LeMone Burke Bauldoff Gubrud, Medical-Surgical Nursing 6th Edition Test Bank.pdf

LeMone/Burke/Bauldoff/Gubrud, Medical- m


Surgical Nursing 6th Edition Test Bank Chapter 39
m m m m m m m




Questionm1m
Type:mMCS
A

Themnurseminstructsmanmadolescent mpatient monmthemcaremof mamsprainmat mhome.mWhichmpatient mstatement mindicatesmt
hemneed mformfurtherminstruction?

1. “I mshould mput mamheatingmpad monmmymlegmasmsoonmasmI mget mhome.”

2. “I mshould mavoid mweight mbearingmonmthismlegmformamcouplemof mdays.”

3. “I mshould mmakemsuremtomkeepmthemacembandagemonmmymleg.”

4. “I mshould mpropmthismlegmupmwhenmI’mmsittingminmamchair.”

CorrectmAnswer:m1

Rationalem1:mHeat mshould mnot mbemapplied mtomamsprain.

Rationalem2:mThempatient mshould mbeminstructed mtomrest mthemextremitymform24–48mhours.

Rationalem3:mThempatient mshould mbeminstructed mtomapplymcompressionmtomtheminjured mextremitymform24–48mhours.

Rationalem4:mThempatient mshould mbeminstructed mtomelevatemthemextremity,mwhichmreducesmpainmand medema,mform24–
48mhours.

GlobalmRationale:mThempatient mshould mbeminstructed mtomfollow mthemacronymmRICEmformtreatment mof mamsprainmat m
home.mThismincludesmrestingmthemextremity,mapplyingmcompression,mand melevating mthemextremity.mThesemtherapies
mshould mbemused mform24–

48mhours.mVerbalizingmthemneed mformamheatingmpad mwould mindicatemthat mthempatient mrequiresmadditionalminstruction
.

CognitivemLevel:mAnalyzing
ClientmNeed:mPhysiologicalmIntegrity
ClientmNeedmSub:mReductionmof mRiskmPotential
QSEN mCompetencies:mI.A.1.mIntegratemunderstandingmof mmultiplemdimensionsmof mpatient mcentered mcare
AACN mEssentialsmCompetencies:mIX.9.Monitormclient moutcomesmtomevaluatemthemeffectivenessmof mpsychobiologicalm
interventions
NLN mCompetencies:mContext mand mEnvironment;mPractice;mconduct mpopulation-
based mtransculturalmhealthmassessmentsmand minterventions
Nursing/IntegratedmConcepts:mNursingmProcess:mEvaluation
LearningmOutcome:m1.mComparemand mcontrast mthemcauses,mriskmfactors,mpathophysiology,mmanifestations,minterp
rofessionalmcare,mand mnursingmcaremof mcontusions,mstrains,msprains,mjoint mdislocations,mand mfractures.
LeMone/Burke/Bauldoff/Gubrud, mMedical-
SurgicalmNursing m6th mEdition mTestmBank
Copyrightm2015 mby mPearson mEducation,mInc.

,MNLmLearningmOutcome:m8.1.3.mDistinguishmthemdiagnosismand mtreatment mof mtraumaticmmusculoskeletalminjuries.
PagemNumber:m1235




LeMone/Burke/Bauldoff/Gubrud, mMedical-
SurgicalmNursing m6th mEdition mTestmBank
Copyrightm2015 mby mPearson mEducation,mInc.

,Questionm2m
Type:mMCS
A

Ampatient mwithmamlongmlegmcast mismexhibitingmsignsmof mcompartment msyndrome.mWhat mshould mthemnursempreparemtoma
id minmthemtreatment mof mthempatient?

1. extrampillowsmtomelevatemthemcasted mextremitymabovemthemheart

2. Dopplermtomassessmthemstrengthmof mperipheralmpulses

3. strapsmtomwrapmaround mthembivalved mcast

4. percussionmhammermtomassessmreflexesmformdamage

CorrectmAnswer:m3

Rationalem1:mElevatingmthemlegmabovemthemheart mwould mcompromisemcirculation.

Rationalem2:mAmDopplermcould mbemused mtomassessmpulsesmbut mthismismnot mamtherapeuticmtreatment mformcompartmen
t msyndrome.

Rationalem3:mCompartment msyndromemoccursmwhenmexcessmpressureminmamlimited mspacemconstrictsmthemstructures
mwithinmamcompartment,mreducingmcirculationmtommusclesmand mnerves.mTreatment mcanm includemremovingmthemcast m


entirelymormbivalvingmit m(splittingmit mapart mwithmamcast mcutter)mand msecuringmthemtwomsidesmwithmstraps.

Rationalem4:mAmpercussionmhammermismused mtomcheckmreflexes,mbut mthismismnot mamtherapeuticmtreatment mformcomp
artment msyndrome.

GlobalmRationale:mCompartment msyndromemoccursmwhenmexcessmpressureminmam limited mspacemconstrictsmthemstruct
uresmwithinmamcompartment,mreducingmcirculationmtommusclesmand mnerves.mTreatment mcanmincludemremovingmthemca
st mentirelymormbivalvingmit m(splittingmit mapart mwithmamcast mcutter)mand msecuringmthemtwomsidesmwithmstraps.mElevatingm
themlegmabovemthemheart mwould mcompromisemcirculation.mAmDopplermcould mbemused mtomassessmpulses,mand mampercuss
ionmhammermtomcheckmreflexes,mbut mthesemaremnot mtherapeuticmtreatmentsmformcompartment msyndrome.

CognitivemLevel:mApplying
ClientmNeed:mPhysiologicalmIntegrity
ClientmNeedmSub:mReductionmof mRiskmPotential
QSEN mCompetencies:mI.A.1.mIntegratemunderstandingmof mmultiplemdimensionsmof mpatient mcentered mcaremA
ACN mEssentialsmCompetencies:mIX.8.Implement mevidence-
based mnursingminterventionsmasmappropriatemformmanagingmthemacutemand mchronicmcaremof mpatientsmand mpromo
tingmhealthmacrossmthemlifespan
NLN mCompetencies:mContext mand mEnvironment;mPractice;mconduct mpopulation-
based mtransculturalmhealthmassessmentsmand minterventions
Nursing/IntegratedmConcepts:mNursingmProcess:mPlanning
LearningmOutcome:m4.mExplainmthempathophysiology,mmanifestations,mand mrelated mtreatment mformcomplicationsmof mfr
LeMone/Burke/Bauldoff/Gubrud, mMedical-
SurgicalmNursing m6th mEdition mTestmBank
Copyrightm2015 mby mPearson mEducation,mInc.

, actures:mcompartment msyndrome,mfat membolismmsyndrome,mdeepmvenousmthrombosis,minfection, mdelayed munionmand mno
nunion,mand mcomplexmregionalmpainmsyndrome.




LeMone/Burke/Bauldoff/Gubrud, mMedical-
SurgicalmNursing m6th mEdition mTestmBank
Copyrightm2015 mby mPearson mEducation,mInc.