NSG 333 Exam 3 Practice Questions WITH CORRECT ANSWERS

NSG 333 Exam 3 Practice Questions WITH |\ |\ |\ |\ |\ |\




CORRECT ANSWERS
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The nurse will instruct the patient with a fractured left radius that
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the cast will need to remain in place
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a. for several months.
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b. for at least 3 weeks.
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c. until swelling of the wrist has resolved.
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d. until x-rays show complete bony union - CORRECT ANSWERS
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✔✔: B |\




Bone healing starts immediately after the injury, but since
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ossification does not begin until 3 weeks post injury, |\ |\ |\ |\ |\ |\ |\ |\




the cast will need to be worn for at least 3 weeks. Complete
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union may take up to a year. Resolution of
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swelling does not indicate bone healing |\ |\ |\ |\ |\




A 48-year-old patient with a comminuted fracture of the left
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femur has Bucks traction in place while waiting
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for surgery. To assess for pressure areas on the patients back and
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sacral area and to provide skin care, the nurse
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should
a. loosen the traction and help the patient turn onto the
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unaffected side. |\




b. place a pillow between the patients legs and turn gently to
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each side. |\

,c. turn the patient partially to each side with the assistance of
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another nurse. |\




d. have the patient lift the buttocks by bending and pushing with
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the right leg - CORRECT ANSWERS ✔✔: D
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The patient can lift the buttocks off the bed by using the left leg
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without changing the right-leg alignment. |\ |\ |\ |\




Turning the patient will tend to move the leg out of alignment.
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Disconnecting the traction will interrupt the |\ |\ |\ |\ |\




weight needed to immobilize and align the fracture
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Which nursing intervention will be included in the plan of care
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after a patient with a right femur fracture has
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a hip spica cast applied?
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a.
Avoid placing the patient in prone position.
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b.
Ask the patient about abdominal discomfort.
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c.
Discuss remaining on bed rest for several weeks.
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d.
Use the cast support bar to reposition the patient - CORRECT
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ANSWERS ✔✔: B |\ |\




Assessment of bowel sounds, abdominal pain, and nausea and |\ |\ |\ |\ |\ |\ |\ |\ |\


vomiting will detect the development of cast |\ |\ |\ |\ |\ |\




syndrome. To avoid breakage, the support bar should not be used |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


for repositioning. After the cast dries, the
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,patient can begin ambulating with the assistance of physical
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therapy personnel and may be turned to the prone
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position.


A patient who is to have no weight bearing on the left leg is
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learning to walk using crutches. Which |\ |\ |\ |\ |\




observation by the nurse indicates that the patient can safely |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ambulate independently? |\




a.
The patient moves the right crutch with the right leg and then
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the left crutch with the left leg.
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b.
The patient advances the left leg and both crutches together and
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then advances the right leg.
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c.
The patient uses the bedside chair to assist in balance as needed
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when ambulating in the room.
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d.
The patient keeps the padded area of the crutch firmly in the
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axillary area when ambulating - CORRECT ANSWERS ✔✔: B
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Patients are usually taught to move the crutches and the injured
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leg forward at the same time and then to move
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the unaffected leg. Patients are discouraged from using furniture
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to assist with ambulation. The patient is
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taught to place weight on the hands, not in the axilla, to avoid
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nerve damage. If the 2- or 4-point gaits are to be
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, used, the crutch and leg on opposite sides move forward, not the
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crutch and same-side leg
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A 32-year-old patient who has had an open reduction and internal
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fixation (ORIF) of left lower leg
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fractures continues to complain of severe pain in the leg 15
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minutes after receiving the prescribed IV
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morphine. Pulses are faintly palpable and the foot is cool. Which
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action should the nurse take
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next
?
a.
Notify the health care provider.
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b.
Assess the incision for redness.
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c.
Reposition the left leg on pillows. |\ |\ |\ |\ |\




d.
Check the patients blood pressure - CORRECT ANSWERS ✔✔: A
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The patients clinical manifestations suggest compartment
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syndrome and delay in diagnosis and treatment may |\ |\ |\ |\ |\ |\ |\




lead to severe functional impairment. The data do not suggest
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problems with blood pressure or infection.
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Elevation of the leg will decrease arterial flow and further reduce
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perfusion