Understanding Medical-Surgical Nursing
with DavisEdge Chapter 45 & 46
A patient is scheduled for a right total hip replacement. The nurse should teach which of the
following postoperative leg positions? - ANS-Maintain legs in abduction
\A patient is scheduled for magnetic resonance imaging of the pelvis. Which of the following
actions would the nurse take if during data collection it was revealed that the patient had had a
previous surgery for heart problems? - ANS-Ask if there is any metal in the patient's body
\A patient who has a 36-hour-old fractured femur had morphine 5 mg intramuscularly 1 hour ago
and is now reporting severe unrelieved pain. Which nursing action is most appropriate? -
ANS-Notify the health care provider
\A patient with osteoarthritis who had a right total knee replacement tells the nurse that the other
knee is becoming painful. Which of the following is the most appropriate instruction to help the
patient preserve function of the left knee? - ANS-Maintain ideal body weight
\A school-age child with a new long-leg cast is complaining of increasing pain. What should the
nurse do? - ANS-Notify the health-care provider
\After a knee replacement, dislocation is a possible complication. - ANS-False, dislocation is not
a concern.
\All are examples of acquired musculoskeletal disorders except: - ANS-Osteogenesis imperfecta
\RICE - ANS-Rest to protect it
Ice to decrease pain, swelling, inflammation
Compression with elastic bandage
Elevating affected area (if appropriate)
\The nurse asks the patient to perform which of these to check muscle strength? Select all that
apply. - ANS-Push feet against nurse's hands
Squeeze nurse's hands
\The nurse evaluates the patient as understanding teaching on the purpose of a test dose of
gold therapy if the patient states which of these? - ANS-To assess for an allergic reaction
\The nurse is assigned to care for a patient who has been diagnosed with a musculoskeletal
disease that causes decreased bone density. Which data collection questions are most
appropriate by the nurse? Select all that apply. - ANS-"What forms of physical activity are you
able to participate in?"
"Do you exercise regularly?"
"What is typically included in your daily diet?"
\The nurse is caring for a child recovering from spinal surgery for scoliosis. What should the
nurse do before repositioning this child? - ANS-Ask others to assist
\The nurse is caring for a male patient with gout. Which of the following lab values would be a
priority for the nurse to report to the physician? - ANS-Uric acid 10.2 mg/dL
with DavisEdge Chapter 45 & 46
A patient is scheduled for a right total hip replacement. The nurse should teach which of the
following postoperative leg positions? - ANS-Maintain legs in abduction
\A patient is scheduled for magnetic resonance imaging of the pelvis. Which of the following
actions would the nurse take if during data collection it was revealed that the patient had had a
previous surgery for heart problems? - ANS-Ask if there is any metal in the patient's body
\A patient who has a 36-hour-old fractured femur had morphine 5 mg intramuscularly 1 hour ago
and is now reporting severe unrelieved pain. Which nursing action is most appropriate? -
ANS-Notify the health care provider
\A patient with osteoarthritis who had a right total knee replacement tells the nurse that the other
knee is becoming painful. Which of the following is the most appropriate instruction to help the
patient preserve function of the left knee? - ANS-Maintain ideal body weight
\A school-age child with a new long-leg cast is complaining of increasing pain. What should the
nurse do? - ANS-Notify the health-care provider
\After a knee replacement, dislocation is a possible complication. - ANS-False, dislocation is not
a concern.
\All are examples of acquired musculoskeletal disorders except: - ANS-Osteogenesis imperfecta
\RICE - ANS-Rest to protect it
Ice to decrease pain, swelling, inflammation
Compression with elastic bandage
Elevating affected area (if appropriate)
\The nurse asks the patient to perform which of these to check muscle strength? Select all that
apply. - ANS-Push feet against nurse's hands
Squeeze nurse's hands
\The nurse evaluates the patient as understanding teaching on the purpose of a test dose of
gold therapy if the patient states which of these? - ANS-To assess for an allergic reaction
\The nurse is assigned to care for a patient who has been diagnosed with a musculoskeletal
disease that causes decreased bone density. Which data collection questions are most
appropriate by the nurse? Select all that apply. - ANS-"What forms of physical activity are you
able to participate in?"
"Do you exercise regularly?"
"What is typically included in your daily diet?"
\The nurse is caring for a child recovering from spinal surgery for scoliosis. What should the
nurse do before repositioning this child? - ANS-Ask others to assist
\The nurse is caring for a male patient with gout. Which of the following lab values would be a
priority for the nurse to report to the physician? - ANS-Uric acid 10.2 mg/dL
