Understanding Medical-Surgical Nursing with DavisEdge Chapter 45 & 46 Que $ Ans

The nurse is assigned to care for a patient who has been diagnosed with a musculoskeletal disease that causes decreased bone density. Which data collection questions are most appropriate by the nurse? Select all that apply. - ANS "What forms of physical activity are you able to participate in?" "Do you exercise regularly?" "What is typically included in your daily diet?" The nurse is caring for a patient with a fractured left leg. Which of the following findings during a neurovascular assessment of the lower extremities would the nurse recognize as a priority to report to the health care provider? - ANS Pallor of the left leg A patient is scheduled for magnetic resonance imaging of the pelvis. Which of the following actions would the nurse take if during data collection it was revealed that the patient had had a previous surgery for heart problems? - ANS Ask if there is any metal in the patient's body The nurse is caring for a patient who has undergone a right knee arthroscopy. Two hours after the procedure, the patient's right pedal pulse is diminished compared with the previous assessment. What action should the nurse take? - ANS Notify the surgeon The nurse is caring for a patient who is undergoing an arthroscopy of the knee with ligament repair. Which of the following would be included in nursing preoperative care for the patient the morning of surgery? Select all that apply. - ANS Provide toast and clear juice 6 hours before surgery Provide clear liquids up to 2 hours before surgery Reinforce how to perform coughing and deep-breathing exercises The nurse is caring for a patient being transferred into bed who has just had a plaster long-leg cast applied. The patient reports pain of 6 on a scale of 0 to 10. Place the nursing interventions in order of priority. - ANS 1. Palm cast as positioned upon pillow 2. Expose cast to air dry 3. Check circulation, sensory, and mobility status 4. Obtain vital signs 5. Administer oral analgesic The nurse is caring for a patient with an external fixation device. Which of the following actions should the nurse implement? Select all that apply. - ANS Follow agency protocol for pin care Monitor pin sites at least daily Use strict aseptic technique for pin care The nurse is caring for a patient with an open fracture. Which of the following actions are essential for the nurse to perform to help prevent osteomyelitis? Select all that apply. - ANS Perform hand hygiene before dressing change Use aseptic technique Wear sterile gloves to apply new dressing The nurse is caring for a patient who is 72 years old, postmenopausal, has osteoporosis, lost 2 inches of height, is thin, and has never exercised regularly. Which of these interventions should be included in the plan of care to prevent further bone loss? - ANS Avoid smoking Encourage muscle strengthening exercise Encourage vitamin D 800 IU daily The nurse is caring for a male patient with gout. Which of the following lab values would be a priority for the nurse to report to the physician? - ANS Uric acid 10.2 mg/dL A patient with osteoarthritis who had a right total knee replacement tells the nurse that the other knee is becoming painful. Which of the following is the most appropriate instruction to help the patient preserve function of the left knee? - ANS Maintain ideal body weight A patient is scheduled for a right total hip replacement. The nurse should teach which of the following postoperative leg positions? - ANS Maintain legs in abduction