EVOLVE QUESTIONS, MS EXAM 4 ATI
BOOK, MEDSURG EXAM 4 TXTBK, MS
EXAM4
A patient with a fracture of the proximal left tibia in a long leg cast reports of
severe pain and a prickling sensation in the left foot. The toes on the left foot are
pale and cool. Which nursing action is a priority?
Notify the health care provider immediately.
The patient brought to the emergency department after a car accident is
diagnosed with a femur fracture. What nursing intervention would the nurse
implement at this time to decrease risk of a fat embolus?
Immobilize the fracture preoperatively.
The nurse is caring for a patient who had a left total knee arthroplasty to relieve
the pain of severe osteoarthritis. What care would be expected postoperatively?
Progressive leg exercises to obtain 90-degree flexion
A patient underwent amputation below the knee on the left leg after a traumatic
accident. Which intervention would the nurse include in the plan of care?
Lie prone with hip extended for 30 minutes 4 times per day.
An injured soldier who underwent left leg amputation has been reporting shooting
pain and heaviness in the left leg. What action may help resolve symptoms
long-term?
Using mirror therapy
,A patient has a plaster cast applied to the right arm for a Colles’ fracture. Which
nursing action is most appropriate?
Elevate the right arm on 2 pillows for 24 hours.
A patient presents to the clinic after tripping on a curb and spraining the right
ankle. Which initial care measures are appropriate? (Select all that apply.)
-Administer antinflammatory medication.
-Compress the ankle using an elastic bandage.
-Rest and elevate the ankle above the heart.
A young adult soccer player has injured the anterior cruciate ligament (ACL) and
is having reconstructive surgery. Which patient statement indicates more
teaching is required?
"I can't wait to get this done now so I can play in the soccer tournament next
month."
The nurse completes an admission history for a patient with osteoarthritis
scheduled for total knee arthroplasty. Which response is expected when asking
the patient the reason for admission?
Debilitating joint pain
The home care nurse visits a patient with Parkinson’s disease who fell while
walking this morning. What observation is of most concern to the nurse?
Left leg externally rotated and shorter than the right leg
, The patient with frostbite on the distal toes of both feet is scheduled for
amputation of the damaged tissue. Which assessment finding or diagnostic study
is most objective in determining tissue viability?
Arteriogram showing blood vessels
The nurse is caring for a patient with osteoarthritis scheduled for total left knee
arthroplasty. Preoperatively, the nurse assesses for which contraindication to
surgery?
Left knee infection
A nurse performs discharge teaching for a patient after a left hip arthroplasty
using the posterior approach. Which statement indicates teaching is successful?
"Leg-raising exercises are necessary for several months."
A patient who had a long leg cast applied this morning asks to crutch walk before
dinner. Which statement explains the reason the nurse will decline the patient’s
request?
"Excess edema and complications are prevented when the leg is elevated for 24
hours."
The nurse determines that a patient recovering from left total knee arthroplasty
has impaired physical mobility from decreased muscle strength. What nursing
intervention is appropriate?
Encourage isometric quadriceps-setting exercises at least 4 times a day.
BOOK, MEDSURG EXAM 4 TXTBK, MS
EXAM4
A patient with a fracture of the proximal left tibia in a long leg cast reports of
severe pain and a prickling sensation in the left foot. The toes on the left foot are
pale and cool. Which nursing action is a priority?
Notify the health care provider immediately.
The patient brought to the emergency department after a car accident is
diagnosed with a femur fracture. What nursing intervention would the nurse
implement at this time to decrease risk of a fat embolus?
Immobilize the fracture preoperatively.
The nurse is caring for a patient who had a left total knee arthroplasty to relieve
the pain of severe osteoarthritis. What care would be expected postoperatively?
Progressive leg exercises to obtain 90-degree flexion
A patient underwent amputation below the knee on the left leg after a traumatic
accident. Which intervention would the nurse include in the plan of care?
Lie prone with hip extended for 30 minutes 4 times per day.
An injured soldier who underwent left leg amputation has been reporting shooting
pain and heaviness in the left leg. What action may help resolve symptoms
long-term?
Using mirror therapy
,A patient has a plaster cast applied to the right arm for a Colles’ fracture. Which
nursing action is most appropriate?
Elevate the right arm on 2 pillows for 24 hours.
A patient presents to the clinic after tripping on a curb and spraining the right
ankle. Which initial care measures are appropriate? (Select all that apply.)
-Administer antinflammatory medication.
-Compress the ankle using an elastic bandage.
-Rest and elevate the ankle above the heart.
A young adult soccer player has injured the anterior cruciate ligament (ACL) and
is having reconstructive surgery. Which patient statement indicates more
teaching is required?
"I can't wait to get this done now so I can play in the soccer tournament next
month."
The nurse completes an admission history for a patient with osteoarthritis
scheduled for total knee arthroplasty. Which response is expected when asking
the patient the reason for admission?
Debilitating joint pain
The home care nurse visits a patient with Parkinson’s disease who fell while
walking this morning. What observation is of most concern to the nurse?
Left leg externally rotated and shorter than the right leg
, The patient with frostbite on the distal toes of both feet is scheduled for
amputation of the damaged tissue. Which assessment finding or diagnostic study
is most objective in determining tissue viability?
Arteriogram showing blood vessels
The nurse is caring for a patient with osteoarthritis scheduled for total left knee
arthroplasty. Preoperatively, the nurse assesses for which contraindication to
surgery?
Left knee infection
A nurse performs discharge teaching for a patient after a left hip arthroplasty
using the posterior approach. Which statement indicates teaching is successful?
"Leg-raising exercises are necessary for several months."
A patient who had a long leg cast applied this morning asks to crutch walk before
dinner. Which statement explains the reason the nurse will decline the patient’s
request?
"Excess edema and complications are prevented when the leg is elevated for 24
hours."
The nurse determines that a patient recovering from left total knee arthroplasty
has impaired physical mobility from decreased muscle strength. What nursing
intervention is appropriate?
Encourage isometric quadriceps-setting exercises at least 4 times a day.
