med surg 2 final exam (test bank) With Correct Answers!!

The nurse is preparing for a home visit to a patient after surgery for a compound fracture. Which specific care does the nurse anticipate for this patient? - ✔✔ Changing wound dressings A patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a fibergla ss cast. The patient is 65 years old and has a medical 30 -year history of diabetes mellitus. Which condition does the nurse recognize as a possible complication for this patient? - ✔✔ Delay or absence of healing An older adult patient is postoperative for a total hip joint replacement. Which nursing care is inappropriate for this patient on the day of surgery? - ✔✔ Medicated with oral pain medications The nurse is providing care for a patient who is scheduled for joint replacement the next day. Which patien t care goals are appropriate at this time? - ✔✔ Manage preoperative pain. The nurse is providing care for a patient following an open reduction of a compound fracture. Which neurologic finding does the nurse report immediately to the HCP or registered nurs e (RN)? - ✔✔ There exists numbness and tingling sensations A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which patient statement indicates understanding of the action of this medication? - ✔✔ "It blocks formati on of uric acid." The nurse is contributing to the plan of care for a patient who has an upper extremity amputation. Which factor does the nurse keep in mind about this type of amputation being more debilitating than a lower extremity amputation? - ✔✔ The upper extremity is more specialized. A patient who has a displaced midshaft fracture of the left femur is in balanced suspension skeletal traction with 35 pounds of weight. The patient reports calf pain with right foot dorsiflexion. Which action does the nurse take? - ✔✔ Notify the RN. The ho me-care nurse is attending to a patient with osteomyelitis in a lower extremity from a traumatic bone fracture. The patient has an open wound that is infected. Which observation prompts the nurse to provide additional information to the patient and family? - ✔✔ Clean technique is used when the dressing is changed. The nurse is providing care for a patient being treated after a complicated femur fracture. The nurse has noticed drowsiness, tachycardia, and a low -grade fever. Which additional manifestation ale rts the nurse to the possibility of a fat emboli? - ✔✔ Presence of a petechial rash on chest and neck The nurse is assisting with the preparation of materials for a health fair aimed at promoting health in women. Which reason does the nurse recognize as a probable cause of an increase in the incidence of osteoporosis? - ✔✔ The ages of adults have increased. The nurse is providing care for a patient who experienced a closed reduction to a fracture of the ulna. Which manifestation does the nurse recognize as an early symptom of acute compartment syndrome? - ✔✔ Pallor with extremity warmth The nurse is providing care for a patient after an above -the-knee amputation because of ischemia related to diabetes mellitus complications. Which nursing care is essential f or promoting ambulation? - ✔✔ Lying on the abdomen as prescribed A patient is being prepared for a prosthesis following surgery for an amputation. Which information will the nurse provide to the client regarding the use of a prosthesis? - ✔✔ Skin inspection is performed each time the sock is removed. The nurse is providing care for a patient with external fixation for a fracture involving severe bone damage. Which is the most important focus for the nurse during care of this patient? - ✔✔ Monitoring pin and wound sites for signs of infection The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse must remember in which way RA care is different from osteoarthritis care. Which nursing care does the nurse specifically provide for the patient with RA? - ✔✔ It is essential to monitor all body systems for effects of the disease.