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Which type of cast or splint will the nurse expect to see on a child with a fractured femur?
1
Cylinder
2
Hip spica
3
Prefabricated knee
4
Robert Jones - Answer 2
A hip spica cast is now mainly used for femur fractures in children. A cylinder cast is used for
knee fractures because it extends from the groin to the malleoli of the ankle. A prefabricated
knee splint is a commonly used cast for lower extremity injuries. A Robert Jones dressing is
composed of bulky padding materials, splints, and elastic wrap or stockinette used for lower
extremity injuries.
Which type of joint is present in between the client's tarsal bones?
1
Pivot
2
Hinge
3
Saddle
4
Gliding - Answer 4
The gliding joint is present in between the tarsal bones. The pivot joint is present in the
proximal radioulnar joint. The hinge joint is present in the elbows and knees. The saddle joint is
present in between the carpometacarpal joints of the thumb.
The registered nurse (RN) is giving home care instructions to a client who was treated for
,2
"I should drink 3000 mL of water every day."
3
"I should eat fruits and vegetables six times a day."
4
"I should exercise the joints above and below the cast daily." - Answer 1
A client with injuries due to a fall must avoid having throw or scattered rugs at home to reduce
the incidence of falls. The registered nurse (RN) would encourage the client to drink 3000 mL of
water per day to promote optimal bladder and bowel function. The client would eat six small
meals with foods rich in fiber, such as fruits and vegetables, to prevent constipation. The RN has
to encourage the client to perform exercise above and below the cast daily for a speedy
recovery.
Test-Taking Tip: The client must be conscious and avoid slippery surfaces while walking to
prevent falls. Select the correct answer that is consistent with this type of thinking.
When performing a physical assessment on a client, which term would the nurse use to
describe a flat, poorly defined mass on the sole over a bony prominence and caused by
pressure?
1
Plantar wart
2
Callus
3
Ingrown nail
4
Hypertrophic ungual labium - Answer 2
In foot problems, a callus description is a flat, poorly defined mass on the sole over a bony
prominence that is caused by pressure. Plantar wart is a painful papillomatous growth caused
by a virus. A sliver of toenail penetrating the skin and causing inflammation results in ingrown
nail. A hypertrophic ungual labium is a chronic hypertrophy of the nail lip caused by improper
nail trimming.
While providing care for a client with a second-degree left ankle sprain, the nurse raises the
injured part above heart level. Which statement provides the reason behind this nursing
intervention?
1
, 3
To reduce pain perception
4
To increase muscle strength - Answer 2
A client with a second-degree sprain may have a deeply torn ankle ligament with swelling and
tenderness. Elevation of the injured lower limb above heart level helps mobilization of the
excess fluid from the area and prevents further edema. Strengthening exercises help build bone
density and muscle strength and significantly reduce the risk of sprains and strains. Cryotherapy
and adequate rest help reduce pain by reducing the transmission and perception of pain
impulses.Test-Taking Tip: Elevation of the affected area above heart level prevents the drift of
fluids to the site. Find the answer choice that seems the most reasonable.
Which joint helps in the gliding movement of the wrist?
1
Pivot joint
2
Hinge joint
3
Biaxial joint
4
Ball and socket joint - Answer 3
The biaxial joint helps in the gliding movement of the wrist. Pivot joints permit rotation in the
radioulnar area. Hinge joints allow for flexion and extension. Ball and socket joints permit
movement in the shoulders and hips.
Which type of joint permits movement in any direction?
1
Pivot
2
Hinge
3
Biaxial
4
Ball-and-socket - Answer 4