Module 4 Post-Quiz Mobility, Fractures, & Inflammation

A nurse is providing discharge teaching to a client following hip arthroplasty. Which of the following pieces of furniture should the nurse instruct the client to sit in at home? A straight-backed chair with an elevated seat A couch with plush cushions A rocking chair with a curved back. A reclining chair with an ottoman

A straight-backed chair with an elevated seat

A nurse is assessing a client who has a rotator cuff injury. Which of the following findings should the nurse expect? Positive Tinel's sign Difficulty with abduction of the arm at the shoulder Negative drop arm test Alteration in the contour of the joint

Difficulty with abduction of the arm at the shoulder

A nurse is caring for a client who has a femur fracture. The nurse suspects that the client has fat embolism syndrome. Which of the following findings should the nurse identify as an early manifestation of fat embolism syndrome? Hypoxemia Petechiae Precordial chest pain Headache

Hypoxemia

A nurse is caring for a client who is 1-day postoperative following total hip arthroplasty. It is 0830 and the client is schedule for physical therapy (PT) at 0900. Which of the following interventions should the nurse take? Teach the client which positions to avoid during PT. Perform the client's morning care. Encourage the client to use full weight bearing. Identify the client's pain level and medicate if needed.

Identify the client's pain level and medicate if needed.

A nurse is assessing a client who has a left lower arm fracture. Which of the following findings indicates impaired venous return in the client's affected arm? Acute pain A bounding distal pulse Increasing edema Ecchymosis of the surrounding skin

Increasing edema

A nurse is developing a plan of care for a client who has a fracture to achieve the outcome of functional healing. To assist in meeting this goal, which of the following nursing interventions is the highest priority? Maintain immobilization and alignment. Provide optimal nutrition and hydration. Provide relief from pain and discomfort. Promote independence in activities of daily living.

Maintain immobilization and alignment.

A nurse is assessing a client who is experiencing complications due to immobility. Which of the following findings should the nurse expect? (Select all that apply.) Pressure ulcers Crackles in the lungs Diarrhea Polyuria Contractures of the extremities

Pressure ulcers Crackles in the lungs Contractures of the extremities

An occupational health nurse is instructing workers at an industrial facility in emergency procedures in the event of a traumatic amputation. Which of the following guidelines should the nurse include for emergency care? (Select all that apply.) Put the severed part in a dry, waterproof plastic bag. Wrap the part in a dry sterile gauze. Elevate the extremity. Place the severed end of the part into crushed ice. Prevent contact of the severed part with water.

Put the severed part in a dry, waterproof plastic bag. Wrap the part in a dry sterile gauze. Elevate the extremity. Prevent contact of the severed part with water.

A nurse is providing discharge teaching to a client who has a fracture of the right tibia and a fiberglass cast. Which of the following instructions should the nurse include in the teaching? Avoid moving the affected leg. Use a blow dryer on a moderate heat setting to dry the cast after showering. Use a cotton swab to relieve itching under the cast. Report any worsening or unrelieved pain.

Report any worsening or unrelieved pain.

A nurse is caring for a client who has a cast in place for a fractured tibia. Which of the following nursing actions is the priority immediately after the provider has applied the cast? Performing range of motion Teaching the client about cast care Checking capillary refill distal to the cast Managing pain

Checking capillary refill distal to the cast

The nurse is assessing a patient with a severe ankle sprain due to falling down stairs, that was sustained 24 hours ago. Which finding requires immediate intervention? Persistent swelling and bruising around the ankle Difficulty walking without crutches due to pain Moderate pain relieved with ibuprofen and ice application Numbness and tingling in the toes of the affected foot

Numbness and tingling in the toes of the affected foot

A nurse is caring for a client who is postoperative following an open reduction and internal fixation of a fractured femur. Which of the following actions is the most important for the nurse to complete in the postoperative period? Perform neurovascular checks of the extremities. Medicate the client for pain. Direct the client to perform exercises of the ankle and toes. Instruct the client on use of crutches.

Perform neurovascular checks of the extremities.

A nurse is caring for a client who has an acute ankle sprain. Which of the following actions should the nurse take? (Select all that apply.) Place a compression bandage on the ankle. Perform passive range-of-motion exercises to the ankle. Elevate the ankle. Apply heat to the ankle. Encourage rest.

Place a compression bandage on the ankle. Elevate the ankle. Encourage rest.

A nurse at an urgent care center is caring for four clients who all have leg or foot injuries. Which of the following client reports should suggest to the nurse that the client has an ankle sprain? Twisted his foot while running bases during a baseball game Has ankle pain after running a 16 km (10 mile) race Was hit by another soccer player on the field Dropped a 4.5 kg (10 lb) weight on his lower leg at a health club

Twisted his foot while running bases during a baseball game