Exam (elaborations)

NUR 2356 / NUR2356: Multidimensional Care I / MDC 1 Exam 2 (Latest 2020 / 2021) Rasmussen

NUR 2356 Multidimensional Care I MDC 1 Exam 2 1. What is important to communicate to the patient with weakness? - Keep good base of support. 2. T/F: Using ROM helps the patient maintain muscle tone and strength. - True 3. A patient bends the knees while performing exercise with physical therapy. What motion is that? - Flexion 4. T/F: Having a sedentary life doesn't affect us. - False 5. T/F: Osteoarthritis is known by having crepitus (popping/grating sounds; creaking joints) which are due to lose of bone particles. - True 6. T/F: Immobility has significant consequences in our overall health. - True 7. Immobility can cause what type of musculoskeletal damage? - Foot drop (drop foot; difficulty lifting the front of the foot; the front of the foot may drag when patient is walking) 8. A good nursing intervention to reduce atelectasis (complete/partial collapse of lungs) risk is? - Encourage cough - deep breathing - turning 9. Adding vitamins and minerals helps the immobile patient prevent _______________. - 10. A way to prevent GU complications on an immobile patient is _________________. - 11. T/F: The bladder scan is used to determine how much urine is in the gallbladder. - 12. T/F: The semi-lateral position is also known as Sim's. - 13. A trochanter roll is used to maintain the position of the __________. - 14. T/F: The abduction pillow is used to prevent internal hip rotation. - 15. What position is used to help the patient get up? - 16. What is a function of the musculoskeletal system? - 17. As a nurse you know that during aging, a normal musculoskeletal change would be? - 18. T/F: The nurse knows that recommending vitamin c and calcium will help prevent musculoskeletal degeneration. - 19. As you interview the patient complaining of pain, you know that it is important to ask them about _______________. - 20. The nurse is performing a general survey. What is a component to observe related to the musculoskeletal system? - 21. To perform a proper neuromuscular assessment, you need to include pain, pulse, pallor, paresthesia (burning/prickling sensation) and ____________ (Five P's). - 22. When rating muscle strength, the nurse knows that grade 2 means? - 23. T/F: Medications such as loop diuretics can cause osteoporosis. - 24. Which gland controls calcium release from the bones? - 25. T/F: A patient with osteoporosis should receive education indicating to avoid jarring activities. - 26. T/F: The nurse should include in the education, ways to prevent falls. Some activities include removal of rugs and clutter. - 27. T/F: Adding weight-bearing exercises 3-5 times a week can help prevent osteoporosis. - 28. What would be a nursing intervention to prevent and maintain osteomyelitis? - 29. T/F: A patient with osteomyelitis will need to be placed in droplet precaution. - 30. T/F: After surgery the patient will need a neurovascular check that includes capillary refill. - 31. After a bunionectomy the nurse needs to educate the patient about how ______________. - 32. What medication will be ordered for a patient with plantar fasciitis? - 33. The Phalen's test is used to determine ______________________. - 34. A patient with a rotator cuff injury may need what treatment? - 35. T/F: The nurse that pendulum exercises mean to dangle and swing the arm for 5-10 minutes. - 36. What fracture is complete but with no injury to the skin? - 37. Which fracture is caused by a rotation motion? - 38. What fracture is related to above and below force? - 39. T/F: The first bone healing stage takes up to 72 hours. - 40. During which bone healing stage does the callus form? - 41. The risk for fracture includes all except? - 42. What causes shearing and friction injuries? - 43. T/F: Medical history is not important as it does not collect related information. - 44. How can the nurse control bleeding from a fracture? - 45. What is the best position to prevent shock? - 46. What is the main concern for the nurse taking care of a post-fracture patient? - 47. T/F: Hot spots under the cast can be a sign of pressure necrosis. - 48. A patient with a cast should notify painful areas, pain not controlled by medication and ______________________. - 49. T/F: Traction use has a high risk for infection in the weight area. - 50. After cast removal, it is normal to see dry skin, reduced strength, edema and ________________. - 51. Place in order from most important to least important to reduce infection risk: - 52. Place in order the most common labs performed after a fracture: - 53. The nurse observes the following: increased edema, pain, weak pulse and skin discoloration. What should she suspect? - 54. Place in order the interventions for ACS: - 55. T/F: Fat embolism is most common after hip or pelvis fracture. - 56. What ocular change is normal with age? - 57. What is a normal change of the audition with age? - 58. T/F: Asking the patient about ADL (activities of daily living) care is important to determine sensory affect. - 59. Which conditions are a risk for sensory complications? - 60. What tools are used to assess ocular capacity? - 61. T/F: Ultrasonography is used to determine retinal detachment. - 62. What test is used to measure intraocular pressure (IOP)? - 63. Which test is used to determine if the intraocular pressure (IOP) is caused by open or closed angle? - 64. After cataract surgery, the patient can suffer which complications? - 65. What should the patient avoid after surgery? - 66. T/F: You are treating a patient with acute closed-glaucoma, this patient should wait for treatment. - 67. T/F: The patients using ear drops should keep posture straight or standing while instilling the drops. - 68. How can you determine if the patient has auditory problems? - 69. T/F: The education for a patient losing their auditory function should include: use of hearing aids and facing them. - 70. Some recommendations to protect the hearing include? - 71. What exercise helps with flexibility? - 72. Which areas are an example of a 90-degree flexion? - 73. What interventions help with independence? - 74. When the patient can perform the motion independently it is called _______________. - 75. What happens when the patient is taking vasoconstricting medications? - 76. Immobility has a high-risk for which of the following? - 77. T/F: Instructing a weak patient to use 2 points of support helps reduce falls. - 78. T/F: It is important to assess the feet of a patient with diabetic neuropathy. - 79. What should be asked when a patient is having an MRI? - 80. T/F: A patient with kyphosis doesn't have any high-risk. - 81. What is a proper intervention for a patient with kyphosis after musculoskeletal surgery? - 82. What should the nurse do when assist with movement or mobility? - 83. When should the patient with a purulent wound be placed in isolation? - 84. T/F: Hip flexion of greater than 90-degrees should be avoided after hip surgery. - 85. Place in order the activities after a patient falls: - 86. What is the first intervention if a patient with a cast complains of tingling, numbness, colorlessness and cold? - 87. T/F: If a patient taking Timoptic has a low heart rate, they should keep taking the medication. - 88. Osteoclasts... - 89. Example of a hinge joint: - 90. The ability to carry activities is known as? - 91. T/F: Not bending forward at the waist or neck is a good way to have posture. - 92. T/F: Using high-heels helps with posture. -