Nurs-172 Exam 5 Questions With Complete Solutions
_______ breakdown on the residual limb can delay the use of a
prosthesis, so the limb should be inspected every day for signs
of irritation or pressure areas. Correct Answer skin
_______ syndrome can occur when hip spica casts or body
jacket braces cause compression of the ____________
____________ artery against the duodenum because of swelling
or tight application. Correct Answer cast
superior mesenteric
________ embolism occurs shortly after a fracture and
____________ embolism occurs several days after
immobilization. Correct Answer fat
thrombus
___________ is the right balance for clots needed. Correct
Answer 250,000
____________ contractures, especially of the hip may be
debilitating and delay rehabilitation for the patient with a leg
amputation. Correct Answer flection
_____________ limb sensation or pain may occur after
amputation, especially if pain was present in the affected limb
preoperatively, and is a real sensation to the patient. Correct
Answer phantom
______________ is the surgery that can be performed for
compartment syndrome. Correct Answer fasciotomy
,______________ on the neck, anterior chest wall, axilla, buccal
membrane, and conjunctiva of the eye may help distinguish fat
embolism syndrome (FES) from other problems. Correct
Answer petechiae
__________________ is the cardinal sign of a fracture. Other
supporting signs include edema and swelling, localized pain and
tenderness, muscle spasm, ecchymosis, loss of function,
crepitation, and an inability to bear weight. Correct Answer
deformity
6 P's Correct Answer Pain
Pulse
Pallor
Paresthesia
Paralysis
Pressure
A ________________ fracture is an incomplete fracture with
one side splintered and the other side bent. Correct Answer
green-stick
A 19-year old male patient has a plaster cast applied to the right
arm for a Colles's fracture after a skateboarding accident. Which
nursing action is most appropriate?
A. Elevate the right arm on two pillows for 24 hours.
B. Apply heating pad to reduce muscle spasms and pain.
C. Limit movement of the thumb and fingers on the right hand.
,D. Place arm in a sling to prevent movement of the right
shoulder. Correct Answer A. Elevate the right arm on two
pillows for 24 hours.
A 21-year-old soccer player has injured the anterior crucial
ligament (ACL) and is having reconstructive surgery. Which
patient statement indicates more teaching is required?
A. "I probably won't be able to play soccer for 6 to 8 months."
B. "They will have me do range of motion with my knee soon
after surgery."
C. "I can't wait to get this done now so I can play soccer for the
next tournament."
D. "I will need to wear an immobilizer and progressively bear
weight on my knee." Correct Answer C. "I can't wait to get
this done now so I can play soccer for the next tournament."
A 28-year-old woman with a fracture of the proximal left tibia in
a long leg cast and complains of severe pain and a prickling
sensation in the left foot. The toes on the left foot are pale and
cool. Which nursing action is a priority?
A. Notify the health care provider immediately.
B. Elevate the left leg above the level of the heart.
C. Administer prescribed morphine sulfate intravenously.
D. Apply ice packs to the left proximal tibia over the cast.
Correct Answer A. Notify the health care provider
immediately.
, A 42-year-old man underwent amputation below the knee on the
left leg after a recent heavy farm machinery accident. Which
intervention should the nurse include in the plan of care?
A. Sit in a chair for 1 to 2 hours three times each day.
B. Dangle the residual limb for 20 to 30 minutes every 6 hours.
C. Lie prone with hip extended for 30 minutes four times per
day.
D. Elevate the residual limb on a pillow for 4 to 5 days after
surgery. Correct Answer C. Lie prone with hip extended for
30 minutes four times per day.
A 66-year-old man with type 2 diabetes mellitus and atrial
fibrillation has begun taking glucosamine and chrondroitin for
osteoarthritis. Which question is most important for the nurse to
ask?
A. "Did you have any hypoglycemic reactions?"
B. "Have you noticed any bruising or bleeding?"
C. "Have you had any dizzy spells when standing up?"
D. "Do you have any numbness or tingling in your feet?"
Correct Answer B. "Have you noticed any bruising or
bleeding?"
A child with glomerulonephritis is admitted to the pediatric ICU
for overnight observation. During admission, the child presents
with the following assessment findings: Vital signs: Blood
pressure 150/90 mm Hg, heart rate 108/min, respiratory rate
30/min, temperature 38.1C (100.6F). Physical Assessment
Findings: periorbital edema, mid-tibial edema, 2+ pitting edema,
Lungs with crackles 1/3 up from base S3 on cardiac assessment,
_______ breakdown on the residual limb can delay the use of a
prosthesis, so the limb should be inspected every day for signs
of irritation or pressure areas. Correct Answer skin
_______ syndrome can occur when hip spica casts or body
jacket braces cause compression of the ____________
____________ artery against the duodenum because of swelling
or tight application. Correct Answer cast
superior mesenteric
________ embolism occurs shortly after a fracture and
____________ embolism occurs several days after
immobilization. Correct Answer fat
thrombus
___________ is the right balance for clots needed. Correct
Answer 250,000
____________ contractures, especially of the hip may be
debilitating and delay rehabilitation for the patient with a leg
amputation. Correct Answer flection
_____________ limb sensation or pain may occur after
amputation, especially if pain was present in the affected limb
preoperatively, and is a real sensation to the patient. Correct
Answer phantom
______________ is the surgery that can be performed for
compartment syndrome. Correct Answer fasciotomy
,______________ on the neck, anterior chest wall, axilla, buccal
membrane, and conjunctiva of the eye may help distinguish fat
embolism syndrome (FES) from other problems. Correct
Answer petechiae
__________________ is the cardinal sign of a fracture. Other
supporting signs include edema and swelling, localized pain and
tenderness, muscle spasm, ecchymosis, loss of function,
crepitation, and an inability to bear weight. Correct Answer
deformity
6 P's Correct Answer Pain
Pulse
Pallor
Paresthesia
Paralysis
Pressure
A ________________ fracture is an incomplete fracture with
one side splintered and the other side bent. Correct Answer
green-stick
A 19-year old male patient has a plaster cast applied to the right
arm for a Colles's fracture after a skateboarding accident. Which
nursing action is most appropriate?
A. Elevate the right arm on two pillows for 24 hours.
B. Apply heating pad to reduce muscle spasms and pain.
C. Limit movement of the thumb and fingers on the right hand.
,D. Place arm in a sling to prevent movement of the right
shoulder. Correct Answer A. Elevate the right arm on two
pillows for 24 hours.
A 21-year-old soccer player has injured the anterior crucial
ligament (ACL) and is having reconstructive surgery. Which
patient statement indicates more teaching is required?
A. "I probably won't be able to play soccer for 6 to 8 months."
B. "They will have me do range of motion with my knee soon
after surgery."
C. "I can't wait to get this done now so I can play soccer for the
next tournament."
D. "I will need to wear an immobilizer and progressively bear
weight on my knee." Correct Answer C. "I can't wait to get
this done now so I can play soccer for the next tournament."
A 28-year-old woman with a fracture of the proximal left tibia in
a long leg cast and complains of severe pain and a prickling
sensation in the left foot. The toes on the left foot are pale and
cool. Which nursing action is a priority?
A. Notify the health care provider immediately.
B. Elevate the left leg above the level of the heart.
C. Administer prescribed morphine sulfate intravenously.
D. Apply ice packs to the left proximal tibia over the cast.
Correct Answer A. Notify the health care provider
immediately.
, A 42-year-old man underwent amputation below the knee on the
left leg after a recent heavy farm machinery accident. Which
intervention should the nurse include in the plan of care?
A. Sit in a chair for 1 to 2 hours three times each day.
B. Dangle the residual limb for 20 to 30 minutes every 6 hours.
C. Lie prone with hip extended for 30 minutes four times per
day.
D. Elevate the residual limb on a pillow for 4 to 5 days after
surgery. Correct Answer C. Lie prone with hip extended for
30 minutes four times per day.
A 66-year-old man with type 2 diabetes mellitus and atrial
fibrillation has begun taking glucosamine and chrondroitin for
osteoarthritis. Which question is most important for the nurse to
ask?
A. "Did you have any hypoglycemic reactions?"
B. "Have you noticed any bruising or bleeding?"
C. "Have you had any dizzy spells when standing up?"
D. "Do you have any numbness or tingling in your feet?"
Correct Answer B. "Have you noticed any bruising or
bleeding?"
A child with glomerulonephritis is admitted to the pediatric ICU
for overnight observation. During admission, the child presents
with the following assessment findings: Vital signs: Blood
pressure 150/90 mm Hg, heart rate 108/min, respiratory rate
30/min, temperature 38.1C (100.6F). Physical Assessment
Findings: periorbital edema, mid-tibial edema, 2+ pitting edema,
Lungs with crackles 1/3 up from base S3 on cardiac assessment,
