med surg 2 final exam (test bank)
The nurse is preparing for a home visit to a patient after surgery for a compound fracture.
Which specific care does the nurse anticipate for this patient? - ANSChanging wound
dressings
A patient experiences a fracture of the lower leg and undergoes a closed reduction and
placement of a fiberglass cast. The patient is 65 years old and has a medical 30-year history
of diabetes mellitus. Which condition does the nurse recognize as a possible complication
for this patient? - ANSDelay or absence of healing
An older adult patient is postoperative for a total hip joint replacement. Which nursing care is
inappropriate for this patient on the day of surgery? - ANSMedicated with oral pain
medications
The nurse is providing care for a patient who is scheduled for joint replacement the next day.
Which patient care goals are appropriate at this time? - ANSManage preoperative pain.
The nurse is providing care for a patient following an open reduction of a compound fracture.
Which neurologic finding does the nurse report immediately to the HCP or registered nurse
(RN)? - ANSThere exists numbness and tingling sensations
A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim).
Which patient statement indicates understanding of the action of this medication? - ANS"It
blocks formation of uric acid."
The nurse is contributing to the plan of care for a patient who has an upper extremity
amputation. Which factor does the nurse keep in mind about this type of amputation being
more debilitating than a lower extremity amputation? - ANSThe upper extremity is more
specialized.
A patient who has a displaced midshaft fracture of the left femur is in balanced suspension
skeletal traction with 35 pounds of weight. The patient reports calf pain with right foot
dorsiflexion. Which action does the nurse take? - ANSNotify the RN.
The home-care nurse is attending to a patient with osteomyelitis in a lower extremity from a
traumatic bone fracture. The patient has an open wound that is infected. Which observation
prompts the nurse to provide additional information to the patient and family? - ANSClean
technique is used when the dressing is changed.
The nurse is providing care for a patient being treated after a complicated femur fracture.
The nurse has noticed drowsiness, tachycardia, and a low-grade fever. Which additional
manifestation alerts the nurse to the possibility of a fat emboli? - ANSPresence of a petechial
rash on chest and neck
, The nurse is assisting with the preparation of materials for a health fair aimed at promoting
health in women. Which reason does the nurse recognize as a probable cause of an
increase in the incidence of osteoporosis? - ANSThe ages of adults have increased.
The nurse is providing care for a patient who experienced a closed reduction to a fracture of
the ulna. Which manifestation does the nurse recognize as an early symptom of acute
compartment syndrome? - ANSPallor with extremity warmth
The nurse is providing care for a patient after an above-the-knee amputation because of
ischemia related to diabetes mellitus complications. Which nursing care is essential for
promoting ambulation? - ANSLying on the abdomen as prescribed
A patient is being prepared for a prosthesis following surgery for an amputation. Which
information will the nurse provide to the client regarding the use of a prosthesis? - ANSSkin
inspection is performed each time the sock is removed.
The nurse is providing care for a patient with external fixation for a fracture involving severe
bone damage. Which is the most important focus for the nurse during care of this patient? -
ANSMonitoring pin and wound sites for signs of infection
The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse
must remember in which way RA care is different from osteoarthritis care. Which nursing
care does the nurse specifically provide for the patient with RA? - ANSIt is essential to
monitor all body systems for effects of the disease.
The nurse is assisting with patients on an orthopedic unit. Which is an important factor to
remember when caring for patients after a total hip replacement? - ANSA triangular pillow is
used between the legs to avoid adduction.
The nurse is assisting with the care of patients who have had joint replacement surgery.
Which action is unnecessary for the patient after a total knee replacement (TKR)? -
ANSMaintain proper joint alignment.
A patient asks the difference between osteoarthritis and RA. Which manifestations does the
nurse explain are characteristic of RA? (Select all that apply.) - ANSEarly morning stiffness
Autoimmune disease
Low-grade fever
The nurse is collecting data from a patient suspected of developing a fat embolus from a
fracture of the right femur. Which manifestations does the nurse expect? (Select all that
apply.) - ANSTachycardia
Mental confusion
Petechiae
The patient asks the nurse how much blood is in the body. Which response by the nurse is
accurate? - ANS4-6 liters
The nurse is preparing for a home visit to a patient after surgery for a compound fracture.
Which specific care does the nurse anticipate for this patient? - ANSChanging wound
dressings
A patient experiences a fracture of the lower leg and undergoes a closed reduction and
placement of a fiberglass cast. The patient is 65 years old and has a medical 30-year history
of diabetes mellitus. Which condition does the nurse recognize as a possible complication
for this patient? - ANSDelay or absence of healing
An older adult patient is postoperative for a total hip joint replacement. Which nursing care is
inappropriate for this patient on the day of surgery? - ANSMedicated with oral pain
medications
The nurse is providing care for a patient who is scheduled for joint replacement the next day.
Which patient care goals are appropriate at this time? - ANSManage preoperative pain.
The nurse is providing care for a patient following an open reduction of a compound fracture.
Which neurologic finding does the nurse report immediately to the HCP or registered nurse
(RN)? - ANSThere exists numbness and tingling sensations
A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim).
Which patient statement indicates understanding of the action of this medication? - ANS"It
blocks formation of uric acid."
The nurse is contributing to the plan of care for a patient who has an upper extremity
amputation. Which factor does the nurse keep in mind about this type of amputation being
more debilitating than a lower extremity amputation? - ANSThe upper extremity is more
specialized.
A patient who has a displaced midshaft fracture of the left femur is in balanced suspension
skeletal traction with 35 pounds of weight. The patient reports calf pain with right foot
dorsiflexion. Which action does the nurse take? - ANSNotify the RN.
The home-care nurse is attending to a patient with osteomyelitis in a lower extremity from a
traumatic bone fracture. The patient has an open wound that is infected. Which observation
prompts the nurse to provide additional information to the patient and family? - ANSClean
technique is used when the dressing is changed.
The nurse is providing care for a patient being treated after a complicated femur fracture.
The nurse has noticed drowsiness, tachycardia, and a low-grade fever. Which additional
manifestation alerts the nurse to the possibility of a fat emboli? - ANSPresence of a petechial
rash on chest and neck
, The nurse is assisting with the preparation of materials for a health fair aimed at promoting
health in women. Which reason does the nurse recognize as a probable cause of an
increase in the incidence of osteoporosis? - ANSThe ages of adults have increased.
The nurse is providing care for a patient who experienced a closed reduction to a fracture of
the ulna. Which manifestation does the nurse recognize as an early symptom of acute
compartment syndrome? - ANSPallor with extremity warmth
The nurse is providing care for a patient after an above-the-knee amputation because of
ischemia related to diabetes mellitus complications. Which nursing care is essential for
promoting ambulation? - ANSLying on the abdomen as prescribed
A patient is being prepared for a prosthesis following surgery for an amputation. Which
information will the nurse provide to the client regarding the use of a prosthesis? - ANSSkin
inspection is performed each time the sock is removed.
The nurse is providing care for a patient with external fixation for a fracture involving severe
bone damage. Which is the most important focus for the nurse during care of this patient? -
ANSMonitoring pin and wound sites for signs of infection
The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse
must remember in which way RA care is different from osteoarthritis care. Which nursing
care does the nurse specifically provide for the patient with RA? - ANSIt is essential to
monitor all body systems for effects of the disease.
The nurse is assisting with patients on an orthopedic unit. Which is an important factor to
remember when caring for patients after a total hip replacement? - ANSA triangular pillow is
used between the legs to avoid adduction.
The nurse is assisting with the care of patients who have had joint replacement surgery.
Which action is unnecessary for the patient after a total knee replacement (TKR)? -
ANSMaintain proper joint alignment.
A patient asks the difference between osteoarthritis and RA. Which manifestations does the
nurse explain are characteristic of RA? (Select all that apply.) - ANSEarly morning stiffness
Autoimmune disease
Low-grade fever
The nurse is collecting data from a patient suspected of developing a fat embolus from a
fracture of the right femur. Which manifestations does the nurse expect? (Select all that
apply.) - ANSTachycardia
Mental confusion
Petechiae
The patient asks the nurse how much blood is in the body. Which response by the nurse is
accurate? - ANS4-6 liters
