Medsurg Assignment #6

After an above-the-knee amputation of a right leg, a client reports pain in the right foot. The nurse should inform the client that phantom limb pain is the result of what? 1 Tactile illusions associated with severed blood vessels 2 Nerve endings in the limb that are still intact and react to stimuli 3 An unconscious phenomenon to aid with grieving over the lost body part 4 Hallucinations secondary to emotional symptoms associated with the distress of amputation

2

A client reports pain, weakness, and numbness in the neck, back, and shoulders after working long hours at a computer. Which condition will the nurse most likely observe in the client's electronic medical record? 1 Bursitis 2 Meniscus injury 3 Repetitive strain injury (RSI) 4 Carpal tunnel syndrome (CTS)

3

A client had a cerebrovascular accident (also known as a "brain attack"), and bed rest is prescribed. What can the nurse use to best prevent footdrop in this client? 1 Splints 2 Blocks 3 Cradles 4 Sandbags

1

A client has a total hip arthroplasty. What should the nurse do when caring for this client after surgery? 1 Use a pillow to keep the legs abducted. 2 Elevate the client's affected limb on a pillow. 3 Turn the client using the log-rolling technique. 4 Place a trochanter roll along the entire extremity.

1

A client who has paraplegia often loses calcium from the skeletal system. The nurse concludes that what factor contributes to calcium loss in this client? 1 Decreased activity 2 Inadequate fluid intake 3 Decreased calcium intake 4 Inadequate kidney function

1

A client with multiple injuries from a motor vehicle accident now is permitted out of bed to a chair but is not permitted to bear weight on the lower extremities. When using a mechanical lift to transfer the client, it is essential that the nurse do what? 1 Fold the client's arms across the chest. 2 Place the sling so that the top is below the client's scapulae. 3 Call the primary healthcare provider to secure a prescription to use a mechanical lift. 4 Raise the lift so that the sling is at least 12 inches (30.5 cm) above the mattress.

1

An older client experiences urinary frequency and nocturia. While ambulating, the client develops severe back pain and is found to have a vertebral compression fracture. When planning care, the nurse will focus interventions on which type of fracture? 1 Collapse of vertebral bodies 2 Demineralization of the spinal cord 3 Wear and tear of the spinous processes 4 Bulging of the spinal cord from the vertebra

1

The nurse considers that a 70-year-old female client can best limit further progression of osteoporosis by doing what? 1 Taking supplemental calcium and vitamin D 2 Increasing the consumption of eggs and cheese 3 Taking supplemental magnesium and vitamin E 4 Increasing the consumption of milk and milk products

1

A client sustains a fractured right femur after an automobile accident and is admitted to the hospital's emergency department. Which assessment is the priority? 1 Turn the client to the side-lying position. 2 Take the client's pedal pulse in the affected extremity. 3 Instruct the client to wiggle the toes of the right foot. 4 Ask the client if numbness or tingling is present in the right foot.

2

A client with arthritis is to begin long-term steroid therapy. Which statement indicates to the nurse that the client understands the instructions about this medication? 1 "My urine may become discolored." 2 "I should avoid crowds in enclosed areas." 3 "Weight loss can occur with this medication." 4 "The medication should be taken between meals."

2

A nurse is caring for a client with severe rheumatoid arthritis. What is most important in the nurse's approach to help this client achieve self-reliance and independence? 1 A series of limited objectives 2 A positive attitude toward the eventual outcome 3 The understanding that little can be accomplished 4 The recognition that a nursing home type of facility is needed

2

An older adult fell at home and fractured the left hip. Which response should the emergency department nurse identify as a typical clinical indicator associated with a fractured hip? 1 Affected hip is ecchymotic. 2 Left leg is noticeably shorter than the right. 3 Left extremity is internally rotated. 4 Affected hip is tender when touched.

2

Three days after a cast is applied to a client's fractured tibia, the client reports that there is a burning pain over the ankle. The cast over the ankle feels warm to the touch, and the pain is not relieved when the client changes position. What is the nurse's priority action? 1 Obtain a prescription for an antibiotic. 2 Report the client's concern to the primary healthcare provider. 3 Administer the prescribed medication for pain. 4 Explain that this is typical after a cast is applied.

2

The nurse is caring for a client after hip replacement. Which actions taken by the nurse need correction? Select all that apply. 1 Placing a pillow between the client's legs 2 Requiring the client to sit in an armless chair 3 Crossing the client's legs at the ankles and knees 4 Requiring the client to use an elevated toilet seat 5 Keeping the client's hip in a neutral, straight position

2, 3

A client sustains a back injury after falling 20 feet (6 m). In which position should the nurse place the client? 1 Lateral position with a pillow between the knees 2 Any position that reduces pain and is comfortable 3 Supine position while not allowing the spine to flex 4 Sitting position with a pillow placed in the small of the back

3

A nurse teaches an elderly client safety tip to prevent falls. Which physiologic change may have occurred in the client? 1 Slowed movement 2 Cartilage degeneration 3 Decreased bone density 4 Decreased range of motion (ROM)

3

After an open reduction and internal fixation of a fractured hip, the nurse is helping a client to get out of bed into a chair. What should the nurse do to best accomplish this transfer? 1 Use a transfer board to slide the client from the bed to the chair. 2 Ask the client to put weight equally on both legs and step to the chair. 3 Have several people assist with lifting the client from the bed to the chair. 4 Instruct the client to bear most of the weight on the unaffected leg and pivot to the chair.

4

The nurse is reviewing the joint fluid examination reports of four clients. Which client's report indicates a normal finding? 1 Client A 2 Client B 3 Client C 4 Client D

4

Which radiographic test is used to view the entire skeleton? 1 Bone scan 2 Gallium and thallium scan 3 Computed tomography (CT) 4 Magnetic resonance imaging (MRI) scan

1

Which condition is characterized by infection of a client's bone or bone marrow? 1 Osteomalacia 2 Osteomyelitis 3 Herniated disc 4 Spinal stenosis

2

Which structure protects a client's internal organs, supports blood cell production, and stores minerals? 1 Joints 2 Bones 3 Muscles 4 Cartilages

2

A nurse records a 3 for a client during an assessment of muscle strength. According to the muscle strength scale, what does a score of 3 indicate in the client? 1 Absence of muscular contraction 2 Active movement against full resistance 3 Barely detectable contraction with palpation 4 Active movement against gravity only, and not against resistance

4

An x-ray film indicates that an older client has a fractured femur. The client asks the nurse, "Will I be able to walk again?" What is the best response by the nurse? 1 "I have no idea because only time will tell." 2 "You only broke a bone. It could have been worse." 3 "You'll walk again. This is a common issue in older people." 4 "Tell me more about your concerns about being able to walk."

4

What does grade 3 indicate according to the muscle-strength scale? 1 Active movement against gravity and some resistance 2 Active movement of body part with elimination of gravity 3 Active movement against full resistance without evident fatigue 4 Active movement against gravity only and not against resistance

4