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What should the nurse include when teaching older adults at a community
recreation center about ways to prevent fractures? - ANSWER✔✔ c. Buy shoes
that provide good support and are comfortable to wear.
Comfortable 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
range-of-motion exercise; these do not need to be taught by a physical therapist.
Falls inside the home are responsible for many injuries.
A factory line worker has repetitive strain syndrome in the left elbow. What topic
should the nurse plan to include in patient teaching? - ANSWER✔✔ d. Modifying
arm movements
Treatment for repetitive strain syndrome 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.
What should the occupational health nurse advise a patient whose job involves
many hours of typing? - ANSWER✔✔ a. 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 should the emergency department nurse include for a
patient with a sprained ankle? - ANSWER✔✔ c. Use pillows to elevate the ankle
above the heart.
Elevation of the leg will reduce swelling and pain. Compression bandages are used
to decrease swelling. For the first 24 to 48 hours, cold packs are used to reduce
swelling. The ankle should be rested and kept immobile to prevent further swelling
or injury.
A tennis player has an arthroscopic repair of a rotator cuff injury performed in
same-day surgery. Which information will the nurse include in postoperative
teaching? - ANSWER✔✔ b. "You will begin work with a physical therapist
tomorrow."
Physical therapy after a rotator cuff repair begins on the first postoperative day to
prevent "frozen shoulder." A shoulder immobilizer is used immediately after the
surgery, but leaving the arm immobilized for several days would lead to loss of
range of motion. The drop arm test is used to test for rotator cuff injury but not
after surgery. The patient may be able to return to tennis after rehabilitation
The nurse should instruct a patient with a nondisplaced fractured left radius that the
cast will need to remain in place for what amount of time? - ANSWER✔✔ b. 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 at least 3 weeks.
Complete union may take up to 1 year. Resolution of swelling does not indicate
bone healing.