Brunner and Suddharth Med Surg Chapter 39 Study Guide Questions Part 2

A patient is having a repeated tears of the joint capsule in the shoulder, and the physician prescribes an arthrogram. What interventions should the nurse provide after the procedure is completed? (Select all that apply) A. Apply a compression bandage to the area. B. Apply heat to the area for 48 hours. C. Administer a mild analgesic. D. Inform the patient that a clicking or crackling noise in the joint may persist for a couple of days. E. Actively exercise the area immediately after the procedure.

A. Apply a compression bandage to the area. C. Administer a mild analgesic. D. Inform the patient that a clicking or crackling noise in the joint may persist for a couple of days.

The nurse is performing an assessment for a patient who may have peripheral neurovascular dysfunction. What signs does the patient present with that indicate circulation is impaired. (Select all that apply) A. Pale, cyanotic, or mottled color. B. Cool temperature of the extremity C. More than 3 second capillary refill. D. Tenting skin turgor. E. Limited range of motion

A. Pale, cyanotic, or mottled color. B. Cool temperature of the extremity C. More than 3 second capillary refill.

Which peripheral nerve sensation test does one prick the skin midway between the great and second toe? A. Peroneal B. Tibial C. Radial D. Ulnar E. Median

A. Peroneal

A patient has a fracture of the right femur sustained in a motor vehicle crash. What process of fracture healing does the nurse understand will occur with this patient? A. Reactive phase, reparative phase, remodeling phase. B. Primary phase, Secondary Phase, Third Phase C. First intention, Secondary intention, and third intention. D. Active phase, dormant phase, and restructure phase.

A. Reactive phase, reparative phase, remodeling phase.

The nurse is caring for a pregnant patient with pregnancy induced hypertension. When assessing reflexes in the ankle, the nurse observes rhythmic contractions of the muscle when dorsiflexing the foot. What would the nurse document this finding as? A. Positive Babinski reflex B. Clonus C. Hypertrophy D. Ankle Reflex

B. Clonus

A patient has had a stroke and is unable to move the right upper and lower extremities. During assessment the nurse picks up the arm and it is limp and without tone. How would the nurse document this finding? A. Rigidity B. Flaccidity C. Atonic D. Tetanic

B. Flaccidity

A patient has a fracture that is being treated with open rigid compression plate fixation devices. How will the progress of bone healing be monitored? A. Remove the plate and determined if the bone is growing back. B. Perform serial X-Rays. C. Perform an arthroscopy. D. The bone will heal on its own without intervention.

B. Perform serial X-Rays.

Which peripheral nerve sensation test does one prick the medial and lateral surface of the sole? A. Peroneal B. Tibial C. Radial D. Ulnar E. Median

B. Tibial

A patient tells the nurse, "I was working out and lifting weights, and now that I have stopped, I am flabby and muscles have gone!" What is the best response by the nurse? A. "While you are limiting weights, endorphins are released, creating increase in muscle mass, but if the muscles are not used they will atrophy" B. "The muscle mass has decreased from the lack of calcium in the cells." C. "Your muscles were in a state of hypertrophy from the weight lifting but it will persist only if the exercise is continued." D. "Once you stop exercising, the contraction of the muscle does not regain its strength."

C. "Your muscles were in a state of hypertrophy from the weight lifting but it will persist only if the exercise is continued."

The nurse assesses soft subcutaneous nodules along the line of the tendons in the patient's hand and wrist. What does this finding indicate to the nurse? A. The patient has osteoarthritis. B. The patient has lupus erythematosus. C. The patient has rheumatoid arthritis. D. The patient has neurofibromatosis.

C. The patient has rheumatoid arthritis.

After a bone density test, an older adult female patient tells the nurse, "I don't understand why I have osteoporosis because I eat well and take my calcium." What is the best response from the nurse? A. "Everyone gets osteoporosis and there is nothing you can do to prevent it." B. "Men lose more bone mass than women but women lose some." C. "In order to prevent bone loss, you will have to take hormones." D. "The loss is from withdrawal of estrogen and a decrease in activity levels."

D. "The loss is from withdrawal of estrogen and a decrease in activity levels."

A patient is scheduled for a procedure that will allow the physician to visualize the knew joint in order to diagnose the patient's pain. What procedure will the nurse prepare the patient for? A. Arthrocentesis B. Bone Scan C. Electromyography D. Arthroscopy

D. Arthroscopy

The nurse is performing an assessment on an older adult patient and observes the patient has an increased forward curvature of the thoracic spine. What does the nurse understand this common finding is known as? A. Lordosis B. Scoliosis C. Osteoporosis D. Kyphosis

D. Kyphosis

Which peripheral nerve sensation test does one prick the distal fat pad of the small finger? A. Peroneal B. Tibial C. Radial D. Ulnar E. Median

D. Ulnar

Which peripheral nerve sensation test does one prick the top or distal surface of the index finger? A. Peroneal B. Tibial C. Radial D. Ulnar E. Median

E. Median

A patient comes in to the clinic and informs the nurse of numbness, tingling, and a burning sensation in the arm from the elbow down to the fingers. What type of symptom would this be documented as? A. Paresthesia B. Flaccidity C. Atonia D. Effusion

A. Paresthesia

A patient tells the healthcare provider about shoulder pain that is present even without any strenuous movement. The healthcare provider identifies a sac filled with synovial fluid. What condition should the nurse educate the patient about? A. A fracture of the clavicle B. Osteoarthritis of the shoulder C. Chronic Bursitis D. Ankylosing spondylitis

C. Chronic Bursitis

Which peripheral nerve sensation test does one prick the skin midway between the thumb and second finger? A. Peroneal B. Tibial C. Radial D. Ulnar E. Median

C. Radial