NUR 2214 Module 3 EAQs
1. A client is scheduled for a lumbar puncture. What nursing care should be implemented after
the procedure?
Answer
Maintaining the client in the supine position for several hours
2. A 5-year-old child is given fluoroquinolones.Which potential adverse effect unique to
pediatric clients should the nurse anticipate?
Answer
Tendon rupture
3. A nurse is caring for a group of clients with myasthenia gravis, Guillain-Bar- ré syndrome, and
amyotrophic lateral sclerosis (ALS). Which information should the nurse consider when
planning care for this group of clients?
Answer
In- creased risk for respiratory complications
4. A nurse provides discharge teaching to a client who had a total hip re- placement.The client
states that the plan is to go swimming at the community pool the day after discharge. How should
the nurse respond?
Answer
Explain that the incision should not be immersed in water until it has healed.
5. A client newly diagnosed with type 1 diabetes is taught to exercise on
,a regular basis. What is the primary reason for instruction on exercise?
Answer
To improve the cellular uptake of glucose
6. A nurse is assessing a client with a cast to the extremity.Which assessment finding is the
priority?
Answer
Numbness
7. Which joint in the client's body is an example of a gliding joint?
Answer
Sacroiliac
8. A healthcare provider prescribes a diagnostic workup for a client who may have myasthenia
gravis. What is the initial nursing objective for the client during the diagnostic phase?
Answer
"The client will maintain present muscle strength."
9. A client sustains a fractured right femur after an automobile accident and is admitted to the
hospital's emergency department.Which assessment is the priority?
Answer
Take the client's pedal pulse in the affected extremity.
10. Which individual is at risk of developing carpal tunnel syndrome?
Answer
,Soft- ware engineer
11. To prevent thrombophlebitis in the immediate postoperative period, which action is most
important for a nurse to include in the client's plan of care?
Answer
- Encourage early mobility.
12. Non-weight bearing with crutches has been prescribed for a client with a leg injury. The
nurse provides teaching before ambulation is begun. To
facilitate walking with crutches, what is the most important activity the nurse should teach the
client?
Answer
Exercise the triceps, finger flexors, and elbow extensors.
13. A client has a total hip arthroplasty.What should the nurse do when caring for this client
after surgery?
Answer
Use a pillow to keep the legs abducted.
14. A client with osteoporosis is prescribed raloxifene.What should the nurse monitor in the
client?
Answer
Monitor liver function tests
, 15. A woman fractured her left tibia and fibula one week ago and has a cast in place. She is
taking acetaminophen (Tylenol) with codeine for pain and an oral contraceptive. She began
experiencing left calf pain 3 days ago and began having shortness of breath and chest pain 15
minutes ago. When the shortness of breath and chest pain increase, she calls the emergency
department and communicates this information to the triage nurse.What is the triage nurse's best
response?
Answer
"Give me your name and address. I am sending an ambulance to your home. You need
emergency care."
16. A client with a fractured tibia and fibula is to be discharged from the emergency
department with a right leg cast and crutches. In addition to the technical aspects of crutch
walking, the nurse should teach the client to do what?
Answer
Remove loose rugs from the environment.
17. A client with severe varicose veins has surgery that involves ligation, dissection, and
removal of incompetent vessels. In which position should the nurse place the client after surgery?
Answer
Supine with the legs elevated at a 15-degree angle
18. The nurse enters a client's room and finds the client on the floor crying for help. It is obvious
to the nurse that the client has sustained a hip fracture. Which action should the nurse take first?
Answer
Immobilize the affected extremity.
19. A client with a distal femoral shaft fracture is at risk for developing a fat embolus.The
nurse knows to watch for what distinguishing sign that is unique to a fat embolus?
1. A client is scheduled for a lumbar puncture. What nursing care should be implemented after
the procedure?
Answer
Maintaining the client in the supine position for several hours
2. A 5-year-old child is given fluoroquinolones.Which potential adverse effect unique to
pediatric clients should the nurse anticipate?
Answer
Tendon rupture
3. A nurse is caring for a group of clients with myasthenia gravis, Guillain-Bar- ré syndrome, and
amyotrophic lateral sclerosis (ALS). Which information should the nurse consider when
planning care for this group of clients?
Answer
In- creased risk for respiratory complications
4. A nurse provides discharge teaching to a client who had a total hip re- placement.The client
states that the plan is to go swimming at the community pool the day after discharge. How should
the nurse respond?
Answer
Explain that the incision should not be immersed in water until it has healed.
5. A client newly diagnosed with type 1 diabetes is taught to exercise on
,a regular basis. What is the primary reason for instruction on exercise?
Answer
To improve the cellular uptake of glucose
6. A nurse is assessing a client with a cast to the extremity.Which assessment finding is the
priority?
Answer
Numbness
7. Which joint in the client's body is an example of a gliding joint?
Answer
Sacroiliac
8. A healthcare provider prescribes a diagnostic workup for a client who may have myasthenia
gravis. What is the initial nursing objective for the client during the diagnostic phase?
Answer
"The client will maintain present muscle strength."
9. A client sustains a fractured right femur after an automobile accident and is admitted to the
hospital's emergency department.Which assessment is the priority?
Answer
Take the client's pedal pulse in the affected extremity.
10. Which individual is at risk of developing carpal tunnel syndrome?
Answer
,Soft- ware engineer
11. To prevent thrombophlebitis in the immediate postoperative period, which action is most
important for a nurse to include in the client's plan of care?
Answer
- Encourage early mobility.
12. Non-weight bearing with crutches has been prescribed for a client with a leg injury. The
nurse provides teaching before ambulation is begun. To
facilitate walking with crutches, what is the most important activity the nurse should teach the
client?
Answer
Exercise the triceps, finger flexors, and elbow extensors.
13. A client has a total hip arthroplasty.What should the nurse do when caring for this client
after surgery?
Answer
Use a pillow to keep the legs abducted.
14. A client with osteoporosis is prescribed raloxifene.What should the nurse monitor in the
client?
Answer
Monitor liver function tests
, 15. A woman fractured her left tibia and fibula one week ago and has a cast in place. She is
taking acetaminophen (Tylenol) with codeine for pain and an oral contraceptive. She began
experiencing left calf pain 3 days ago and began having shortness of breath and chest pain 15
minutes ago. When the shortness of breath and chest pain increase, she calls the emergency
department and communicates this information to the triage nurse.What is the triage nurse's best
response?
Answer
"Give me your name and address. I am sending an ambulance to your home. You need
emergency care."
16. A client with a fractured tibia and fibula is to be discharged from the emergency
department with a right leg cast and crutches. In addition to the technical aspects of crutch
walking, the nurse should teach the client to do what?
Answer
Remove loose rugs from the environment.
17. A client with severe varicose veins has surgery that involves ligation, dissection, and
removal of incompetent vessels. In which position should the nurse place the client after surgery?
Answer
Supine with the legs elevated at a 15-degree angle
18. The nurse enters a client's room and finds the client on the floor crying for help. It is obvious
to the nurse that the client has sustained a hip fracture. Which action should the nurse take first?
Answer
Immobilize the affected extremity.
19. A client with a distal femoral shaft fracture is at risk for developing a fat embolus.The
nurse knows to watch for what distinguishing sign that is unique to a fat embolus?
