Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Ch61
Stack #4095902
| Question | Answer |
|---|---|
| A client has just undergone a leg amputation. What will the nurse closely monitor the client for during the immediate postoperative period? | Hematoma |
| A client has a cast that extends from below the elbow to the palmar crease and is secured around the base of the thumb. The thumb is also casted. The nurse identifies this as which type of cast? | Gauntlet Cast |
| The clinic nurse is caring for a client with an injured body part that does not require rigid immobilization. What method of immobilization would the nurse expect the health care provider to use on a short-term basis? | Splint |
| A client's cast is removed. The client is worried because the skin appears mottled and is covered with a yellowish crust. What advice should the nurse give the client to address the skin problem? | し、 Apply lotions and take warm baths or soaks. |
| The nurse is caring for a client who has had a fracture reduction using a cast. What would be most important for the nurse to assess? | Sensation and mobility status |
| During the assessment of a client scheduled for orthopedic surgery, the nurse discovers that the client was previously treated for the disorder. In such a case, what additional data need to be collected? | Occurrence of complications or problems during treatment |
| A client is scheduled for a joint replacement surgery. Which action would be most important for the nurse to take? | Withhold administration of aspirin before the surgery. |
| A 68-year-old female client who had a below the knee amputation is to be discharged because her healing is almost complete. Which of the following would be most important for the nurse to discuss with this client? | Exploring factors related to the client's home environment |
| A group of students is reviewing information about cast composition in preparation for a discussion o the advantages and disadvantages of each. The students demonstrate understanding of the topic when they cite what as an advantage of a plaster cast? | Better molding to the client |
| The nurse is caring for a client in skeletal traction. When performing pin care, which action by the nurse is most important? | Use an applicator only once. |
| A client has a cast applied to the leg for treatment of a tibia fracture and also has a wound on the leg that requires dressing changes due to drainage. For what should the nurse prepare the client? | Cutting a cast window |
| A client is having a cast applied for a fractured leg that extends from below the knee to the base of toes. The foot is flexed at a right angle in a neutral position. What type of cast is the client having applied? | Short leg |
| A client has severe osteoarthritis in the left hip and is having surgery to replace both articular surfaces of the hip. What type of surgical procedure will the nurse prepare the client for? | Total arthroplasty |
| A client has a fractured jaw sustained in an automobile accident and has had the fracture surgically reduced and immobilized with a wire loop. What should the nurse ensure is present at the client's bedside in case of vomiting? | Wire cutters |
| client is brought to the emergency department by a softball team member who states the client an another player ran into each other, and the client is having severe pain in the right shouldr What symptoms of a fractured clavicle does the nurse recognize? | Right shoulder slopes downward and droops inward. |
| The nurse is caring for a client who sustained rib fractures in an automobile accident. What symptoms physician? does the nurse recognize as a complication of rib fractures and should immediately be reported to the | Crackles in the lung bases |
| The nurse is caring for a client with an external fixator that requires pin care twice a day. The nurse observes that there is a new purulent drainage around one of the pins. What intervention should the nurse anticipate doing? | Obtaining a culture |
| The nurse is assigned to care for a client who has had an open The nurse is listening to the client's lungs and, when moving the gown, observes petechial hemorrhages on the skin of the chest. What is the first action by the nurse? | Call the physician to inform them of the findings. |
| The nurse is preparing a client to have his cast cut off after having it for 6 weeks to treat a fractured tibia. What should the nurse inform the client prior to the cast being removed? | The skin may be covered with a yellowish crust that will shed in a few days. |
| client is seen in the emergency department forThe client also has a long laceration that has been sutured in the same area. The client asks the nurse why a splint is applied and not a cast. What is the best explanation by the nurse? | "We will need to monitor the status of the laceration to be sure it does not get infected." |
| A client sustained a stable fracture of the cervical spine and is having skeletal traction applied. What type of traction does the nurse educate the client about? | Crutchfield tongs |
| A client was playing softball and dislocated four fingers when diving for a ball. The physician manipulated the fingers into alignment and applied a splint to maintain alignment. What type of procedure does the nurse document this as? | Closed reduction |
| A client in skeletal traction has a nursing diagngsis of Altered Tissue Integrity Risk: Related to puncture wound; pins. What expected outcome would be appropriate for this client? | Wounds heal without infection. |
| The nurse is caring for a client in traction who is immobile. What measures can the nurse provide to prevent further injury and potential infection and promote circulation to the area? | Massage bony prominences subject to pressure unless red when pressure relieved. |
| 25. The nurse is caring for a patient with a fractured right femur who is not a candidate to repair the femur immediately. What intervention should the nurse anticipate the physician will order to relieve muscle spasm and pain until surgery is performed | Skin traction |
| hip. After a series of diagnostic tests, the client is diagnosed with severe degenerative joint disease of the left hip and suggested to have the hip reconstructed. What procedure will the nurse schedule the client for? | Left hip arthroplasty |
| The nurse is assigned to care for a client who has had a total knee arthroplasty yesterday. What type of pharmacologic therapy does the nurse anticipate administering to this client to prevent complications related to the surgery? | Anticoagulation Therapy |
| A client has had a knee replacement and will be discharged in the morning. What does the nurse understand is the goal for bending the knee by discharge? | 90 degrees |
| A client is scheduled for a total left knee arthroplasty in 2 weeks. When would the best time for postoperative nursing management to begin? | Before surgery |
| A patient is scheduled for hip replacement surgery in a month. Which statement made by the client demonstrates understanding for the preoperative instructions? | "I will stop taking my aspirin prior to my surgery." |
| The nurse is caring for a client who had a surgical amputation of the left leg related to complication from diabetes. The client asks the nurse, "If my leg is really gone, then why am I having such bad pain?" What is an appropriate response by the nurse? | "It is called phantom pain and may come and go." |
| The nurse is caring for a client who had an amputation of the left leg above the knee. What position can the nurse place the client in several times per day to promote stump extension and prevent contractures? | Prone |
| A client is having traction applied to a fractured left lower extremity prior to surgery. What outcome(s) does the nurse expect from the application of the traction for the client? Select all that apply. | b. Muscle spasms will be relieved c. The bones of the left leg will be aligned. d. Immobilization of the left leg will be maintained e. Less pain medication will be required. |
| A client had a surgical amputation of an arm and is having a myoelectric arm applied. What does the nurse understand is the benefit(s) of this type of device? Select all that apply. | A.Eliminates the need to wear a harness b. Terminal device looks natural C.Better function than cosmetic hand |
Created by:
AlijahG7