Passpoint immobility and pain & powerpoint questions

A client who has suffered a compound fracture is preparing for discharge to home. During the teaching session, the client asks why he needs antibiotics for a broken bone. Which response by the nurse is most appropriate?

"Antibiotic therapy has been prescribed as a precaution because your bone was exposed to the environment at the time of your injury."

For a client with osteoporosis, the nurse should provide which dietary instruction?

"Eat more dairy products to increase your calcium intake."

A client with an extracapsular hip fracture returns to the nursing unit after internal fixation and pin insertion with a drainage tube at the incision site. Her husband asks, "Why does she have this tube inserted in her hip?" Which response would be best?

"Fluid will drain and not accumulate at the site."

The patient tells the nurse that he was jogging to train for a marathon, which has been a lifelong goal. He asks, "Will I ever be able to run a marathon now?" What is the appropriate nursing response?

"It sounds like you are concerned that you may not be able to achieve your goal."

Which patient statement about self-care indicates a need for further teaching by the nurse?

"Joining a bowling team will help me exercise."

A nurse is performing discharge teaching for an older adult client diagnosed with osteoporosis. Which statement about home safety should the nurse include?

"Most falls among older adults occur in the home. You should remove throw rugs and install bathroom grab bars."

Upon waking up in the postanesthesia care unit and seeing a drain with bright red fluid in it exiting from his total hip incision, a client asks the nurse, "Is this the way it's supposed to be?" What should the nurse tell the client?

"The drainage is blood and fluid that must be drained out for healing."

The patient's ankle heals, and his cast is removed. What teaching will the nurse provide regarding care for his ankle?

"Wear a support stocking to prevent lower extremity swelling."

Upon reporting to work and receiving report, a nurse has been assigned to provide care for three clients. Each of the clients has called out to the nurses' station requesting assistance. Which client should the nurse see first?

A 32-year-old male, who had a plaster cast applied to his leg 2 hours ago, who complains that the cast feels as if it's getting tighter

A client with osteoarthritis purchased a copper bracelet to wear and tells the nurse that there is less pain now. Which response by the nurse is most appropriate?

Acknowledge that the client feels better, but encourage the client to continue with the prescribed therapy.

The nurse is caring for a patient who sustained a knee injury at work. The nurse explains that which diagnostic test best demonstrates soft tissue damage in the area of the injury?

Magnetic resonance imaging (MRI)

To control the patient's pain, which order does the nurse anticipate will be given by the provider?

Morphine 1 to 2 mg IV

A 52-year-old man is brought to the ED with a deformed right ankle. He states that he was jogging close to the edge of a hillside, and that he tripped and fell down the hill. There are no openings in the skin. A pulse cannot be obtained by touch to the right foot, which is pale and cool to palpation. The patient rates his pain as an "8" on a 0-to-10 scale. What is the priority nursing action at this time?

Obtain a Doppler of the right foot pulse.

A 40-year-old patient has a tight cast on the left lower leg. Which assessment finding would prompt the nurse to assess further for early signs of compartment syndrome?

Pain more intense than expected based on initial injury

The patient is diagnosed with osteoporosis. Which intervention by the nurse would be appropriate?

Recommend walking for 30 minutes three to five times a week.

A nurse is giving instructions to a client who's going home with a cast on his leg. Which teaching point is most critical?

Reporting signs of impaired circulation

A client has a fiberglass cast on the right arm. Which action should the nurse include in the care plan?

assessing movement and sensation in the fingers of the right hand

A nurse is caring for five clients on the orthopedic unit with the help of a nursing assistant. Which task may the nurse delegate to the nursing assistant?

assisting a client to the bathroom and recording the output in the medical record

A client is in Buck's traction after fracturing the right hip. The nurse should include which action in the care plan?

maintaining correct body alignment

The nurse is assessing the neurovascular status of a client's right arm, which has just had a cast applied. The nurse should notify the health care provider when which symptom occurs?

nail bed capillary refill time of 10 seconds

The second morning after surgery for a below-the-knee amputation of the left leg, the client says, "This sounds crazy, but I feel my left toes tingling." This statement would indicate to the nurse that he is experiencing a:

phantom-limb sensation.

A client is admitted to the orthopedic unit in balanced skeletal traction using a Thomas splint and Pearson attachment. The primary purpose of traction is to:

realign fracture fragments.

A nurse should monitor a client with a pelvic fracture receiving an opium derivative, such as morphine, for what common adverse reaction?

respiratory depression

Health promotion activities to reduce the incidence of osteoporosis include:

teaching women to maintain adequate calcium intake.