med surg 2 final exam (test bank) Solutions 2024

The nurse is preparing for a home visit to a patient after surgery for a compound fracture. Which specific care does the nurse anticipate for this patient? - Correct Answer Changing wound dressings A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a fiberglass cast. The patient is 65 years old and has a medical 30-year history of diabetes mellitus. Which condition does the nurse recognize as a possible complication for this patient? - Correct Answer Delay or absence of healing An older adult patient is postoperative for a total hip joint replacement. Which nursing care is inappropriate for this patient on the day of surgery? - Correct Answer Medicated with oral pain medications The nurse is providing care for a patient who is scheduled for joint replacement the next day. Which patient care goals are appropriate at this time? - Correct Answer Manage preoperative pain. The nurse is providing care for a patient following an open reduction of a compound fracture. Which neurologic finding does the nurse report immediately to the HCP or registered nurse (RN)? - Correct Answer There exists numbness and tingling sensations A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which patient statement indicates understanding of the action of this medication? - Correct Answer "It blocks formation of uric acid." The nurse is contributing to the plan of care for a patient who has an upper extremity amputation. Which factor does the nurse keep in mind about this type of amputation being more debilitating than a lower extremity amputation? - Correct Answer The upper extremity is more specialized. A patient who has a displaced midshaft fracture of the left femur is in balanced suspension skeletal traction with 35 pounds of weight. The patient reports calf pain with right foot dorsiflexion. Which action does the nurse take? - Correct Answer Notify the RN. The home-care nurse is attending to a patient with osteomyelitis in a lower extremity from a traumatic bone fracture. The patient has an open wound that is infected. Which observation prompts the nurse to provide additional information to the patient and family? - Correct Answer Clean technique is used when the dressing is changed.