Herzing University NSG 223 Med Surg II Exam 3
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The nurse is seeing a patient in the emergency department with a severe
sprain to the left ankle. The nurse would include which information in
the discharge teaching? Select all that apply. - SOLUTION=Rest the
injury.
Elevate the extremity.
Use a compression wrap to the injury.
How would the nurse explain to the patient the difference between a
strain and a sprain? - SOLUTION="A sprain is the stretching or tearing
of a ligament; a strain is the stretching or tearing of a muscle or tendon."
The nurse is caring for a patient who was involved in a crush injury of
the lower extremity and is complaining of severe flank pain and the
presence of dark, tea-colored urine. The nurse is aware of the potential
for which serious complication? - SOLUTION=Rhabdomyolysis
The nurse is aware that a serious complication of an open fracture is
osteomyelitis. If the osteomyelitis is not treated promptly, which further
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complications can occur? Select all that apply. - SOLUTION=Gas
gangrene
Tetanus
The nurse is caring for a client with a blunt trauma and tissue injury to
the lower extremity. Which signs could develop in a client with
compartment syndrome?
Increased pain in the affected extremity upon ambulation
Numbness in the toes of the affected extremity
Passive pain at rest in the affected extremity
Absence of pain in the affected extremity - SOLUTION=Passive pain at
rest in the affected extremity
The nurse is caring for an older client who has been diagnosed with
osteoporosis. The nurse explains to the client that vertebral
compression fractures are common with osteoporosis and can result in
which condition? Lordosis
Scoliosis
Spinosis
Kyphosis - SOLUTION=Kyphosis
Which statement best describes a strain?
Dislocation injury
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Compression injury
Ligament injury
Muscle or tendon injury - SOLUTION=Muscle or tendon injury
The nurse is caring for a patient with a femoral shaft facture, and is
aware there are three types. Which of these is not a type of femoral shaft
fracture? - SOLUTION=compound
transverse comminuted
The nurse is caring for a patient post-open reduction internal fixation
surgery. The nurse is aware that which complications could develop in
this patient? Select all that apply. - SOLUTION=Fat embolism
syndrome
Hypovolemia
Respiratory distress
The nurse is performing an assessment for a patient with a cast
experiencing pain at rest, pressure, and paresthesia of the distal
extremity. What could cause these symptoms?
Rhabdomyolysis
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Neurovascular compromise
Hypovolemia
Hypoxia - SOLUTION=Neurovascular compromise
Which is an example of low-energy trauma with reference to fractures?
Falls
Motor vehicle collisions
Injury from contact sports
Bicycle accident - SOLUTION=Falls
Which type of fracture creates an external wound that exposes the
fracture site?
Complete
Simple
Compound
Incomplete - SOLUTION=Compound
Which is true regarding a compression fracture?
It occurs around the shaft of the bone.
It occurs at a 45° angle across the cortex of the bone.
It occurs as a result of overstretching and tearing of a tendon or
ligament.