Nursing 113: Exam 1 Answered and Explained

Nursing 113: Exam 1 When teaching the child with scoliosis being treated with a Boston brace about exercises, the nurse explains that the exercises are performed primarily for what reason? to strengthen the back and abdominal muscles When the nurse is conducting a preoperative interview with a client who is having a vaginal hysterectomy, the client states that she forgot to tell her surgeon that she had a total hip replacement 3 years ago. Why should the nurse communicate this information to the perioperative nurse? The client should not have her hip externally rotated when she is positioned for the procedure. A client is scheduled to undergo transurethral resection of the prostate. The procedure is to be done under spinal anesthesia. What should the nurse assess the client for after surgery? respiratory paralysis A client with respiratory complications of multiple sclerosis (MS) is admitted to the intensive care unit. Which equipment is most important for the nurse to keep at the client's bedside? suction machine with catheters A nurse is assessing a client for neurologic impairment after a total hip replacement. Which finding would indicate impairment in the affected extremity? inability to move A 20-year-old seeks treatment at a local emergency care center after spraining an ankle while playing ball with friends. The ankle is painful and swollen. Which actions should the nurse perform, as ordered by the physician? Select all that apply. 1)Initially apply cold pack. 2)Instruct the client to elevate the ankle for 48 to 72 hours. 3)Provide crutch-gait training. 4)If needed, apply an elastic bandage from the toes to midcalf. A client who has had an above-the-knee amputation develops a dime-sized bright red spot on the dressing after 45 minutes in the postanesthesia recovery unit. What should the nurse do first? Draw a mark around the site A nurse is helping a client move up in the bed. Which action maintains good body mechanics? having the client help as much as possible To promote early and efficient ambulation for a client after an above-the-knee amputation, the nurse is aware that the leg will need to be positioned in which way? in functional alignment A client is 4 days postoperative from a tibia fracture and has a long leg cast. The nurse is conducting initial teaching for walking with crutches. What is the most important activity for the nurse to encourage the client to do prior to discharge from the hospital? conduct exercises in bed to strengthen the upper extremities, as this will assist the client in crutch use. The nurse enters the room to do an initial assessment on a client with a fracture of the femoral head. What would be the expected findings on the affected limb? shortening of the affected extremity with external rotation The nurse is aware that frequent repositioning in bed will assist in the prevention of which condition for a client? pneumonia The client was recently diagnosed with a musculoskeletal disorder and ordered carisoprodol. The nurse completes teaching about the medication. Which statement by the client indicates a need for more teaching about carisoprodol? "I will stop the medication as soon as the muscle spasticity goes away." Which positioning technique is most effective when there is only one person to assist the client to move from the left side to the right side if the client has hemiparalysis? rolling the client onto the side The nurse is caring for a client during the postoperative period. The client was prescribed thigh high antiembolism stockings and pneumatic compression devices for prevention of deep vein thrombosis. Assessment data reveal +3 pitting edema to the lower extremities bilaterally. What is the priority action by the nurse? Measure client's thighs and calves to ensure the antiembolism stockings are the correct size. The nurse is creating a plan of care for an older adult client with osteoarthritis. Which nursing diagnosis is most appropriate? risk for injury related to altered mobility The school nurse is planning an educational session to prevent injuries in children with juvenile arthritis. Which information should the nurse include in the teaching? Schedule the completion of daily range-of-motion exercises to support joint mobility. A client is diagnosed with rheumatoid arthritis and is ordered oral indomethacin. What should the nurse include in the client's teaching concerning the administration of indomethacin? Select all that apply. 1)"Avoid any hazardous activity until you know how you react to this drug." 2)"Tell your health care provider immediately about changes in your hearing." 3)"Do not use aspirin while taking this drug." Define contact dermatitis The inflammation of skin characterized by damage to the dermis and epidermis Is contact dermatitis chronic or acute? Can be either/ or What are the symptoms of contact dermatitis? Bullae, Vesicles, Wheals What kind of cells in the body cause the body to have the reaction of contact dermatitis? T Lymphocytes What are some irritants of contact dermatitis?