Practice questions for N2 exam 5

A nurse is teaching a client who had an amputation of the left lower leg 3 days ago. Which of the following statements indicates that the client understands how to care for the incision and his left upper leg?

"I will lie on my stomach for 30 min a few times a day."

A nurse is providing discharge teaching to a client who has osteoarthritis. Which of the following instructions should the nurse include?

"Rest frequently after periods of activity." The joint pain in osteoarthritis is caused by deterioration of the synovial membranes and often worsens after activity. Rest usually helps relieve the pain, so performing activities at a comfortable pace with periods of rest is appropriate.

A nurse is preparing a client for magnetic resonance imaging (MRI) of the spine. Which of the following pieces of information should the nurse give the client prior to the procedure?

"You can have mild sedative before the procedure." Some clients need mild sensation, especially when using an older closed MRI machine. Clients can feel claustrophobic and anxious as they slowly pass through what seems like a tunnel.

A nurse is discussing the plan of care with a client who has osteomyelitis of an open wound on his heel. Which of the following information should nurse include?

"Your provider might prescribe a central catheter line for long-term antibiotic therapy." ------- Osteomyelitis is an acute or chronic bone infection. The client will require weeks to months of IV antibiotic therapy for treatment. Therefore, the nurse should discuss the need for long-term IV access for antibiotic therapy.

The nurse is assessing a client in the outpatient clinic who has a cast on for a distal humerus fracture. Which statements made by the client would be the priority to assess further? 1. "I am having problems extending my fingers since this morning." 2. "I can't take any of the pain medicine because it makes me feel sick." 3. "I have to scratch under the cast with a nail file because of the itching." 4. "I noticed a warm spot on my cast, and a bad smell is coming from it."

1. "I am having problems extending my fingers since this morning."

The nurse provides discharge teaching to a client who had total hip replacement 4 days ago. Which client statement indicates that additional teaching is necessary? 1. "I will concentrate on leaning forward as I carefully sit down in a chair." 2. "I will do my leg raises and quadriceps and buttock isometric exercises 2-3 times a day." 3. "I will use the sock puller that the therapist gave me when I get dressed." 4. "My child got me a riser for the toilet seat at home. I hope my feet reach the floor!"

1. "I will concentrate on leaning forward as I carefully sit down in a chair."

The nurse is assigned to care for a client who had a total hip replacement an hour ago. Which of the following should the nurse assess first? 1. Amount of drainage in suction drainage device 2. Client's level of pain and last dose of pain medication 3. Proper placement of the abduction pillow 4. Urine in the catheter bag for presence of cloudiness or pus

1. Amount of drainage in suction drainage device

A nurse cares for a frail, elderly client with osteoporosis in a nursing home. Which interventions are appropriate to include in the client's care plan to help prevent a hip fracture? Select all that apply. 1. Calcium supplements 2. Encourage bed rest 3. Use of full bed rails during the night 4. Vitamin D supplements 5. Weight-bearing exercises

1. Calcium supplements 4. Vitamin D supplements 5. Weight-bearing exercises

The office nurse for an orthopedic health care provider receives 4 telephone messages. Which client does the nurse call back first? 1. Client who had a left total knee replacement 7 days ago and reports cramping pain in the left calf 2. Client with a fractured wrist who reports severe itching under a cast that was applied 3 days ago 3. Client with an ankle sprain who is using crutches and reports tingling in the forearm and fingers 4. Client with an intact anterior cruciate ligament injury who reports tightness in the knee unrelieved with ice 1

1. Client who had a left total knee replacement 7 days ago and reports cramping pain in the left calf

The health care provider (HCP) suspects a fat embolism syndrome (FES) in a client who has had multiple long bone fractures. Which findings does the nurse expect to assess to support this diagnosis? Select all that apply. 1. Confusion and restlessness 2. Increasing pain despite the opioid analgesia 3. Paresthesia of the affected extremity 4. Petechiae over neck and chest 5. Pulse oximeter showing hypoxia

1. Confusion and restlessness 4. Petechiae over neck and chest 5. Pulse oximeter showing hypoxia

A client with advanced osteoarthritis (OA) is admitted for right total knee arthroplasty. Which characteristic manifestations does the nurse expect to assess in this client? Select all that apply. 1. Crepitus with joint movement 2. Low-grade temperature 3. Morning stiffness lasting several hours 4. Pain exacerbated by weight-bearing activities 5. Positive serum rheumatoid factor

1. Crepitus with joint movement 4. Pain exacerbated by weight-bearing activities

A client involved in a motor vehicle collision reports severe pelvic and right heel pain. While waiting for imaging, the nurse assesses the client. Which finding should the nurse report to the health care provider immediately? 1. Distended abdomen and absent bowel sounds 2. Ecchymosis over the pelvic bones 3. Hemoglobin of 11.5 g/dL (115 g/L) and hematocrit of 34% (0.34) 4. Tenderness over the right heel

1. Distended abdomen and absent bowel sounds

The emergency department nurse assesses an elderly client who was just admitted with a fractured hip after a fall. Which assessment findings would the nurse most likelyexpect? Select all that apply. 1. Ecchymosis over the thigh and hip 2. Groin and hip pain with weight bearing 3. Internal rotation of the affected extremity 4. Muscle spasm around the affected area 5. Shortening of the affected extremity 1,2,4,5

1. Ecchymosis over the thigh and hip 2. Groin and hip pain with weight bearing 4. Muscle spasm around the affected area 5. Shortening of the affected extremity

The registered nurse (RN) on an orthopedic unit is orienting a new graduate nurse (GN) assigned to a client with a fractured hip and in Buck's traction. The RN intervenes when the GN performs which action? 1. Elevates the head of the bed 45 degrees 2. Holds the weight while the client is repositioned up in bed 3. Loosens the Velcro straps when the client reports that the boot is too tight 4. Provides the client with a fracture pan for elimination needs

1. Elevates the head of the bed 45 degrees

A registered nurse is precepting a new graduate nurse on the orthopedic unit. Which action by the graduate nurse requires the registered nurse to intervene? 1. Elevating a client's residual limb on a pillow 1 day after above-the-knee amputation 2. Placing an abductor pillow between a client's legs after total hip replacement 3. Positioning a client with Buck traction supine with the foot of the bed raised 4. Using pillows to raise a client's extremity following cast placement

1. Elevating a client's residual limb on a pillow 1 day after

What instructions should the nurse provide to a client after a long leg cast is removed? 1.Elevate the extremity when sitting. 2.Report discomfort or stiffness of the ankle. 3.Perform full range of motion of the leg once daily. 4.Cleanse the leg by scrubbing with long, brisk motions

1.Elevate the extremity when sitting.

A nurse is providing postoperative teaching to a client who is scheduled to have an above-the-knee amputation. The client will use crutches during the postoperative period. Which activity will prepare the client for crutch walking? 1.Lifting weights 2.Changing bed positions 3.Caring for the residual limb 4.Performing phantom limb exercises

1.Lifting weights

The nurse provides discharge teaching to a client who had a total knee replacement 4 days ago. Which client statement indicates the need for additional teaching? 1. "I have to give myself shots in the belly because my spouse is afraid of needles!" 2. "I have to use a walker because I can't bear any weight on this knee yet." 3. "I will call my health care provider if I get short of breath or sore or swollen below my knee." 4. "The raised toilet seat makes it easier for me to get on and off the toilet by myself."

2. "I have to use a walker because I can't bear any weight on this knee yet."

A nurse working in the office of a health care provider (HCP) must respond to client telephone messages. The nurse should return which call first? 1. Client with a left shoulder sling due to a fractured clavicle, reports nausea after taking oxycodone 2. Client with a right leg cast applied yesterday for a fractured ankle, reports tingling in the right foot 3. Client with diabetes, reports having taken the usual dose of insulin this morning and is now vomiting 4. Client with fibromyalgia who is prescribed amitriptyline for sleep, reports continued insomnia

2. Client with a right leg cast applied yesterday for a fractured ankle, reports tingling in the right foot

The nurse completes the preoperative assessment for a client scheduled for a total knee replacement today. Which information should the nurse report to the health care provider (HCP) as soon as possible before the surgery? 1. Has allergy to strawberries 2. Is experiencing burning on urination starting yesterday 3. Rates knee pain as a 9 on a 0-10 scale 4. Stopped taking celecoxib 7 days ago

2. Is experiencing burning on urination starting yesterday

A client, admitted to the hospital with a fractured hip, is scheduled for surgery for a total hip replacement. In which position should the nurse place the client's affected limb after surgery? 1.Adduction and flexion 2.Abduction and extension 3.Adduction and internal rotation 4.Abduction and external rotation

2.Abduction and extension

Clients who have casts applied to the lower extremities must be monitored for complications. Which finding during assessment of the extremities of these clients is indicative of a complication? (Select all that apply.) 1.Warmth 2.Numbness 3.Skin desquamation 4.Generalized discomfort 5.Prolonged capillary refill

2.Numbness 5.Prolonged capillary refill

The nurse is caring for a client who has undergone a total hip replacement. The nurse recognizes which clinical manifestations indicate a pulmonary embolism. (Select all that apply.) 1.Flushing of the face 2.Unilateral chest pain 3.Elevation of temperature 4.Sudden onset of shortness of breath 5.Pain rating increase from 2 to 8 in the hip

2.Unilateral chest pain 4.Sudden onset of shortness of breath

An elderly client with osteoporosis falls onto an out-stretched hand and injures the wrist. The client has severe wrist edema, deformity, and pain rated a 10 on a pain scale of 0-10. What should be the nurse's first action? 1. Administer analgesia 2. Apply an ice pack to the wrist 3. Assess capillary refill and sensation 4. Elevate the wrist above heart level

3. Assess capillary refill and sensation

A home health nurse is assessing for complications in a client who has been using crutches for 2 weeks. Assessing for which finding is most important? 1. Biceps muscle spasm 2. Forearm swelling 3. Hand and wrist weakness 4. Shoulder range of motion

3. Hand and wrist weakness

The nurse is caring for a client with a fractured femur. Which nursing intervention is most effective in helping reduce the risk for fat emboli? 1. Administering prophylactic enoxaparin as prescribed 2. Frequent use of incentive spirometry 3. Minimizing movement of the fractured extremity 4. Use of an intermittent pneumatic compression device

3. Minimizing movement of the fractured extremity

The nurse is caring for a client who is 12 hours postoperative total hip replacement. Which nursing intervention is appropriate to help prevent dislocation of the hip prosthesis? 1. Instructing the client to cross the legs only at the ankles 2. Maintaining the head of the bed at ≥45-60 degrees 3. Placing an abductor pillow between the legs when turning the client 4. Turning the client to the affected side to alleviate lateral muscle pulling

3. Placing an abductor pillow between the legs when turning the client

The health care provider suspects a rotator cuff injury in a client who is an avid tennis player. The nurse would most likely assess which of the following? 1. Complete stiffness of the shoulder joint 2. Paresthesia over the first 3½ fingers 3. Shoulder pain with arm abduction 4. Tenderness over the lateral epicondyle

3. Shoulder pain with arm abduction

A client with a hip fracture is placed in Buck's traction. Which nursing intervention is most important when caring for this client? 1. Keeping the extremity above the client's heart level 2. Pain assessment and analgesia use every 2 hours 3. Skin assessments every 2-4 hours 4. Turning the client, using an abduction pillow, every 2 hours

3. Skin assessments every 2-4 hours

A client who has been immobile for a prolonged time develops hypercalcemia. Which findings are consistent with this condition? (Select all that apply.) 1.Convulsions 2.Muscle spasms 3.Deep bone pain 4.Tingling of extremities 5.Depressed deep tendon reflexes

3.Deep bone pain 5.Depressed deep tendon reflexes

A client with pain and paresthesia of the left leg is scheduled for an electromyogram. What should the nurse discuss with the client before the test is performed? 1.Bed rest must be maintained after the procedure. 2.The involved area will be shaved before the procedure. 3.Needles will be inserted into the affected muscles during the test. 4.Monitoring of the heart rate and rhythm will be done throughout the test

3.Needles will be inserted into the affected muscles during the test.

The nurse is caring for an adolescent client who just had placement of an external fixation device for long-term stabilization of a fractured tibia. Which interventions are appropriate to include in the client's plan of care? Select all that apply. 1. Check the pins every 4 hours and if these are loose, turn the bolt clockwise to tighten 2. Maintain bed rest until the device is removed 3. Notify the health care provider (HCP) immediately if drainage or increased pain occurs at the pin sites 4. Perform neurovascular checks every 2-4 hours for 24 hours 5. Perform pin care with 1/2-strength hydrogen peroxide and normal saline solution (NSS) every 4 hours

3.Notify the health care provider (HCP) immediately if drainage or increased pain occurs at the pin sites 4. Perform neurovascular checks every 2-4 hours for 24 hours 5. Perform pin care with 1/2-strength hydrogen peroxide and normal saline solution (NSS) every 4 hours

A nurse is caring for a client with a spinal cord injury. Which is the specific reason why fluid intake should be increased for this client? 1.Prevent dehydration 2.Maintain electrolyte balance 3.Prevent a urinary tract infection 4.Limit an increase in temperature

3.Prevent a urinary tract infection

A nurse in the emergency department has 4 orthopedic clients to see. Which client should be assessed first? 1. A child who sustained a closed, incomplete ulnar fracture while playing sports 2. A client with metastatic breast cancer who has a hip fracture and is in Buck traction 3. A client with multiple myeloma who has a rib fracture and reports pain with deep breaths 4. A client with severe pain and deformity of the shoulder due to blocking a basketball shot

4. A client with severe pain and deformity of the shoulder due to blocking a basketball shot

Which assessment finding supports the nurse's conclusion that a prosthesis for a client with an above-the-knee amputation fits correctly? 1.Skin that is cool to the touch 2.Shrinking of the residual limb 3.Absence of phantom limb pain 4.Evenly darkened skin of the residual limb

4. Evenly darkened skin of the residual limb

The nurse is caring for a 6-year-old who is postoperative open right tibial fracture reduction with cast placement. Which finding requires priority action? 1. Blood-tinged stain on the inner aspect of the cast 2. Capillary refill of 2 seconds on the affected extremity 3. Mild swelling of toes on the right foot 4. Pain of 9/10 an hour after a dose of morphine

4. Pain of 9/10 an hour after a dose of morphine

The nurse plans teaching for an adolescent client being discharged home with a Boston brace for treatment of scoliosis. Which instruction will the nurse include in the discharge teaching plan? 1. Apply body lotion or powder under the brace to prevent skin irritation 2. Avoid any exercises that require the use of spinal muscles 3. Keep the brace on for all activities, including showering 4. Wear a cotton t-shirt under the brace at all times

4. Wear a cotton t-shirt under the brace at all times

The nurse is caring for a woman with obesity who is 3 days postoperative total hip joint replacement. Which laboratory value is of greatest concern and should be reported to the health care provider (HCP) immediately? 1. Blood urea nitrogen (BUN) 22 mg/dL (7.9 mmol/L) 2. Glucose 158 mg/dL (8.7 mmol/L) 3. Hematocrit 33% (0.33) and hemoglobin 11 g/dL (110 g/L) 4. White blood cell count (WBC) 16,000/mm3 (16.0 ×109/L)

4. White blood cell count (WBC) 16,000/mm3 (16.0 ×109/L)

The nurse is providing postoperative care to a client that had surgery in which a hip prosthesis was inserted. An abductor splint is in place. The nurse should remove the splint: 1.When the client gets up in a chair 2.If the client needs a change of position 3.Once the client's edema and pain have ceased 4.During the client's skin care and physical therapy

4.During the client's skin care and physical therapy

A nurse provides discharge teaching for a client who had a total hip replacement. Which statements made by the client indicate an understanding of the education? (Select all that apply.) 1.I should not climb any stairs. 2.I should not cross my legs. 3.I should avoid stretching exercises. 4.I should not sit in a low chair. 5.I should avoid lying prone for longer than 30 minutes

4.I should not sit in a low chair. 2. I should not cross my legs

After rolling the ankle outwards when jogging, a client develops ankle pain and swelling. The health care provider diagnoses a lateral ankle sprain. Which interventions does the nurse include in the discharge instructions? Select all that apply. 1. Apply heat to reduce swelling during the first 24 hours 2. Begin an exercise rehabilitation program when the pain subsides 3. Elevate the leg above the heart level on 2 pillows 4. Flex and dorsiflex the foot to prevent stiffness during the first 24 hours 5. Take ibuprofen every 6 hours as needed 6. Wrap the ankle with an elastic compression bandage

5. Take ibuprofen every 6 hours as needed 6. Wrap the ankle with an elastic compression bandage 2. Begin an exercise rehabilitation program when the pain subsides 3. Elevate the leg above the heart level on 2 pillows

A nurse is caring for a child who has a fracture. Whcih of the following are manifestations of a fracture? SATA A. Crepitus B. Edema C. Pain D. Fever E. Ecchymosis

A. Crepitus B. Edema C. Pain E. Ecchymosis

A 15 year old is admitted to the intensive care unit (ICU) with a spinal cord injury. The MOST appropriate nursing interventions for this adolescent are: (Select all that apply.) A. monitoring neurologic status. B. administering corticosteroids. C. monitoring for respiratory complications. D. discussing long-term care issues with the family. E. monitoring and maintaining hemodynamic status.

A. monitoring neurologic status. B. administering corticosteroids. C. monitoring for respiratory complications. E. monitoring and maintaining hemodynamic status.

A nurse in the emergency department is preparing to discharge a client following a Grade II (moderate) ankle sprain. Which of the following instructions should the nurse plan to give t the client?

Apply cold compresses to the extremity

A nurse is teaching a client with arthritis who is experiencing joint Multiple pain that impairs mobility. Which of the following instructions should A. the nurse include?

Apply heat to your joints prior to exercising."

A nurse is reviewing the medical record of a client who has a prescription for probenecid to treat gout. The nurse should identify A that which of the following medications can interact with probenecid?

Aspirin ----- Aspirin can decrease the effectiveness of probenecid. The nurse should caution the client to avoid interaction between probenecid and salicylate medications.

A nurse is teaching a group of caregivers about fractures. Which of the following information should the nurse include in the teaching? A. "Children need a longer time to heal from a fracture than an adult." B. "Epiphyseal plate injuries can result in altered bone growth." C. "A greenstick fracture is a complete break in the bone." D. "Bones are unable to bend, so they break."

B. "Epiphyseal plate injuries can result in altered bone growth."

A nurse is caing for achild who is in skeletal traction. Which of the following actions should the nurse take? SATA A. Remove the weights to reposition the client B. Assess the chil's position frequently C. Assess pin sites every 4 hours D. Ensure the weights are hanging freely E. Ensure the rope's knot is in contact with the pulley

B. Assess the chil's position frequently C. Assess pin sites every 4 hours D. Ensure the weights are hanging freely

A nurse is caring for a child who sustained a fracture. Which of the following actions should the nurse take? SATA A. Place a heat pack on the site of injury B. Elevate the affected limb. C. Assess neurovascular status frequently D. Encourage ROM of the affected limb E. Stabilize the injury

B. Elevate the affected limb. C. Assess neurovascular status frequently E. Stabilize the injury

Which is characteristic of fractures in children? A. Fractures rarely occur at the growth plate site, because it absorbs shock well B. Rapidity of healing is inversely related to the age of the child C. Pliable bones of growing children are less porous than those of the adult D. Periosteum of a child's bone is thinner, weaker, and has less osteogenic potential compared with that of the adult

B. Rapidity of healing is inversely related to the age of the child

An infant is born with one lower limb deficiency. When is the optimum time for the child to be fitted with a prosthetic device? A. As soon as possible after birth B. When the infant begins sitting up and can maintain balance. C. At about age 12 to 15 months, when most children are walking. D. At about 4 years, when the healthy limb is not growing so rapidly.

B. When the infant begins sitting up and can maintain balance

A youngster has just returned from surgery in a hip spica cast. The PRIORITY nursing intervention is to: A.elevate the head of the bed. B.check circulation. C. turn the child to the right side D.offer sips of water

B.check circulation.

A nurse is caring for an infant with developmental dysplasia of the hip (DDH). Based on the nurse's knowledge of DDH, which clinical manifestation should the nurse expect to observe? (Select all that apply.) A.Lordosis B. Positive Babinski sign C. Asymmetric thigh and gluteal folds D. Positive Ortolani and Barlow tests E. Shortening of limb on affected side

C. Asymmetric thigh and gluteal folds D. Positive Ortolani and Barlow tests E. Shortening of limb on affected side

A nurse is completing preoperative teaching with an adolescent client who is scheduled to receive a spinal instrumentation for scoliosis. Which of the following information should the nures include in the teaching? A. You will go home the same day of surgery B. You will have minimal pain C.You will need to receive blood D. You will not be able to eat until the day after surgery

C.You will need to receive blood

A nurse is caring for a toddler who has hip dysplasia and has been placed in a hip spica cast. The child's guardian asks the nurse why a Pavlik harness is not being used. Which of the following responses should the nurse make? A. " The Pavlik harness is used for chlidren with scoliosis, not hip dysplasia." B. " The Pavlik harness is used for school-aged children" C. " The Pavlik harness cannot be used fro your child because her condition is too severe" D. " The Pavlik harness is used for infants less than 6 months of age

D. " The Pavlik harness is used for infants less than 6 months of age

A nurse is teaching a group of clients at a senior center about the risk factors for osteoporosis. Which of the following statements should the nurse include in the teaching?

Extended periods of immobility increase your risk for osteoporosis

A woman who is 6 weeks' pregnant tells the nurse that she is worried that the baby might have spina bifida because of a family history. The nurse's BEST response is: A. "There is no genetic basis for the defect." B. "Prenatal detection is not possible yet." C. "Chromosome studies done on amniotic fluid can diagnose the defect prenatally." D. "The concentration of alpha-fetoprotein in amniotic fluid can indicate the presence of the defect prenatally."

D. "The concentration of alpha-fetoprotein in amniotic fluid can indicate the presence of the defect prenatally."

A nurse is caring for a child who is in a plaster spica cast. Which of the following actions should the nurse take? A. Use a heat lamp to facilitate drying. B. Avoid turning the child until the cast is dry. C. Assist the client with crutch walking after the cast is dry. D. Apply moleskin to the edges of the cast

D. Apply moleskin to the edges of the cast

A nurse is caing for an infant and notices an audible click in their left hip. Which of the following diagnostic test should the nurse expect the provder to perform? SATA A. Barlow test B. Babinski sign C. Manipulation of foot and ankle D. Ortolani test E. Ponseti method

D. Ortolani test A. Barlow test

The nurse manager on the orthopedic unit is preparing an in-service about types of traction at the next staff meeting. The nurse manager should include which information in the presentation? (Select all that apply.) A.skeletal yea traction is most likely used when closed reduction is performed B. Skin traction can be applied using a pulling mechanism attached with adhesive material C. Soft, foam based traction straps are used to distribute manual traction pull D. Pins are commonly used with skeletal traction E. Manual traction involves using wires of tongs I inserted through the diameter of the bone distal to the fracture

D. Pins are commonly used with skeletal traction B. Skin traction can be applied using a pulling mechanism attached with adhesive material

What is the rationale for elevating an extremity after a soft tissue injury such as a sprained ankle? A. Increases the pain threshold. B. Increases metabolism in the tissues. C. Produces a deep tissue vasodilation. D. Reduces edema formation.

D. Reduces edema formation.

The callus that develops at the fracture site is important because it provides: A. functional use of injured part. B. sufficient support for weight bearing. C. means for adequate blood supply. D. means for holding bone fragments together.

D. means for holding bone fragments together. * New bone cells are formed in large numbers and stimulated to maximum activity. They are found at the site of the injury. In time, calcium salts are absorbed to form the callus.

An adolescent who had a lower leg amputated after a motorcycle accident complains of pain in the missing extremity. The nurse's MOST appropriate action is to: A. withhold pain medications because of narcotic addiction. B. refer the patient for psychologic counseling. C. teach the parents and adolescent child about nerve damage. D. reassure the child that it is normal and is called phantom limb sensation.

D. reassure the child that it is normal and is called phantom limb sensation.

A nurse is assessing a client who has osteoarthritis. The client's medical record indicates the presence of Heberden's nodes. Which of the following findings should the nurse expect?

Hard lumps over the joints of the fingers

A nurse is preparing a client who is postoperative following total hip arthroplasty for discharge. Which of the following statements indicates that the client understands the instructions?

I'll use a reacher to help me pick up anything I drop on the floor."

A nurse is determining a client's risk of developing osteoporosis. The nurse should identify which of the following as risk factors for bone loss? (Select all that apply.)

Small body frame Low vitamin D intake Smoking Females have a higher risk of developing osteoporosis. Other risk factors include family history, low body mass index, and a small body frame. Consuming inadequate levels of calcium and vitamin D, smoking and ingesting high amounts of alcohol or caffeine also increase the risk of developing osteoporosis.

A nurse is caring for a client immediately following application of a plaster cast. The nurse should monitor for and report which of the following findings as an indication of compartment syndrome?

Paresthesias of the extremity ------ The nurse should identify paresthesias as a finding of compartment syndrome. Compartment syndrome involves the compression of nerves and blood vessels in an enclosed space, leading to impaired blood flow and nerve damage. Other findings include numbness, tingling, weakness, and pain that does not respond to medication.

A nurse is caring for a client following a hip arthroplasty. The nurse places an abduction pillow on the client for which of the following purposes?

Preventing dislocation of the hip during position changes or movement

A nurse is caring for a client who has a pelvic fracture. The client reports sudden shortness of breath, stabbing chest pain, and feelings of doom. This client is experiencing which of the following complications?

Pulmonary embolus

The nurse is assessing a patient, who has many risk factors for the development of a DVT, for signs and symptoms of a deep vein thrombosis. What signs and symptoms below would possibly indicate a deep vein thrombosis is present? A. Cool extremity B. Decreases pulses C. Redness D. Pain E. Warm extremity F. Swelling G. Cyanosis

Redness, pain, warm extremity, swelling The answers are C, D, E, and F. Signs and symptoms of a DVT include: redness, swelling, warm extremity, pain, positive Homan's Sign, and swelling (which can be unilateral...meaning there is more swelling in one extremity compared to the other).

A nurse is caring for a client who is 3 days postoperative following a below-the-knee amputation. Which of the following actions should the nurse take?

Rewrap the residual limb with a bandage 3 times per day

A nurse is caring for a client who is 3 days postoperative following a right total hip arthroplasty. While transferring to a chair, the client A. cries out in pain. The nurse should assess the client for which of the following manifestations of dislocation of the hip prosthesis?

Shortening of the right leg ----- The nurse should monitor the client for shortening of the affected leg as an indication of dislocation of the prosthesis. Other findings include increased hip pain, inability to move the extremity, and rotation of the hip internally or externally.

A nurse is assessing a client's skeletal system. The nurse should be in which of the following positions to screen the client for scoliosis?

Standing behind the client, who is bent over at the waist

True or False: Assessment of Homan's Sign is the most reliable indicator of a deep vein thrombosis. True False

The answer is FALSE. Homan's Sign is NOT a reliable method for assessing for a DVT. It can lead to FALSE positives.

A nurse is caring for a client who had a below-the-knee amputation for gangrene of the right foot. The client reports sensations of burning and crushing pain in the toes of the absent right foot. Which of the following statements should the nurse make?

This type of pain usually decreases over time as the limb becomes less sensitive."

A child with spina bifida has developed a latex allergy from numerous bladder catheterizations and surgeries. A PRIORITY nursing intervention is to: A. recommend allergy testing. B. provide a latex-free environment. C. use only powder-free latex gloves. D. limit use of latex products as much as possible.

b. provide a latex-free environment.

A nurse is caring for a client who has osteoporosis and a new prescription for calcium supplements. Which of the following foods should the nurse recommend to promote calcium absorption?

fortified milk

A nurse is assessing a client who has several risk factors for osteoporosis. Which of the following findings indicates that the client requires further evaluation for this disorder?

lower back pain