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NSG 430 Exam 3 Nursing Latest Upload., Exams of Nursing

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NSG 430 Exam 3 Nursing Latest
Upload.
WHICH INFORMATION WOULD THE NURSE TEACH OLDER ADULTS AT A COMMUNITY
RECREATION CENTER ABOUT
WAYS TO PREVENT FRACTURES?
A. TACK DOWN SCATTER RUGS ON THE FLOOR IN THE HOME.
B. EXPECT MOST FALLS TO HAPPEN OUTSIDE THE HOME IN THE YARD.
C. BUY SUPPORTIVE NONSKID SHOES THAT ARE COMFORTABLE TO WEAR.
D. GET INSTRUCTION IN RANGE-OF-MOTION EXERCISES FROM A PHYSICAL THERAPIST.
BUY SUPPORTIVE NONSKID SHOES THAT ARE COMFORTABLE TO WEAR.
COMFORTABLE NONSKID SHOES WITH GOOD SUPPORT WILL HELP DECREASE THE RISK
FOR FALLS. SCATTER RUGS
SHOULD BE ELIMINATED, NOT JUST TACKED DOWN. ACTIVITIES OF DAILY LIVING PROVIDE
EXERCISE FOR
ACTIVE ADULTS; RANGE-OF-MOTION DOES NOT NEED TO BE TAUGHT BY A PHYSICAL
THERAPIST. FALLS INSIDE
THE HOME ARE RESPONSIBLE FOR MANY INJURIES.
A FACTORY LINE WORKER HAS DEVELOPED REPETITIVE STRAIN INJURY IN THE LEFT
ELBOW. WHICH TOPIC
WOULD THE NURSE PLAN TO INCLUDE IN PATIENT TEACHING?
A. SURGICAL OPTIONS
B. ELBOW INJECTIONS
C. WEARING A LEFT WRIST SPLINT
D. MODIFYING ARM MOVEMENTS
MODIFYING ARM MOVEMENTS
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WHICH INFORMATION WOULD THE NURSE TEACH OLDER ADULTS AT A COMMUNITY

RECREATION CENTER ABOUT

WAYS TO PREVENT FRACTURES?

A. TACK DOWN SCATTER RUGS ON THE FLOOR IN THE HOME.

B. EXPECT MOST FALLS TO HAPPEN OUTSIDE THE HOME IN THE YARD.

C. BUY SUPPORTIVE NONSKID SHOES THAT ARE COMFORTABLE TO WEAR.

D. GET INSTRUCTION IN RANGE-OF-MOTION EXERCISES FROM A PHYSICAL THERAPIST.

BUY SUPPORTIVE NONSKID SHOES THAT ARE COMFORTABLE TO WEAR.

COMFORTABLE NONSKID SHOES WITH GOOD SUPPORT WILL HELP DECREASE THE RISK

FOR FALLS. SCATTER RUGS

SHOULD BE ELIMINATED, NOT JUST TACKED DOWN. ACTIVITIES OF DAILY LIVING PROVIDE

EXERCISE FOR

ACTIVE ADULTS; RANGE-OF-MOTION DOES NOT NEED TO BE TAUGHT BY A PHYSICAL

THERAPIST. FALLS INSIDE

THE HOME ARE RESPONSIBLE FOR MANY INJURIES.

A FACTORY LINE WORKER HAS DEVELOPED REPETITIVE STRAIN INJURY IN THE LEFT

ELBOW. WHICH TOPIC

WOULD THE NURSE PLAN TO INCLUDE IN PATIENT TEACHING?

A. SURGICAL OPTIONS

B. ELBOW INJECTIONS

C. WEARING A LEFT WRIST SPLINT

D. MODIFYING ARM MOVEMENTS

MODIFYING ARM MOVEMENTS

TREATMENT FOR REPETITIVE STRAIN INJURY INCLUDES CHANGING THE ERGONOMICS OF

THE ACTIVITY. ELBOW

INJECTIONS AND SURGERY ARE NOT INITIAL OPTIONS FOR THIS TYPE OF INJURY. A WRIST

SPLINT MIGHT BE

USED FOR HAND OR WRIST PAIN.

WHICH RECOMMENDATION WOULD THE OCCUPATIONAL HEALTH NURSE PROVIDE TO A

PATIENT WHOSE JOB

INVOLVES MANY HOURS OF TYPING?

A. OBTAIN A KEYBOARD PAD TO SUPPORT THE WRIST.

B. DO STRETCHING EXERCISES BEFORE STARTING WORK.

C. WRAP THE WRISTS WITH COMPRESSION BANDAGES EACH MORNING.

D. AVOID USING NONSTEROIDAL ANTIINFLAMMATORY DRUGS (NSAIDS).

OBTAIN A KEYBOARD PAD TO SUPPORT THE WRIST.

REPETITIVE STRAIN INJURIES CAUSED BY PROLONGED WORK AT A KEYBOARD CAN BE

PREVENTED BY USING A

PAD TO KEEP THE WRISTS IN A STRAIGHT POSITION. STRETCHING EXERCISES DURING THE

DAY MAY BE

HELPFUL, BUT THESE WOULD NOT BE NEEDED BEFORE STARTING WORK. USE OF A

COMPRESSION BANDAGE IS

NOT NEEDED, ALTHOUGH A SPLINT MAY BE USED FOR CARPAL TUNNEL SYNDROME.

NSAIDS ARE

APPROPRIATE TO DECREASE SWELLING.

WHICH DISCHARGE INSTRUCTION WOULD THE EMERGENCY DEPARTMENT NURSE

INCLUDE FOR A PATIENT WITH

A SPRAINED ANKLE?

A. KEEP THE ANKLE LOOSELY WRAPPED WITH GAUZE.

B. APPLY A HEATING PAD TO REDUCE MUSCLE SPASMS.

RETURN TO TENNIS AFTER REHABILITATION.

THE NURSE WOULD INSTRUCT A PATIENT WITH A NONDISPLACED FRACTURED LEFT

RADIUS THAT THE CAST WILL

NEED TO REMAIN IN PLACE FOR WHAT AMOUNT OF TIME?

A. TWO WEEKS

B. AT LEAST SIX WEEKS

C. UNTIL SWELLING OF THE WRIST HAS RESOLVED

D. UNTIL X-RAYS SHOW COMPLETE BONY UNION

AT LEAST SIX WEEKS

BONE HEALING STARTS IMMEDIATELY AFTER THE INJURY, BUT BECAUSE OSSIFICATION

DOES NOT BEGIN UNTIL

3 WEEKS AFTER INJURY, THE CAST WILL NEED TO BE WORN FOR MORE THAN 3 WEEKS.

COMPLETE UNION

MAY TAKE UP TO 1 YEAR. RESOLUTION OF SWELLING DOES NOT INDICATE BONE HEALING.

THE NURSE IS CARING FOR A PATIENT WHO HAS A PELVIC FRACTURE AND AN EXTERNAL

FIXATION DEVICE.

WHICH METHOD WOULD THE NURSE USE TO ASSESS PRESSURE AREAS AND PROVIDE SKIN

CARE TO THE

PATIENT'S BACK AND SACRUM?

A. ASK THE PATIENT TO TURN TO THE SIDE INDEPENDENTLY.

B. DEFER BACK ASSESSMENT UNTIL THE PATIENT IS AMBULATORY.

C. HAVE THE PATIENT LIFT THE BACK AND BUTTOCKS USING A TRAPEZE BAR.

D. ROLL THE PATIENT OVER TO THE SIDE BY PUSHING ON THE PATIENT'S HIPS.

HAVE THE PATIENT LIFT THE BACK AND BUTTOCKS USING A TRAPEZE BAR.

THE PATIENT CAN LIFT THE BACK SLIGHTLY OFF THE BED BY USING A TRAPEZE. THE

PATIENT MAY FIND IT

VERY DIFFICULT TO TURN TO THE SIDE WITHOUT ASSISTANCE WHILE IN A FIXATOR

DEVICE. DELAYING

ASSESSMENT AND SKIN CARE MAY PUT THE PATIENT AT RISK FOR AN UNDETECTED

PRESSURE INJURY. PUSHING

ON THE PATIENT'S HIPS MAY CAUSE ADDITIONAL INJURY.

WHICH PATIENT STATEMENT INDICATES UNDERSTANDING OF THE NURSE'S TEACHING

ABOUT A NEW

SHORT-ARM SYNTHETIC CAST?

A. ―I CAN REMOVE THE CAST IN 4 WEEKS USING INDUSTRIAL SCISSOR S.‖

B. ―I SHOULD AVOID M OVING MY FINGERS UNTIL THE CAST IS REMOV ED.‖

C. ―I WILL APPLY AN ICE PACK TO THE CAST OVER THE FRACTURE SITE OFF AND ON FOR

24 HOURS.‖

D. ―I CAN USE A COTT ON-TIPPED APPLICATOR TO RUB LOTION ON ANY DRY AREAS

UNDER THE CAST.‖

―I WILL APPLY AN ICE PACK TO THE CAST OVER THE FRACTURE SITE OFF AND ON FOR 24

HOURS.‖

ICE APPLICATION FOR THE FIRST 24 HOURS AFTER A FRACTURE WILL HELP REDUCE

SWELLING AND CAN BE

PLACED OVER THE CAST. THE CAST IS TYPICALLY REMOVED IN THE OUTPATIENT SETTING.

THE PATIENT SHOULD

BE ENCOURAGED TO MOVE THE JOINTS ABOVE AND BELOW THE CAST. PATIENTS SHOULD

NOT INSERT OBJECTS

INSIDE THE CAST.

A PATIENT WHO IS TO HAVE NO WEIGHT BEARING ON THE LEFT LEG IS LEARNING TO USE

CRUTCHES. WHICH

MORPHINE. THE NURSE DETERMINES PULSES ARE FAINTLY PALPABLE AND THE FOOT IS

COOL TO THE TOUCH.

WHICH ACTION WOULD THE NURSE TAKE NEXT?

A. NOTIFY THE HEALTH CARE PROVIDER.

B. ASSESS THE INCISION FOR REDNESS.

C. REPOSITION THE LEFT LEG ON PILLOWS.

D. CHECK THE PATIENT'S BLOOD PRESSURE.

NOTIFY THE HEALTH CARE PROVIDER.

THE PATIENT'S CLINICAL MANIFESTATIONS SUGGEST POSSIBLE COMPARTMENT

SYNDROME AND DELAY IN

DIAGNOSIS AND TREATMENT MAY LEAD TO SEVERE FUNCTIONAL IMPAIRMENT. THE

DATA DO NOT SUGGEST

PROBLEMS WITH BLOOD PRESSURE OR INFECTION. ELEVATION OF THE LEG WILL

DECREASE ARTERIAL FLOW AND

FURTHER REDUCE PERFUSION

A PATIENT WITH A COMPLEX PELVIC FRACTURE FROM A MOTOR VEHICLE CRASH IS ON

BED REST. WHICH

ASSESSMENT FINDING INDICATES A POTENTIAL COMPLICATION OF THE FRACTURE?

A. THE PATIENT STATES THE PELVIS FEELS UNSTABLE.

B. THE PATIENT REPORTS PELVIC PAIN WITH PALPATION.

C. ABDOMEN IS DISTENDED AND BOWEL SOUNDS ARE ABSENT.

D. ECCHYMOSES ARE VISIBLE ACROSS THE ABDOMEN AND HIPS.

ABDOMEN IS DISTENDED AND BOWEL SOUNDS ARE ABSENT

THE ABDOMINAL DISTENTION AND ABSENT BOWEL SOUNDS MAY BE DUE TO

COMPLICATIONS OF PELVIC

FRACTURES SUCH AS PARALYTIC ILEUS OR HEMORRHAGE OR TRAUMA TO THE BLADDER,

URETHRA, OR COLON.

PELVIC INSTABILITY, ABDOMINAL PAIN WITH PALPATION, AND ABDOMINAL BRUISING

WOULD BE EXPECTED

WITH THIS TYPE OF INJURY.

WHICH ACTION WOULD THE NURSE TAKE TO EVALUATE THE EFFECTIVENESS OF BUCK'S

TRACTION FOR A

PATIENT WHO HAS A FRACTURE OF THE RIGHT FEMUR?

A. ASSESS FOR HIP PAIN.

B. CHECK FOR CONTRACTURES.

C. PALPATE PERIPHERAL PULSES.

D. MONITOR FOR HIP DISLOCATION.

ASSESS FOR HIP PAIN.

BUCK'S TRACTION IS USED TO REDUCE PAINFUL MUSCLE SPASM. HIP CONTRACTURES AND

DISLOCATION ARE

UNLIKELY TO OCCUR IN THIS SITUATION. THE PERIPHERAL PULSES WILL BE ASSESSED, BUT

THIS DOES NOT

HELP IN EVALUATING THE EFFECTIVENESS OF BUCK'S TRACTION.

WE HAVE AN EXPERT-WRITTEN SOLUTION TO THIS PROBLEM!

A PATIENT WHO HAS A RIGHT LOWER LEG FRACTURE WILL BE DISCHARGED HOME WITH

AN EXTERNAL FIXATION

DEVICE IN PLACE. WHICH STATEMENT WOULD THE NURSE INCLUDING IN DISCHARGE

TEACHING?

A. ―CHECK AND CLEAN THE PIN INSERTION SIT ES DAILY.‖

B. ―REMAIN ON BED RE ST UNTIL BONE HEALIN G IS COMPLETE.‖

C. ―REMOVE THE EXTER NAL FIXATOR FOR YOUR DAILY SHOWER.‖

D. ―TAKE PROPHYLACTI C ANTIBIOTICS UNTIL THE FIXATOR IS REMOV ED.‖

―CHECK AND CLEAN THE PIN INSERTION SITES DAILY.‖

REPAIR OF A FRACTURED MANDIBLE?

A. ADMINISTRATION OF NASOGASTRIC TUBE FEEDINGS

B. HOW AND WHEN TO CUT THE IMMOBILIZING WIRES

C. THE IMPORTANCE OF HIGH-FIBER FOODS IN THE DIET

D. THE USE OF STERILE TECHNIQUE FOR DRESSING CHANGES

HOW AND WHEN TO CUT THE IMMOBILIZING WIRES

THE JAW WILL BE WIRED FOR STABILIZATION, AND THE PATIENT SHOULD KNOW WHAT

EMERGENCY

SITUATIONS REQUIRE THE WIRES TO BE CUT TO PROTECT THE AIRWAY. THERE ARE NO

DRESSING CHANGES FOR

THIS PROCEDURE. THE DIET IS LIQUID, AND PATIENTS ARE NOT ABLE TO CHEW HIGH-

FIBER FOODS. INITIALLY,

THE PATIENT MAY RECEIVE NASOGASTRIC TUBE FEEDINGS, BUT BY DISCHARGE, THE

PATIENT WILL SWALLOW

LIQUID THROUGH A STRAW.

WE HAVE AN EXPERT-WRITTEN SOLUTION TO THIS PROBLEM!

AFTER THE HEALTH CARE PROVIDER RECOMMENDS AMPUTATION FOR A PATIENT WHO

HAS NONHEALING

ISCHEMIC FOOT ULCERS, THE PATIENT TELLS THE NURSE THAT HE WOULD RATHER DIE

THAN HAVE AN

AMPUTATION. WHICH INITIAL RESPONSE WOULD THE NURSE PROVIDE?

A. ―YOU ARE UPSET, B UT YOU MAY LOSE THE FOOT EVENTUALLY.‖

B. ―MANY PEOPLE ARE ABLE TO FUNCTION WITH A FOOT PROSTHESIS.‖

C. ―TELL ME WHAT YOU KNOW ABOUT YOUR OPTI ONS FOR TREATMENT.‖

D. ―IF YOU DO NOT WA NT AN AMPUTATION, YOU DO NOT HAVE TO HAV E IT.‖

―TELL ME WHAT YOU KN OW ABOUT YOUR OPTION S FOR TREATMENT.‖

THE INITIAL NURSING ACTION SHOULD BE TO ASSESS THE PATIENT'S KNOWLEDGE AND

FEELINGS ABOUT THE

AVAILABLE OPTIONS. DISCUSSION OF THE PATIENT'S OPTION TO REFUSE THE PROCEDURE,

SERIOUSNESS OF THE

CONDITION, OR REHABILITATION AFTER THE PROCEDURE MAY BE APPROPRIATE AFTER

THE NURSE KNOWS MORE

ABOUT THE PATIENT'S CURRENT KNOWLEDGE AND EMOTIONAL STATE.

THE DAY AFTER A HAVING A RIGHT BELOW-THE-KNEE AMPUTATION, A PATIENT REPORTS

PAIN IN THE MISSING

RIGHT FOOT. WHICH ACTION IS MOST IMPORTANT FOR THE NURSE TO TAKE?

A. EXPLAIN THE REASONS FOR THE PAIN.

B. ADMINISTER PRESCRIBED ANALGESICS.

C. REPOSITION THE PATIENT TO ASSURE GOOD ALIGNMENT.

D. TELL THE PATIENT THAT THE PAIN WILL DIMINISH OVER TIME.

ADMINISTER PRESCRIBED ANALGESICS.

ACUTE PHANTOM LIMB SENSATION IS TREATED WITH ANALGESICS AS ANY OTHER TYPE

OF POSTOPERATIVE

PAIN WOULD BE TREATED. EXPLANATIONS OF THE REASON FOR THE LOCATION OF THE

PAIN MAY BE GIVEN.

ALIGNMENT IS IMPORTANT BUT IS UNLIKELY TO RELIEVE THE PAIN. ALTHOUGH THE PAIN

MAY DECREASE

OVER TIME, IT CURRENTLY REQUIRES TREATMENT.

WHICH STATEMENT BY A PATIENT WHO HAS HAD AN ABOVE-THE-KNEE AMPUTATION

INDICATES THE NURSE'S

DISCHARGE TEACHING HAS BEEN EFFECTIVE?

A. ―I SHOULD ELEVATE MY RESIDUAL LIMB ON A PILLOW 2 OR 3 TIME S A DAY.‖

B. ―I SHOULD LIE FLA T ON MY ABDOMEN FOR 30 MINUTES 3 OR 4 TI MES A DAY.‖

C. ―I SH OULD CHANGE THE LIMB SOCK WHEN IT BECOMES SOILED OR EACH WEEK. ‖

D. ―I SHOULD USE LOT ION ON THE STUMP TO PREVENT SKIN DRYING AND CRACKING.‖

C. TEACH ABOUT THE NEED TO AVOID WEIGHT BEARING FOR 4 WEEKS.

D. START PROGRESSIVE KNEE EXERCISES TO OBTAIN 90-DEGREE FLEXION.

START PROGRESSIVE KNEE EXERCISES TO OBTAIN 90-DEGREE FLEXION.

AFTER KNEE ARTHROPLASTY, ACTIVE OR PASSIVE FLEXION EXERCISES ARE USED TO

OBTAIN A 90-DEGREE

FLEXION OF THE KNEE. THE GOAL FOR EXTENSION OF THE KNEE WILL BE 180 DEGREES. A

COMPRESSION

BANDAGE IS USED TO HOLD THE KNEE IN AN EXTENDED POSITION AFTER SURGERY.

PROTECTED WEIGHT

BEARING IS TYPICALLY NOT ORDERED AFTER THIS PROCEDURE.

WE HAVE AN EXPERT-WRITTEN SOLUTION TO THIS PROBLEM!

A PATIENT WITH ULNAR DRIFT CAUSED BY RHEUMATOID ARTHRITIS (RA) IS SCHEDULED

FOR ARTHROPLASTY OF

SEVERAL JOINTS IN THE LEFT HAND. WHICH PATIENT STATEMENT TO THE NURSE

INDICATES A REALISTIC

EXPECTATION FOR THE SURGERY?

A. ―THIS PROCEDURE W ILL CORRECT THE DEFORMITIES IN MY FINGER S.‖

B. ―I WILL NOT HAVE TO DO AS MANY HAND EXERCISES AFTER THE SURGERY.‖

C. ―I WILL BE ABLE T O USE MY FINGERS WITH MORE FLEXIBILITY T O GRASP THINGS.‖

D. ―MY FINGERS WILL APPEAR MORE NORMAL IN SIZE AND SHAPE AF

―I WILL BE ABLE TO U SE MY FINGERS WITH MORE FLEXIBILITY TO G RASP THINGS.‖

THE GOAL OF HAND SURGERY IN RA IS TO RESTORE FUNCTION, NOT TO CORRECT FOR

COSMETIC DEFORMITY OR

TREAT THE UNDERLYING PROCESS. HAND EXERCISES WILL BE PRESCRIBED AFTER THE

SURGERY.

WHICH INFORMATION WOULD THE NURSE INCLUDE IN DISCHARGE INSTRUCTIONS FOR A

PATIENT WITH

COMMINUTED LEFT FOREARM FRACTURES AND A LONG-ARM CAST?

A. KEEP THE LEFT SHOULDER ELEVATED ON A PILLOW OR CUSHION.

B. AVOID NONSTEROIDAL ANTIINFLAMMATORY DRUGS (NSAIDS).

C. CALL THE HEALTH CARE PROVIDER FOR NUMBNESS OF THE HAND.

D. KEEP THE HAND IMMOBILE TO PREVENT SOFT TISSUE SWELLING.

CALL THE HEALTH CARE PROVIDER FOR NUMBNESS OF THE HAND.

INCREASED SWELLING OR NUMBNESS MAY INDICATE INCREASED PRESSURE AT THE

INJURY, AND THE HEALTH

CARE PROVIDER SHOULD BE NOTIFIED IMMEDIATELY TO AVOID DAMAGE TO NERVES AND

OTHER TISSUES. THE

PATIENT SHOULD BE ENCOURAGED TO MOVE THE JOINTS ABOVE AND BELOW THE CAST

TO AVOID STIFFNESS.

THERE IS NO NEED TO ELEVATE THE SHOULDER, ALTHOUGH THE FOREARM SHOULD BE

ELEVATED TO REDUCE

SWELLING. NSAIDS ARE APPROPRIATE TO TREAT MILD TO MODERATE PAIN AFTER A

FRACTURE.

WE HAVE AN EXPERT-WRITTEN SOLUTION TO THIS PROBLEM!

A PATIENT WHO SLIPPED AND FELL IN THE SHOWER AT HOME HAS A PROXIMAL LEFT

HUMERUS FRACTURE

IMMOBILIZED WITH A SLING. WHICH INTERVENTION WOULD THE NURSE INCLUDE IN THE

PLAN OF CARE?

A. USE SURGICAL NET DRESSING TO HANG THE ARM FROM AN IV POLE.

B. IMMOBILIZE THE FINGERS OF THE LEFT HAND WITH GAUZE DRESSINGS.

C. ASSESS THE LEFT AXILLA AND CHANGE ABSORBENT DRESSINGS AS NEEDED.

D. ASSIST THE PATIENT IN PASSIVE RANGE OF MOTION (ROM) FOR THE RIGHT ARM.

ASSESS THE LEFT AXILLA AND CHANGE ABSORBENT DRESSINGS AS NEEDED.

WHICH ACTION WOULD THE NURSE TAKE FIRST?

A. ADMINISTER PRESCRIBED PRN O2 AT 4 L/MIN.

B. CHECK THE PATIENT'S LEGS FOR SWELLING OR TENDERNESS.

C. NOTIFY THE HEALTH CARE PROVIDER ABOUT THE SYMPTOMS.

D. STAY WITH THE PATIENT AND OFFER REASSURANCE TO THE FAMILY.

ADMINISTER PRESCRIBED PRN O2 AT 4 L/MIN.

THE PATIENT'S CLINICAL MANIFESTATIONS AND HISTORY ARE CONSISTENT WITH A

PULMONARY EMBOLISM,

AND THE NURSE'S FIRST ACTION SHOULD BE TO ENSURE ADEQUATE OXYGENATION. THE

NURSE SHOULD OFFER

REASSURANCE TO THE PATIENT BUT MEETING THE PHYSIOLOGIC NEED FOR O2 IS A

HIGHER PRIORITY. THE

HEALTH CARE PROVIDER SHOULD BE NOTIFIED AFTER THE O2 IS STARTED AND PULSE

OXIMETRY OBTAINED

CONCERNING SUSPECTED FAT EMBOLISM OR VENOUS THROMBOEMBOLISM.

A PATIENT ARRIVED AT THE EMERGENCY DEPARTMENT AFTER TRIPPING OVER A RUG AND

FALLING AT HOME.

WHICH FINDING WOULD THE NURSE IDENTIFY AS MOST IMPORTANT TO COMMUNICATE

TO THE HEALTH CARE

PROVIDER?

A. THERE IS BRUISING AT THE SHOULDER AREA.

B. THE PATIENT REPORTS ARM AND SHOULDER PAIN.

C. THE RIGHT ARM APPEARS SHORTER THAN THE LEFT.

D. THERE IS DECREASED SHOULDER RANGE OF MOTION.

THE RIGHT ARM APPEARS SHORTER THAN THE LEFT.

A SHORTER LIMB AFTER A FALL INDICATES A POSSIBLE DISLOCATION, WHICH IS AN

ORTHOPEDIC EMERGENCY.

BRUISING, PAIN, AND DECREASED RANGE OF MOTION SHOULD ALSO BE REPORTED, BUT

THESE DO NOT

INDICATE EMERGENT TREATMENT IS NEEDED TO PRESERVE FUNCTION.

WE HAVE AN EXPERT-WRITTEN SOLUTION TO THIS PROBLEM!

A YOUNG ADULT ARRIVES IN THE EMERGENCY DEPARTMENT WITH ANKLE SWELLING AND

SEVERE PAIN AFTER

TWISTING THE ANKLE PLAYING BASKETBALL. WHICH PRESCRIBED ACTION WILL THE

NURSE IMPLEMENT FIRST?

A. SEND THE PATIENT FOR ANKLE X-RAYS.

B. GIVE ACETAMINOPHEN WITH CODEINE.

C. ADMINISTER ORAL NAPROXEN (NAPROSYN).

D. ELEVATE THE ANKLE AND APPLY AN ICE PACK.

ELEVATE THE ANKLE AND APPLY AN ICE PACK.

IMMEDIATE CARE AFTER A SPRAIN OR STRAIN INJURY INCLUDES ELEVATION AND

APPLICATION OF COLD TO

MINIMIZE SWELLING. THE OTHER ACTIONS WOULD BE TAKEN AFTER THE ANKLE IS

ELEVATED AND ICE IS

APPLIED.

FOR A PATIENT WHO HAS HAD RIGHT HIP ARTHROPLASTY, WHICH NURSING ACTION CAN

THE NURSE DELEGATE

TO EXPERIENCED ASSISTIVE PERSONNEL (AP)?

A. REPOSITION THE PATIENT EVERY 1 TO 2 HOURS.

B. ASSESS FOR SKIN IRRITATION ON THE PATIENT'S BACK.

C. TEACH THE PATIENT QUADRICEPS-SETTING EXERCISES.

D. DETERMINE THE PATIENT'S PAIN INTENSITY AND TOLERANCE.

REPOSITION THE PATIENT EVERY 1 TO 2 HOURS.

B. APPLY A COMPRESSION BANDAGE.

C. ASSESS LEG PULSES AND SENSATION.

D. PLACE ICE PACKS ON THE LOWER LEG.

ASSESS LEG PULSES AND SENSATION.

THE INITIAL ACTION BY THE NURSE WILL BE TO ASSESS CIRCULATION TO THE LEG AND

OBSERVE FOR ANY

EVIDENCE OF INJURY SUCH AS FRACTURES OR DISLOCATIONS. AFTER THE INITIAL

ASSESSMENT, THE OTHER

ACTIONS MAY BE APPROPRIATE BASED ON WHAT IS OBSERVED DURING THE

ASSESSMENT.

A PEDESTRIAN WHO WAS HIT BY A CAR IS ADMITTED TO THE EMERGENCY DEPARTMENT

WITH POSSIBLE RIGHT

LOWER LEG FRACTURES. WHICH INITIAL ACTION WOULD THE NURSE TAKE?

A. ELEVATE THE RIGHT LEG.

B. SPLINT THE LOWER LEG.

C. ASSESS THE PEDAL PULSES.

D. VERIFY TETANUS IMMUNIZATION.

ASSESS THE PEDAL PULSES.

THE INITIAL NURSING ACTION SHOULD BE ASSESSMENT OF THE NEUROVASCULAR

CONDITION OF THE INJURED

LEG. AFTER ASSESSMENT, THE NURSE MAY NEED TO SPLINT AND ELEVATE THE LEG BASED

ON THE

ASSESSMENT DATA. INFORMATION ABOUT TETANUS IMMUNIZATIONS SHOULD BE

OBTAINED IF THERE IS AN

OPEN WOUND.

A 60-YR-OLD PATIENT HAD OPEN REDUCTION AND INTERNAL FIXATION (ORIF) FOR AN

OPEN, DISPLACED

TIBIAL FRACTURE. WHICH PATIENT PROBLEM WOULD THE NURSE IDENTIFY?

A. FATIGUE

B. RISK FOR INFECTION

C. ACTIVITY INTOLERANCE

D. IMPAIRED BOWEL ELIMINATION

RISK FOR INFECTION

A PATIENT HAVING ORIF AFTER AN OPEN FRACTURE IS AT RISK FOR PROBLEMS SUCH AS

WOUND INFECTION

AND OSTEOMYELITIS. AFTER ORIF, PATIENTS TYPICALLY ARE MOBILIZED STARTING THE

FIRST POSTOPERATIVE

DAY, SO RISKS OF IMMOBILITY SUCH AS FATIGUE, DECONDITIONING, AND CONSTIPATION

ARE NOT AS LIKELY.

THE SECOND DAY AFTER ADMISSION WITH A FRACTURED PELVIS, A PATIENT SUDDENLY

DEVELOPS

CONFUSION. WHICH ACTION WOULD THE NURSE TAKE FIRST?

A. TAKE THE BLOOD PRESSURE.

B. CHECK THE O2 SATURATION.

C. ASSESS PATIENT ORIENTATION.

D. OBSERVE FOR FACIAL ASYMMETRY.

CHECK THE O2 SATURATION.

THE PATIENT'S HISTORY AND CLINICAL MANIFESTATIONS SUGGEST A FAT EMBOLISM. THE

MOST IMPORTANT

ASSESSMENT IS OXYGENATION. THE OTHER ACTIONS ARE ALSO APPROPRIATE BUT WILL

BE DONE AFTER THE

NURSE ASSESSES O2 SATURATION.