OTHOPEDIC NURSING 6202 FINAL EXAM QUESTIONS & ANSWERS 2024/2025

OTHOPEDIC NURSING 6202 FINAL EXAM QUESTIONS & ANSWERS 2024/2025 A patient with orthopedic trauma complains of severe unrelenting pain in the affected extremity not relieved by analgesics. What is the nurse most concerned about? - ANS-Compartment syndrome Why is an ORIF done instead of letting a hip heal over time? - ANS-Prevent complications and early ambulation Hypovolemia in burns is caused by - ANS-Capillary bed leakage A patient weighing 68 kg has a 50% TBSA burn. Using the Parkland (Baxter) formula for fluid replacement how many cc/hr should the nurse administer in the first 8 hours? [TBSA burned x Wt (kg) x 4mL] ___________ - ANS-The Parkland Formula is for the first 24 hours. To determine the 8-hour, you need to divide the results by 2. 68 x 50 x 4 = 13,600 in 24 hours, 6,800 in first 8 hours, and 6,800 in the next 16 hours. That works out to 850 cc/hr for the first 8 hours. T/F Nurses should discourage use of any alternative or complementary therapy. - ANS-False (allow holistic care) The cause of organ failure and cellular dysfunction in shock is: - ANS-Inadequate cellular perfusion Would you use vasopressor (dopamine) in cardiogenic shock? - ANS-Yes. Vasoconstriction to increase BP Would you use inotropic agent (dobutamine) in cardiogenic shock? - ANS-Yes. Increase force of myocardial contraction to increase CO Would you use IV rate of 500 cc/hr decreased ability to pump blood in cardiogenic shock? - ANS-No. There is a decreased ability to pump blood A pt arrives in the ED after an accident. What is the first thing you assess? - ANS-Airway What is MODS? - ANS-Multiple organ dysfunction syndrome (failure of 2 or more organ systems) Does anaphylactic shock cause symptoms due to increased peripheral resistance? - ANS-No. Massive vasodilation, release of mediators, increased capillary permeability Why is PEEP used in a patient with ARDS? - ANS-To prevent alveolar collapse by keeping lungs expanded during expiration The most common cause of death in patients recovering from acute renal failure is? - ANS-Infection What type of headache may be accompanied by nausea, vomiting and irritability? - ANS-Migraine What symptoms would you expect to observe in a client with a suspected diagnosis of Parkinson's Disease? - ANS-Bradykinesia, rigidity, tremors Which of the following nursing diagnoses are included in the plan of care in the patient with ALS? A. Alteration in comfort B. Fluid volume, excess C. Impaired bowel elimination D. Potential for injury E. Ineffective breathing pattern F. Ineffective coping strategies - ANS-A. Alteration in comfort C. Impaired bowel elimination D. Potential for injury E. Ineffective breathing pattern F. Ineffective coping strategies What is a definition of symptom cluster in a cancer patient? - ANS->3 related symptoms that occur at the same time A lower motor neuron lesion will cause flaccidity or spasticity? - ANS-Flaccidity A patient with a complete cervical cord injury complains of a throbbing headache. What are we concerned about? - ANS-Autonomic dysreflexia What is a first step for bladder training in a paraplegic? - ANS-Clamp the foley for 2 hours T/F A patient diagnosed with an epidural hematoma is likely to need emergency surgery. - ANS-True IV Mannitol is an osmotic diuretic used to: - ANS-Decrease ICP At what point following a fracture does the nurse need to most carefully evaluate the patient for the development of a fat embolism? A. The first 2-3 hours B. The first 8 hours C. The first 24-48 hours D. For the first week following the injury - ANS-C. The first 24-48 hours When caring for a patient with a fracture, the most common symptom and reliable clinical indicator of compartment syndrome that the nurse should be observing for is: A. Paresthesia and skin pallor of affected limb B. Decreased capillary refill of the affected limb C. Petechiae of conjunctiva and axilla D. Severe, unrelenting pain in the affected limb - ANS-D. Severe, unrelenting pain in the Continues...