2026 UPDATE | WITH COMPLETE SOLUTION.
The RN is caring for a pt who is in traction. To prevent skin breakdown, what
action should be included? Answer - Assess the pin insertion site every 8 hours
A pt had a knee replacement. The affected leg has a decreased pedal pulse.
What is the priority diagnosis for this pt? Answer - Risk for ineffective
peripheral tissue perfusion
A pt had a total hip sx and after moving, the patient has a new onset of pain at
the surgical site. What is the RN's best action? Answer - Assess the surgical site
and the affected extremity
The RN observes a pt using a pencil to scratch the skin under their cast. How
should the nurse respond? Answer - Encourage the pt to avoid scratching, and
give medication if itching continues
A pt is in a cast w/ pain. RN gave meds and elevated the extremity, but the pain
is unrelieved. What complication is this? Answer - Compartment syndrome
When assessing a client's lower limbs, what sign and symptom is suggestive of
DVT? Answer - increased warmth of calf
, The nurse is providing discharge education to a pt who is going home with a
cast on his leg. What topic should the nurse provide to the patient? Answer -
Report signs of impaired circulation
A pt with a right tibia fx is being d/c home after having a cast applied. What
instructions are priority to provide to the patient? Answer - Keep your right leg
elevated above heart level
An elderly pt's hip joint is immobilized prior to surgery to correct femoral head
fx. What is the priority assessment? Answer - signs of neurovascular
compromise
A pt has had a brace prescribed to facilitate recovery. What are the potential
therapeutic benefits of the brace? Answer - prevents additional injury
provides support
controls movement
RN is unable to palpate the pt's DP or PT pulse and the pt's foot is pale. What is
the nurse's most appropriate action? Answer - Inform primary provider
immediately
The RN is performing frequent assessments for s/s of infection after an ortho
sx. The pt has a high risk of which of the following?
1. Osteomyelitis
2. sepsis
3. cellulitis Answer - osteomyelitis
The nurse is planning the care of the pt who has undergone ortho sx. What
main goal should help guide the nurse?