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medical surgical examquestions and answers

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Uploaded on
April 27, 2025
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Written in
2024/2025
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Exam (elaborations)
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ATI - Medical-Surgical: set
002 exam[ question and
answers]2025*


3 days postoperative of a Right Total Hip arthroplasty.

client cries out in pain. The nurse should assess client for which manifestations of dislocation of
the hip prosthesis? - ANSWERS-Shortening of the right leg

-----



The nurse should monitor the client for shortening of the affected leg as an indication of
dislocation of the prosthesis.

Other findings include

1.increased hip pain

2. inability to move the extremity rotation of the hip internally or externally.




pelvic fracture, sudden shortness of breath, stabbing chest pain, feelings of doom. client is
experiencing? - ANSWERS-Pulmonary embolus

-----

TCD(saO2)

Immobility following musculoskeletal trauma places the client at an increased risk for
pulmonary embolus. TCD(saO2)

Tachycardia ❤️

Chest petechiae

decreased SaO2.

, The nurse should notify the rapid response team immediately.



Client is in skeletal traction following a femur fracture.

Client has slid down toward the foot of the bed. traction weight is resting on the floor.

Which action should the nurse take? - ANSWERS-Have the client use a trapeze to pull himself up
while ensuring the weight hangs freely.

-----

The nurse should ensure that traction weight is hanging freely.

The client can use an overhead trapeze bar to move up in bed, or the nurse can assist the client
up, making sure to maintain proper alignment of the extremity.



preoperative teaching for a client who is scheduled for total knee arthroplasty. (TKA)

This statement confirms understanding? - ANSWERS-"I should wear elastic stockings on both of
my legs."

------

elastic stockings: prevent venous thromboembolism, common complication following
orthopedic surgery.



A nurse is discussing the difference between rheumatoid arthritis (RA) and osteoarthritis (OA)
with a newly licensed nurse. Which of the following information should the nurse include about
osteoarthritis? - ANSWERS-"Osteoarthritis can impair a joint on a single side of the body."

------

Unilateral joint involvement: OA.

RA: Bilateral/symmetrical joint impairment.



client: 24 hr postoperative following an above-the-elbow amputation. identify the priority? -
ANSWERS-muscle spasms
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