MED SURG 2 FINAL EXAM (TEST BANK) QUESTIONS AND
ANSWERS | 100% CORRECT.
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 fiberglass 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 patient 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 nurse (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 formation 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 home-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 alerts 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 for
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.
The nurse is assisting with patients on an orthopedic unit. Which is an important factor
to remember when caring for patients after a total hip replacement? - A triangular pillow
is used between the legs to avoid adduction.
The nurse is assisting with the care of patients who have had joint replacement surgery.
Which action is unnecessary for the patient after a total knee replacement (TKR)? -
Maintain proper joint alignment.
ANSWERS | 100% CORRECT.
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 fiberglass 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 patient 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 nurse (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 formation 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 home-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 alerts 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 for
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.
The nurse is assisting with patients on an orthopedic unit. Which is an important factor
to remember when caring for patients after a total hip replacement? - A triangular pillow
is used between the legs to avoid adduction.
The nurse is assisting with the care of patients who have had joint replacement surgery.
Which action is unnecessary for the patient after a total knee replacement (TKR)? -
Maintain proper joint alignment.
