Chapter 43 - Med Surg Questions And Correct
Answers| Get It Correct !!!
A nurse admits a patient who has a fracture of the nose
that has resulted in a skin tear and involvement of the
mucous membranes of the nasal passages. The
orthopedic nurse is aware that this description likely
indicates which type of fracture?
A) Compression
B) Compound
C) Impacted
D) Transverse -
-Correct Answers
Ans: B
Feedback:
A compound fracture involves damage to the skin or
mucous membranes and is also called an open fracture.
A compression fracture involves compression of bone
and is seen in vertebral fractures. An impacted fracture
occurs when a bone fragment is driven into another
bone fragment. A transverse fracture occurs straight
across the bone shaft.
A patient has sustained a long bone fracture and the
nurse is preparing the patient's care plan. Which of the
following should the nurse include in the care plan?
A) Administer vitamin D and calcium supplements as
ordered.
B) Monitor temperature and pulses of the affected
extremity.
,C) Perform passive range of motion exercises as
tolerated.
D) Administer corticosteroids as ordered. -
-Correct Answers
Ans: B
Feedback:
The nurse should include monitoring for sufficient
blood supply by assessing the color, temperature, and
pulses of the affected extremity. Weight-bearing
exercises are encouraged, but passive ROM exercises
have the potential to cause pain and inhibit healing.
Corticosteroids, vitamin D, and calcium are not normally
administered.
A nurse's assessment of a patient's knee reveals edema,
tenderness, muscle spasms, and ecchymosis. The
patient states that 2 days ago he ran 10 miles and now it
"really hurts to stand up." The nurse should plan care
based on the belief that the patient has experienced
what?
A) A first-degree strain
B) A second-degree strain
C) A first-degree sprain
D) A second-degree sprain -
-Correct Answers
Ans: B
Feedback:
A second-degree strain involves tearing of muscle fibers
and is manifested by notable loss of load-bearing
strength with accompanying edema, tenderness, muscle
spasm, and ecchymosis. A first-degree strain reflects
, tearing of a few muscle fibers and is accompanied by
minor edema, tenderness, and mild muscle spasm,
without noticeable loss of function. However, this
patient states a loss of function. A sprain normally
involves twisting, which is inconsistent with the patient's
overuse injury.
A nurse is preparing to discharge a patient from the
emergency department after receiving treatment for an
ankle sprain. While providing discharge education, the
nurse should encourage which of the following?
A) Apply heat for the first 24 to 48 hours after the injury.
B) Maintain the ankle in a dependent position.
C) Exercise hourly by performing rotation exercises of
the ankle.
D) Keep an elastic compression bandage on the ankle. -
-Correct Answers
Ans: D
Feedback:
Treatment of a sprain consists of resting and elevating
the affected part, applying cold, and using a
compression bandage. After the acute inflammatory
stage (usually 24 to 48 hours after injury), heat may be
applied intermittently. Rotation exercises would likely
be painful.
A nurse is writing a care plan for a patient admitted to
the emergency department (ED) with an open fracture.
The nurse will assign priority to what nursing diagnosis
for a patient with an open fracture of the radius?
A) Risk for Infection
Answers| Get It Correct !!!
A nurse admits a patient who has a fracture of the nose
that has resulted in a skin tear and involvement of the
mucous membranes of the nasal passages. The
orthopedic nurse is aware that this description likely
indicates which type of fracture?
A) Compression
B) Compound
C) Impacted
D) Transverse -
-Correct Answers
Ans: B
Feedback:
A compound fracture involves damage to the skin or
mucous membranes and is also called an open fracture.
A compression fracture involves compression of bone
and is seen in vertebral fractures. An impacted fracture
occurs when a bone fragment is driven into another
bone fragment. A transverse fracture occurs straight
across the bone shaft.
A patient has sustained a long bone fracture and the
nurse is preparing the patient's care plan. Which of the
following should the nurse include in the care plan?
A) Administer vitamin D and calcium supplements as
ordered.
B) Monitor temperature and pulses of the affected
extremity.
,C) Perform passive range of motion exercises as
tolerated.
D) Administer corticosteroids as ordered. -
-Correct Answers
Ans: B
Feedback:
The nurse should include monitoring for sufficient
blood supply by assessing the color, temperature, and
pulses of the affected extremity. Weight-bearing
exercises are encouraged, but passive ROM exercises
have the potential to cause pain and inhibit healing.
Corticosteroids, vitamin D, and calcium are not normally
administered.
A nurse's assessment of a patient's knee reveals edema,
tenderness, muscle spasms, and ecchymosis. The
patient states that 2 days ago he ran 10 miles and now it
"really hurts to stand up." The nurse should plan care
based on the belief that the patient has experienced
what?
A) A first-degree strain
B) A second-degree strain
C) A first-degree sprain
D) A second-degree sprain -
-Correct Answers
Ans: B
Feedback:
A second-degree strain involves tearing of muscle fibers
and is manifested by notable loss of load-bearing
strength with accompanying edema, tenderness, muscle
spasm, and ecchymosis. A first-degree strain reflects
, tearing of a few muscle fibers and is accompanied by
minor edema, tenderness, and mild muscle spasm,
without noticeable loss of function. However, this
patient states a loss of function. A sprain normally
involves twisting, which is inconsistent with the patient's
overuse injury.
A nurse is preparing to discharge a patient from the
emergency department after receiving treatment for an
ankle sprain. While providing discharge education, the
nurse should encourage which of the following?
A) Apply heat for the first 24 to 48 hours after the injury.
B) Maintain the ankle in a dependent position.
C) Exercise hourly by performing rotation exercises of
the ankle.
D) Keep an elastic compression bandage on the ankle. -
-Correct Answers
Ans: D
Feedback:
Treatment of a sprain consists of resting and elevating
the affected part, applying cold, and using a
compression bandage. After the acute inflammatory
stage (usually 24 to 48 hours after injury), heat may be
applied intermittently. Rotation exercises would likely
be painful.
A nurse is writing a care plan for a patient admitted to
the emergency department (ED) with an open fracture.
The nurse will assign priority to what nursing diagnosis
for a patient with an open fracture of the radius?
A) Risk for Infection
