Chapter 40 PU's

A hip Spica cast

And closes the trunk and lower extremity

Which action would be most important postoperatively for a client who has had a knee or hip replacement?

Assisting in early ambulation.

A group of students is reviewing information about cask composition in preparation for a discussion on the advantages and disadvantage Of each. The students demonstrate understanding of the topic when they say which of the following as an advantage of a plaster cast?

Better molding to the client

Which instruction should the nurse include when teaching the client following hip replacement surgery? ( select all that apply)

"Place pillows between your legs when you lay on your side." "Use a raised toilet seat and high-seated chair." "Avoid bending forward when sitting in a chair."

Which statement by A staff nurse on the orthopedic floor indicates a need for further staff education?

The client is receiving physical therapy twice per day, so the client doesn't need a continuous passive motion device.

A client had a total left hip arthroplasty. What clinical manifestation would indicate to the nurse that the prosthesis is dislocated?

The left leg is internally rotated

An older adult patient had a hip replacement. When should the patient begin with assist did amputation with a walker?

24 hours post up

A client in the emergency department is being treated for a wrist fracture the client asked why a splint is being applied instead of a cast what is the best response by the nurse?

A splint is applied one more swelling as expected at the side of injury

The nurse teaching the client with a cast about home care includes which instruction?

Dry a wet fiberglass cast throughly to avoid skin problems

A client has undergone a leg amputation. What will the nurse closely monitor the patient for during the immediate postoperative.?

Hematoma

Which intervention should the nurse implement with the client who has undergone a hip replacement?

Instruct the client to avoid internal rotation of the leg.

A client is seen in the orthopedic Clinic for complains of severe pain in the left hip. After a series of diagnostic tests, the client is diagnosed a severe degenerative joint disease of the left hip and says just to have a hair reconstructed. What procedure of all the nurses scheduled the client for?

Left hip arthroplasty

After Trumatic back injury, client requires skeletal traction which intervention takes priority?

Maintaining traction continuously to ensure it's effectiveness

A client is brought to the emergency department by a softball team member who states the client and another player ran into each other, and the client is having severe pain in the right shoulder. What symptoms of a fractured clavicle does the nurse recognize?

Right shoulder slopes downward and droops inward

Which is an inaccurate principle of traction?

Skeletal traction is interrupted to turn and reposition the client

Which statement describes external fixation?

The surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins

A client has been discharged home with a long arm cast. What education should The nurse include to prevent does use syndrome in the arm?

Use of isometric exercises

The client who had a total hip replacement was discharged home and developed acute groin pain in the affected leg, and limited movement of the fractured leg. The nurse interprets these findings as indicating which complication?

dislocation of the hip

The patient had a total hip replacement what recommended by position should the nurse ensure it is maintained to prevent prosthesis dislocation

Abduction

The nurse is caring for a client with A spica cast. What is the nurse is priority intervention?

Keep the cast clean and dry