Brunner Ch 69

A client has sustained a right tibial fracture and has just had a cast applied. Which instruction should the nurse provide in his cast care?

"Keep your right leg elevated above heart level"

A client is to undergo surgery to repair a ruptured Achilles tendon and application of a brace. The client demonstrates understanding of his activity limitations when he states that he will need to wear the brace for which length of time?

6 to 8 weeks

Which of the following is one of the most common causes of death in patients diagnosed with fat emboli syndrome?

ARDS

A client who has sustained a fracture reports a increase in pain and decreased function of the affected extremity. The nurse would suspect which of the following?

Avascular necrosis

A client comes to the Emergency Department complaining of localized pain and swelling of his lower leg. Ecchymotic areas are noted. History reveals that the client got hit in the leg with a baseball bat. Which of the following would the nurse suspect as most likely?

Contusion

A client with arterial insufficiency undergoes below-knee amputation of the right leg. Which action should the nurse include in the postoperative care plan?

Elevating the stump for the first 24 hours

Which of the following are general nursing measures for a patient with a fracture reduction?

Encourage participation in ADLs

A daughter brings her 77-year-old mother to the Emergency Department after falling in her home. The daughter states, "I hope she hasn't broken her hip." Which of the following would the nurse assess if the client did sustain a hip fracture?

Severe pain radiating to the knee

A 45-year-old softball player arrives at the emergency department following his injury while sliding into a base during a game. After his examination and radiographs, the physician diagnoses muscle strain and prescribes appropriate treatment. What does the physician mean with the term "strain"?

stretched or pulled beyond capacity

Which discharge instruction should a nurse give a client who's had surgery to repair a hip fracture?

"Don't flex your hip more than 90 degrees, don't cross your legs, and have someone help you put your shoes on."

A client undergoes a total hip replacement. Which statement made by the client indicates to the nurse that the client requires further teaching?

"I don't know if I'll be able to get off that low toilet seat at home by myself."

A client is being discharged from the Emergency Department after being diagnosed with a sprained ankle. Which client statement indicates the client understands the discharge teaching?

"I'll make sure to keep my ankle elevated as much as possible."

A client is diagnosed with carpal tunnel syndrome. Which of the following assessment findings would the nurse expect?

Inability to flex index and middle fingers

Which of the following is an inaccurate clinical manifestation of a fracture?

Lengthening

Which of the following is a factor that inhibits fracture healing?

Local malignancy

Which nursing intervention is appropriate for minimizing muscle spasms in the client with a hip fracture?

Maintain Buck's traction.

A fracture is termed pathologic when the fracture

Occurs through an area of diseased bone

Which intervention should the nurse implement, when caring for the client who complains of phantom limb pain two months after amputation?

Reassure the patient that phantom pain is common

Which nursing intervention is essential in caring for a client with compartment syndrome?

Removing all external sources of pressure, such as clothing and jewelry

The client with a fractured left humerus reports dyspnea and chest pain. Pulse oximetry is 88%. Temperature is 100.2 degrees Fahrenheit; heart rate is 110 beats per minute; respiratory rate is 32 breaths per minute. The nurse suspects the client is experiencing:

Fat embolism syndrome

Which of the following is a hallmark sign of compartment syndrome?

Pain