Med surg unit 3 part 2

A nurse is caring for a client who is postoperative following shoulder surgery. The client has a prescription to keep the affected arm adducted. Which of the following instructions should the nurse share with the client?

"Hold your arm against the side of your body."

A home health nurse is performing an assessment on a client who is 1 week postoperative following a total knee replacement. Which of the following statements by the client indicates an understanding of the teaching?

"I plan to use a walker to help me get around."

A nurse is providing discharge teaching for a client who had a left total hip arthroplasty. Which of the following client statements indicates the teaching was effective?

"I should not cross my legs at the ankles or knees."

A nurse is providing preoperative teaching for a client who is scheduled for total knee arthroplasty. Which of the following A. statements by the client indicates an understanding of the teaching?

"I should wear elastic stockings on both of my legs."

A nurse is teaching a client who has a cast on his left arm to treat a forearm fracture. Which of the following statements indicates that the client understands the teaching?

"I'll call the doctor's office if my fingers get colder on the arm with the cast."

A nurse is providing nutrition education to a client who has osteomalacia. The nurse should identify that this condition is caused by deficiency in which of the following nutrients?

Vitamin D

A nurse in an acute care clinic is talking with a client who reports that the osteoarthritis pain in her knees is increasing each day. The client wants to discuss non-pharmacological approaches to help relieve her pain. Which of the following interventions should the nurse suggest?

Applying warm compresses to sore joints

A nurse is preparing a client for a bone scan. Which of the following statements indicates that the client understands the pre-procedure teaching? (Select all that apply.)

B. "A special camera will scan the bones in my entire body." D. "I'll have to drink a lot of water to help get the radiation out of my body." E. "I understand the radiation is harmless, and I don't have to worry about it."

A nurse is caring for a client who has a fractured right hip. Which of the following types of traction should the nurse expect the client have prior to hip arthroplasty surgery?

Buck's traction

A nurse is preparing a community education program about reducing the risk of osteoporosis. Which of the following pieces of information should the nurse include?

C. Walking is the preferred mode of exercise to maintain strong bones.

A nurse is performing medication reconciliation for a newly admitted client who has rheumatoid arthritis (RA). Which of the following medications should the nurse identify as the treatment for this condition?

Celecoxib

A nurse is preparing an in-service presentation about the basics of bone injuries. Which of the following types of fractures results when a client's bone breaks into multiple pieces?

Comminuted

A nurse is caring for a client who has a fractured hip and was placed in Buck's traction 4 hr ago. Which of the following actions should the nurse take?

Encourage the client to perform dorsiflexion of the affected extremity every 2 hr

A nurse in the emergency department is assessing a client who was in a motor-vehicle crash 2 days ago and sustained fractures of his tibia, ulna, and several ribs. The client is now disoriented to time and place and has a Sa02 of 87%. The nurse notes generalized petechiae on the client's skin. Which of the following complications should the nurse suspect?

Fat embolism syndrome

A nurse is reviewing the medical record of a female client. Which the following findings should the nurse identify as a risk factor for osteoporosis?

History of anorexia nervosa

A nurse is caring for a client who is postoperative following a lumbar disk excision. Which of the following interventions should the nurse include in the client's plan of care?

Logroll the client in bed for care procedures

A nurse is teaching a client who has osteoporosis. Which of the following instructions should the nurse include in the teaching?

Perform weight-bearing exercises

A nurse is planning care for a client following a total hip arthroplasty. Which of the following interventions should the nurse include in the plan?

Place a pillow between the client's legs

A nurse is caring for a client with a hip fracture who has Buck's extension traction in place. Which of the following pieces of information should the nurse give the client about this type of traction? (Select all that apply.)

A. "You'll have considerably less pain with the traction in place." C. "The traction will help decrease muscle spasms." D. "The weights act as a pulling force to keep your leg and hip still."

A nurse is talking with an older adult client who has an elevated risk for osteoporosis about strategies for preventing bone loss. Which of the following instructions should the nurse provide?

Begin a program of brisk walking

A nurse in the emergency department is caring for a client who reports pain in her left leg following a motor-vehicle crash. The client's left leg has bruising, swelling, and displacement of the bones. Which of the following actions should the nurse take first?

Check neurovascular status distal to the injury

A nurse is assessing a client who has a fractured left femur and is in skeletal traction. Which of the following findings should the nurse report to the provider?

Chest petechiae

A nurse is caring for a client who is in skeletal traction following a femur fracture. On entering, the nurse finds that the client has slid toward the foot of the bed, and the traction weight is resting on the floor. Which of the following actions should the nurse take?

Have the client use a trapeze to pull himself up while ensuring the weight hangs freely

A nurse is preparing to care for a client who is in balanced skeletal Multiple traction to stabilize a femur fracture. Which of the following actions should the nurse include in the client's plan of care?

Offering the client a diet high in fluid and fiber

A nurse is caring for a client who is scheduled to undergo surgery to repair an open hip fracture. In which of the following positions should the nurse plan to place the client postoperatively?

With the leg on the affected side abducted