ED with a swollen ankle. The nurse should elevate
the extremity above the heart. - answerTrue
A dark skinned patient was admitted to the hospital with CHF. How would the nurse
assess the patient for cyanosis. - answerthrough the lips and oral mucosa
True or false: A nurse caring for a patient with deep vein thrombosis of the lower leg
should elevate the affect limb? - answerTrue
The patient is C/O knee pain following an arthroscopic procedure. What action should
the nurse anticipate? - answer
The patient who has had an open reduction and internal fixation (ORIF) of left lower leg
fractures. List 4 assessments and actions should the nurse take? - answer-check post
op orders for patients weight bearing status
-assess skin integrity
-turn every 2 hours, maintain abduction
The nurse is assessing a patient who is on bed rest after having a complex pelvic
fracture, which assessment finding is most important to report to the health care
provider? - answerabdomen is distended and bowel sounds are absent
What characteristic of fluid noted during surgery is most concerning? - answer purulent
color
A patient with an (ORIF) of left shoulder C/O os severe pain at the site post pain med.
What action should the nurse take? - answerCall the MD
True or false: You should always assess the patients GI system post surgery. - answer
True
When planning care for a patient who had hip replacement surgery, which nursing
action should the nurse delegate to the CNA? - answer reposition the patient every 1 to
2 hours
A patient is admitted to the ED with possible left lower leg fracture. What is the initial
action? - answerCheck the popliteal, dorsalis pedis, and posterior tibial pulses
A patient that was admitted with a left femur fracture. What is the most important to
report to the health care provider? - answerCapillary refill longer than 5 secs
True or false: A patient comes to the ED with a swollen ankle. The nurse should elevate
the extremity above the heart. - answerTrue
A dark skinned patient was admitted to the hospital with CHF. How would the nurse
assess the patient for cyanosis. - answerthrough the lips and oral mucosa
True or false: A nurse caring for a patient with deep vein thrombosis of the lower leg
should elevate the affect limb? - answerTrue
The patient is C/O knee pain following an arthroscopic procedure. What action should
the nurse anticipate? - answer
The patient who has had an open reduction and internal fixation (ORIF) of left lower leg
fractures. List 4 assessments and actions should the nurse take? - answer-check post
op orders for patients weight bearing status
-assess skin integrity
-turn every 2 hours, maintain abduction
The nurse is assessing a patient who is on bed rest after having a complex pelvic
fracture, which assessment finding is most important to report to the health care
provider? - answerabdomen is distended and bowel sounds are absent
