exam 4 hr frfr
A patient undergoes left above the knee amputation with an immediate prosthetic fitting when the patient arrives on the orthopredic unit after surgery the nurse should a. Assess the surgical site for hemorrhage b.Remove the prosthesis and wrap the site c.Place the patient in side lying position d.Keep the residual limb elevated on a pillow
a
Which action will the nurse take in order to evaluate the effectiveness of bucks traction for a patient who has intracapsular fracture of the right femur? a. Assess for hip pain b. Assess for contractures c. Check peripheral pulses d.Monitor for hip dislocation
a
A patient who has had an open reduction and internal fixation (ORIF) of a hip fracture tells the nurse that he is ready to get out of bed for the first time which action should the nurse take? a.Use a mechanical lift to transfer the patient from the bed to the chair b. Check the postoperative orders for the patient weight bearing status c. Avoid administration of pain medications before getting the patient up d.Delegate the transfer of the patient to the NAP
b
The nurse is caring for a patient who is using Bucks traction after a hip fracture. Which action can the nurse delegate to experienced unlicensed assistive personnel (UAP) a. Remove and reapply traction periodocially b. Ensure the weight for the traction is hanging freely c. Monitor the skin under the traction boot for redness d. Check for intact sensation and movement in the affected leg
b
A client with AIDS has been tested for cytomegalovirus (CMV) with positive titers what severe complication should the nurse be alert with cytomegalovirus? a.Diarrhea b. Hearing impairment c. Blindness d. Fatigue
c
The nurse palpates enlarged cervical lymph nodes on the patient diagnosed with acute human immunodeficiency virus infection which action would be most appropriate for the nurse to take a. Instruct the patient to apply ice to the neck b. Advise the patient that this is probably the flu c. Explain to the patient this is an expected finding d. Request that an antibiotic be prescribed to the patient
c
A patient who is HIV infected has a CD4 cell count of 400 u/l which factor is most important for the nurse to determine before the initiation of antiretroviral therapy ART for this patient? a. HIV genotype and phenotype b. Patients social support system c. Potential medication side effects d. Patients ability to comply with ART schedule
d
The nurse is teaching the client newly diagnosed with systemic lupus erythematous about the condition which statement by the client indicates teaching was effective? a. My energy level will gradually decrease over time b. My medications will ultimately correct my problem c. I do not need to make any changes to my diet d. I should avoid prolonged sun exposure
d
Which of the following actions would be a priority for a client who has been in the postanesthesia care unit (PACU) for 45 minutes after the above the knee amputation and develops a dime size bright red spot on the ace bandage above the amputation site? a.Elevate the stump b.Reinforce the dressing c.Call the surgeon d.Draw a mark around the site
d
the patient is brought to the emergency department after a car accident and is diagnosed with a femur fracture what nursing intervention should the nurse implement at this time to decrease the risk of a fat embolus? A. Administer enoxaparin (lovenox) B. Provide range of motion exercises C. Apply sequential compression boots D. Immobilize the fracture preoperatively
d
A patient has the following results: HIV nucleic acid test (NAT) is positive CD4+T count 300 cells/mm3 DX: P. jirovect What stage of HIV is the patient in?
stage 3