Quiz 7 Chapter Questions

Bearing weight on the affected leg for 6 weeks

A patient is scheduled for total ankle replacement. The nurse should tell the patient that after surgery he should avoid - lifting heavy objects. - sleeping on the back. - abduction exercises of the affected ankle. - bearing weight on the affected leg for 6 weeks.

Rest frequently with feet elevated

A patient who has had surgical correction of bilateral hallux valgus is being discharged from the same-day surgery unit. The nurse will teach the patient to - rest frequently with the feet elevated. - wear shoes continually except when bathing. - soak the feet in warm water several times a day. - expect the feet to be numb for the next few days.

Other nonsurgical methods cannot achieve adequate alignment.

A patient with a comminuted fracture of the tibia is to have an open reduction with internal fixation (ORIF) of the fracture. The nurse explains that ORIF is indicated when - the patient is unable to tolerate prolonged immobilization. - the patient cannot tolerate the surgery for a closed reduction. - other nonsurgical methods cannot achieve adequate alignment. - a temporary cast would be too unstable to provide normal mobility.

Formation of Callus

A patient with a humeral fracture is returning for a 4-week checkup. The nurse explains that initial evidence of healing on x-ray is indicated by - formation of callus. - complete bony union. - hematoma at the fracture site. - presence of granulation tissue.

Changes in urine output

A patient with a pelvic fracture should be monitored for - changes in urine output. - petechiae on the abdomen. - a palpable lump in the buttock. - sudden increase in blood pressure.

Pain when passively extending the fingers.

A patient with a stable, closed humeral fracture has a temporary splint with bulky padding applied with an elastic bandage. The nurse notifies the provider of possible early compartment syndrome when the patient has - increasing edema of the limb. - muscle spasms of the lower arm. - bounding pulse at the fracture site. - pain when passively extending the fingers.

Replace the joint and improve or maintain ROM

A patient with osteoarthritis is scheduled for total hip arthroplasty. The nurse explains the purpose of this procedure is to (select all that apply) - fuse the joint. - replace the joint. - prevent further damage. - improve or maintain ROM. - decrease the amount of destruction in the joint.

The beads are an adjunct to debridement and antibiotics for deep infections and this is the safest method to deliver long-term antibiotic therapy for bone infection

A patient with osteomyelitis undergoes surgical debridement with implantation of antibiotic beads. When the patient asks why the beads are used, the nurse answers (select all that apply) - "Oral or IV antibiotics are not effective in most cases of bone infection." - "The beads are an adjunct to debridement and antibiotics for deep infections." - "The beads are used to deliver antibiotics directly to the site of the infection." - "This is the safest method to deliver long-term antibiotic therapy for bone infection." - "Ischemia and bone death related to osteomyelitis are impenetrable to IV antibiotics."

The chemotherapy before surgery will shrink the tumor

A patient with osteosarcoma of the humerus shows understanding of his treatment options when he states - "I accept that I have to lose my arm with surgery." - "The chemotherapy before surgery will shrink the tumor." - "This tumor is related to the melanoma I had 3 years ago." - "I'm glad they can take out the cancer with such a small scar."

Promote use of cold and hot compresses and pain medication

A patient with suspected disc herniation has acute pain and muscle spasms. The nurse's responsibility is to - encourage total bed rest for several days. - teach principles of back strengthening exercises. - stress the importance of straight-leg raises to decrease pain. - promote use of cold and hot compresses and pain medication.

The patient is unable to move the lower extremities

In caring for a patient after a spinal fusion, the nurse would report which finding to the health care provider? - The patient has a single episode of emesis. - The patient is unable to move the lower extremities. - The patient is nauseated and has not voided in 4 hours. - The patient reports of pain at the bone graft donor site.

Decreased Sensation distal to the fracture site

The nurse suspects a neurovascular problem based on assessment of - exaggerated strength with movement. - increased redness and heat below the injury. - decreased sensation distal to the fracture site. - purulent drainage at the site of an open fracture.

Twisting his ankle while running

The nurse suspects an ankle sprain when a patient at the urgent care center describes - being hit by another soccer player during a game. - having ankle pain after sprinting around the track. - dropping a 10-lb weight on his lower leg at the health club. - twisting his ankle while running bases during a baseball game.

Hip flexion contracture

The nurse teaches the patient with an above-the-knee amputation that the residual limb should not be routinely elevated because this position promotes - hip flexion contracture. - clot formation at the incision. - skin irritation and breakdown. - increased risk for wound dehiscence.

Stop smoking

What is most important to include in the teaching plan for a patient with osteopenia? - Lose weight. - Stop smoking. - Eat a high-protein diet. - Start swimming for exercise.

A 63-yr-old man who is a long-distance truck driver, A 30-yr-old nurse who works on an orthopedic unit and smokes, A 55-yr-old construction worker who is 6 ft, 2 in and weighs 250 lbs, A 44-yr-old female chef with prior compression fracture of the spine

Which persons are at high risk for chronic low back pain? (select all that apply) - A 63-yr-old man who is a long-distance truck driver - A 30-yr-old nurse who works on an orthopedic unit and smokes - A 55-yr-old construction worker who is 6 ft, 2 in and weighs 250 lbs - A 44-yr-old female chef with prior compression fracture of the spine - A 28-yr-old female yoga instructor who is 5 ft, 6 in and weighs 130 lb