Chapter 40

The nurse expects that ___ of weight can be used for a patient in skeletal traction

25 pounds

After a total hip replacement, the patient is usually able to resume daily activities after

3 months

After a total hip replacement, stair climbing is kept to a minimum for

3 to 6 months

The nurse caring for a postoperative hip replacement patient knows the patient shouldn't cross their legs at any time for _____ after surgery

4 months

The nurse is caring for a patient with a total hip replacement. How should the nurse assist the patient to turn

45 degrees onto the unoperated side

What are the five P's that should be assessed as part of a neurovascular check

Pain, Pallor, pulselessness, paresthesia, paralysis

Patient arrives in the emergency department with a suspected bone fracture of the right arm. How does the nurse expect the patient to describe the pain>

sharp and piercing

The nurse suspects that a patient with an arm cast has developed a pressure ulcer. Where should the nurse assess for the presence of the ulcer

ulna styloid

List the danger signs of possible circulatory constriction that the nurse should assess in a casted extremity

unrelieved pain, swelling, discoloration, tingling, numbness, inability to move fingers or toes, temperature changes

Patient with a cast reports pain in the extremity. What is the priority nursing action to reduce complications?

Assess fingers for color and temperature, assess for a pressure sore, determine the exact site of pain

The nurse suspects compartment syndrome for a casted extremity. What characteristic symptoms would the nurse assess that would confirm these suspicions?

Decreased sensory function excruciating pain loss of motion

The nurse is caring for a patient who had total hip replacement. What lethal postoperative complication should the nurse monitor for?

Pulmonary embolism

An artificial joint for total hip replacement involves an implant that consists of

acetabular socket, a femoral shift and spherical ball

A patient has a cast removed after bone healing takes place. What should the nurse educate the client to do after removal

apply an emollient lotion to soften the skin, control swelling with elastic bandages as directed, gradually resume activities and exercise

The repair of the joint problems through the operatinfg arthroscope or open joint surgery

arthroplasty

Name four purposes for having a cast application

reducing fracture, correcting deformity, applying pressure, providing support and stability.

An older adult patient had a hip replacement. When should the patient begin with assisted ambulation with a walker

24 hours

The most effective cleansing solution for care of a pin site is

Chlorhexidine solution

Compare the advantages of a fiberglass cast to those of a plaster cast

Fiberglass is lightweight and water resistant. It is more durable than plaster

List four reasons for a patient to have traction application

Minimize muscle spasms, reduce align and immobilize fractures, lessen deformities, increase space between opposing surfaces within a joint

PAtient had a total hip replacement. What recommended leg position should the nurse ensure is maintained to prevent prosthesis dislocation

abduction

The removal of a body part

amputation

Name three major complications of an extremity that is casted, braced, or splinted

compartment syndrome, pressure ulcers, disuse syndrome

The insertion of a tendon to improve function

tendon transfer

Patient with total left hip arthroplasty. What clinical manifestation would indicate the prosthesis is dislocated

the left leg is internally rotated

The nurse knows to assess a patient for DVT by assessing the lower extremities for

unilateral calf tenderness, warmth, redness and swelling

The placement of a bone tissue to promtoe healing, stabilse or replace diseased bone

bone graft

The nurse assesses for perineal nerve injury by checking the patient's casted leg for the primary symptoms of

burning, numbness, and tingling

The incision and diversion of the muscle fascia to relieve muscle constriction, as in compartment syndrome or to reduce fascia contracture

fasciotomy

The nurse is caring for a patient postoperatively following orthopedic surgery. The nurse assesses an oxygen saturation od 89%, confusion, and a rash on the upper torso. What does the nurse suspect is occuring in the patient

fat emoboli syndrome

The nurse is concerned about the potential debilitating complication of peroneal nerve injury. What symptom does the nurse recognize as a result of the complication

footdrop

A patient in pelvic traction needs circulatory status assessed. How should the nurse assess for positve homans sign

have patient extend each leg an dorsiflex each foot

The replacement of one of the articular surfaces

hemiarthroplasty

Unrelieved pain for a patient in a cast must be immediately reported to avoid

impaired tissue perfusion, necrosis, pressure ulcer formation and possible paralysis

stabilization of the reduced fracture by the metal screws, plates, wires, nails and pins

internal fixation

The excision of damaged joint fibrocartilage

meniscectomy

The nurse assesses a patient after a total right hip arthroplasty and observes shortening of the extremity and the patient reports severe pain in the right side of the groin. What is the priority action of the nurse

notify the physician

The correction and alignment of the fracture after a surgical dissection and exposure of the fracture

open reduction

A nursing goal for a patient with skeletal traction is to avoid infection and the development of ___ the site of pin insertion

osteomyelitis

A patient has a long leg cast applied. Where does the nurse understand a common pressure problem may occur

peronal nerve