Medical Surgical Nursing Ignatavicius
Workman Rebar (Complex) Chapters 49,
50, 51
The nurse plans to use which device to measure joint range of motion (ROM)?
A) Doppler tool
b) Goniometer
c) Reflex hammer
d) Tonometer
Correct Goniometer
A goniometer affords an specific measurement of flexion and extension or joint ROM.A Doppler
device is used to check and locate pulses. A reflex hammer is used to test and elicit reflexes
and is used in neurologic examinations. A tonometer is used to degree tension or stress in the
eye.
A nursing scholar is reading the skeletal gadget. Which statement pleasant indicates to the
nursing teacher that the student is aware a regular physiologic characteristic of the skeletal
system?
A) “Volkmann’s canals connect osteoblasts and osteoclasts.”
b) “In the inner most layer of the periosteum is the cortex, which consists of dense, compact
bone tissue.”
c) “The matrix of the bone is where deposits of calcium and magnesium are present.”
d) “Hematopoiesis occurs inside the purple marrow, that's wherein blood cells are produced.”
d) Correct “Hematopoiesis happens inside the purple marrow, that is in which blood cells are
produced.” Hematopoiesis is the production of blood cells within the crimson marrow and is the
,statement that first-rate indicates that the scholar is aware a regular physiologic feature of the
skeletal device.Volkmann’s canals connect bone marrow vessels with the haversian gadget. In
the private layer of the periosteum are osteogenic cells that differentiate into osteoblasts and
osteoclasts. The cortex is the outer layer of the bone that includes dense, compact bone tissue.
Deposits of inorganic calcium salts (carbonate and phosphate) within the matrix of the bone are
what provide the hardness of bone.
The nurse is finishing an admission evaluation on a patron scheduled for arthroscopic knee
surgical procedure. Which facts might be maximum critical for the nurse to report to the health
care issuer?
A) Knee pain at a degree of 9 (zero-to-10 scale)
b) Warm, purple, and swollen knee
c) Allergy to shellfish and iodine
d) Previous surgery on the opposite knee
b) Correct Warm, pink, and swollen knee
Findings which include swelling, heat, and redness may additionally indicate contamination
inside the knee joint and is maximum important for the nurse to report to the fitness care
provider. These findings will assist the health care issuer decide whether or not there may be a
need to cancel the method.Having knee ache earlier than surgical treatment isn't always
unexpected but will now not affect whether the customer can have surgical treatment. Allergy to
shellfish and iodine will want to be stated, however also will no longer affect whether or not the
customer may have surgery. Having previous surgical procedure on the alternative knee does
now not forestall the purchaser from having this surgical procedure.
Which consumer information is most essential for the nurse to record to the health care issuer
earlier than a patron with knee pain undergoes magnetic resonance imaging (MRI)?
A) Daily use of aspirin
b) Swollen and smooth knee
c) Presence of a permanent pacemaker
d) History of claustrophobia
,c) Presence of a permanent pacemaker
If the customer has a everlasting pacemaker, this data is most essential for the nurse to
document to the fitness care company. The presence of a permanent pacemaker is a
contraindication for MRI due to the fact steel implants are present inside the patron.Taking a
each day dose of aspirin does not affect or have interaction with the MRI take a look at. A
swollen and tender knee does now not warrant cancellation of an MRI. A records of
claustrophobia need to be mentioned however does not imply that cancellation of the MRI is
essential because sedatives can be given to manipulate claustrophobia.
When assessing a female client, the nurse learns that the patron has numerous danger factors
for osteoporosis. Which chance issue can be the priority for patron coaching?
A) Low calcium and nutrition D intake
b) Postmenopausal fame
c) Positive circle of relatives records
d) Previous use of steroids
a) Low calcium and vitamin D intake
The customer’s calcium and diet D intake is the concern threat component that the patron can
exchange. The nurse will speak the other danger factors as contributing to osteoporosis, but the
coaching will cognizance on approaches to increase calcium intake.Postmenopausal status,
advantageous family history, and previous use of steroids are not risk elements that the
customer can change. These threat elements should be mentioned however aren't the concern
for this client.
Which component of postoperative management will the nurse plan to talk about with a
customer approximately to undergo an arthroscopic repair of the knee?
A) Physical remedy for exercises
b) Pharmacy for customer medicines
c) Dietitian for nutrition
, d) Social paintings for care coordination
a) Physical remedy for sporting activities
The nurse and the physical therapist will discuss postoperative bodily therapy with the client and
will assess and collaborate on the postoperative sporting activities if you want to be essential to
establish ROM after the technique.It is the nurse’s duty to assess which medications the patron
is currently taking. Nutritional assessment is performed by using the nurse, but this might also
involve a dietitian if unique wishes exist. Unless there are postoperative complications or if the
consumer has numerous special desires, care coordination isn't always necessary.
An older person purchaser with diabetes who had arthroscopic surgical treatment at the right
knee the day prior to this has a purple, swollen, and painful proper knee. The nurse anticipates
that the health care provider will request which sort of drugs?
A) Antibiotic
b) Anticoagulant
c) Opioid analgesic
d) Corticosteroid
a) Correct Antibiotic
The client’s signs and symptoms indicate a probable proper knee infection, so the primary
action will be to begin antibiotic therapy, in particular because the customer is diabetic and is at
more threat for contamination.An anticoagulant can boom the chance for postoperative
bleeding. The health care provider normally requests an opioid analgesic aggregate following
arthroscopic surgical procedure. An opioid analgesic is used for greater invasive surgical
processes and isn't indicated for this patron. Corticosteroids are used to deal with irritation. They
boom blood sugar and growth susceptibility to infection.
A consumer is suspected of getting muscular dystrophy (MD). Which laboratory test end result
does the nurse count on with this disease?
A) Decreased serum creatine kinase (CK) degree
b) Moderately increased aspartate aminotransferase (AST)
Workman Rebar (Complex) Chapters 49,
50, 51
The nurse plans to use which device to measure joint range of motion (ROM)?
A) Doppler tool
b) Goniometer
c) Reflex hammer
d) Tonometer
Correct Goniometer
A goniometer affords an specific measurement of flexion and extension or joint ROM.A Doppler
device is used to check and locate pulses. A reflex hammer is used to test and elicit reflexes
and is used in neurologic examinations. A tonometer is used to degree tension or stress in the
eye.
A nursing scholar is reading the skeletal gadget. Which statement pleasant indicates to the
nursing teacher that the student is aware a regular physiologic characteristic of the skeletal
system?
A) “Volkmann’s canals connect osteoblasts and osteoclasts.”
b) “In the inner most layer of the periosteum is the cortex, which consists of dense, compact
bone tissue.”
c) “The matrix of the bone is where deposits of calcium and magnesium are present.”
d) “Hematopoiesis occurs inside the purple marrow, that's wherein blood cells are produced.”
d) Correct “Hematopoiesis happens inside the purple marrow, that is in which blood cells are
produced.” Hematopoiesis is the production of blood cells within the crimson marrow and is the
,statement that first-rate indicates that the scholar is aware a regular physiologic feature of the
skeletal device.Volkmann’s canals connect bone marrow vessels with the haversian gadget. In
the private layer of the periosteum are osteogenic cells that differentiate into osteoblasts and
osteoclasts. The cortex is the outer layer of the bone that includes dense, compact bone tissue.
Deposits of inorganic calcium salts (carbonate and phosphate) within the matrix of the bone are
what provide the hardness of bone.
The nurse is finishing an admission evaluation on a patron scheduled for arthroscopic knee
surgical procedure. Which facts might be maximum critical for the nurse to report to the health
care issuer?
A) Knee pain at a degree of 9 (zero-to-10 scale)
b) Warm, purple, and swollen knee
c) Allergy to shellfish and iodine
d) Previous surgery on the opposite knee
b) Correct Warm, pink, and swollen knee
Findings which include swelling, heat, and redness may additionally indicate contamination
inside the knee joint and is maximum important for the nurse to report to the fitness care
provider. These findings will assist the health care issuer decide whether or not there may be a
need to cancel the method.Having knee ache earlier than surgical treatment isn't always
unexpected but will now not affect whether the customer can have surgical treatment. Allergy to
shellfish and iodine will want to be stated, however also will no longer affect whether or not the
customer may have surgery. Having previous surgical procedure on the alternative knee does
now not forestall the purchaser from having this surgical procedure.
Which consumer information is most essential for the nurse to record to the health care issuer
earlier than a patron with knee pain undergoes magnetic resonance imaging (MRI)?
A) Daily use of aspirin
b) Swollen and smooth knee
c) Presence of a permanent pacemaker
d) History of claustrophobia
,c) Presence of a permanent pacemaker
If the customer has a everlasting pacemaker, this data is most essential for the nurse to
document to the fitness care company. The presence of a permanent pacemaker is a
contraindication for MRI due to the fact steel implants are present inside the patron.Taking a
each day dose of aspirin does not affect or have interaction with the MRI take a look at. A
swollen and tender knee does now not warrant cancellation of an MRI. A records of
claustrophobia need to be mentioned however does not imply that cancellation of the MRI is
essential because sedatives can be given to manipulate claustrophobia.
When assessing a female client, the nurse learns that the patron has numerous danger factors
for osteoporosis. Which chance issue can be the priority for patron coaching?
A) Low calcium and nutrition D intake
b) Postmenopausal fame
c) Positive circle of relatives records
d) Previous use of steroids
a) Low calcium and vitamin D intake
The customer’s calcium and diet D intake is the concern threat component that the patron can
exchange. The nurse will speak the other danger factors as contributing to osteoporosis, but the
coaching will cognizance on approaches to increase calcium intake.Postmenopausal status,
advantageous family history, and previous use of steroids are not risk elements that the
customer can change. These threat elements should be mentioned however aren't the concern
for this client.
Which component of postoperative management will the nurse plan to talk about with a
customer approximately to undergo an arthroscopic repair of the knee?
A) Physical remedy for exercises
b) Pharmacy for customer medicines
c) Dietitian for nutrition
, d) Social paintings for care coordination
a) Physical remedy for sporting activities
The nurse and the physical therapist will discuss postoperative bodily therapy with the client and
will assess and collaborate on the postoperative sporting activities if you want to be essential to
establish ROM after the technique.It is the nurse’s duty to assess which medications the patron
is currently taking. Nutritional assessment is performed by using the nurse, but this might also
involve a dietitian if unique wishes exist. Unless there are postoperative complications or if the
consumer has numerous special desires, care coordination isn't always necessary.
An older person purchaser with diabetes who had arthroscopic surgical treatment at the right
knee the day prior to this has a purple, swollen, and painful proper knee. The nurse anticipates
that the health care provider will request which sort of drugs?
A) Antibiotic
b) Anticoagulant
c) Opioid analgesic
d) Corticosteroid
a) Correct Antibiotic
The client’s signs and symptoms indicate a probable proper knee infection, so the primary
action will be to begin antibiotic therapy, in particular because the customer is diabetic and is at
more threat for contamination.An anticoagulant can boom the chance for postoperative
bleeding. The health care provider normally requests an opioid analgesic aggregate following
arthroscopic surgical procedure. An opioid analgesic is used for greater invasive surgical
processes and isn't indicated for this patron. Corticosteroids are used to deal with irritation. They
boom blood sugar and growth susceptibility to infection.
A consumer is suspected of getting muscular dystrophy (MD). Which laboratory test end result
does the nurse count on with this disease?
A) Decreased serum creatine kinase (CK) degree
b) Moderately increased aspartate aminotransferase (AST)
