Question 1

An older adult patient is at risk for constipation after sustaining a pelvic fracture.Which nutritional suggestion by the nurse is most appropriate?

Accepted Answer

A)  Select food with high sodium content. 
B)  Avoid foods high in dietary fiber. 
C)  While immobilized, drink at least 2 to 3 L of fluids daily. 
D)  Include milk products at every meal. 
A)  Select food with high sodium content. 
B)  Avoid foods high in dietary fiber. 
C)  While immobilized, drink at least 2 to 3 L of fluids daily. 
D)  Include milk products at every meal.

Question 2

What action should a nurse implement when caring for a patient diagnosed with a compound fracture?

Accepted Answer

A)  Limit narcotics for 8 hours after surgery. 
B)  Monitor the patient's respirations every hour. 
C)  Assess for pulses distal to the injury. 
D)  Verify that the patient is not allergic to sulfa. 
A)  Limit narcotics for 8 hours after surgery. 
B)  Monitor the patient's respirations every hour. 
C)  Assess for pulses distal to the injury. 
D)  Verify that the patient is not allergic to sulfa.

Question 3

A patient with a crushed forearm cannot get pain relief with opioid medications.The injury is swollen, cool, and cyanotic, with weak distal pulses.What should the nurse suspect?

Accepted Answer

A)  Compartment syndrome 
B)  Overwhelming infection 
C)  Fat embolus 
D)  Osteomyelitis 
A)  Compartment syndrome 
B)  Overwhelming infection 
C)  Fat embolus 
D)  Osteomyelitis

Question 4

To what can delayed union of a fracture be attributed? (Select all that apply.)

Accepted Answer

A)  Inadequate immobilization 
B)  Hormone replacement therapy 
C)  Long-term use of corticosteroids 
D)  Infection 
E)  Poor nutrition 
A)  Inadequate immobilization 
B)  Hormone replacement therapy 
C)  Long-term use of corticosteroids 
D)  Infection 
E)  Poor nutrition

Question 5

What action should a nurse implement when dealing with the weights that are applying traction to a patient?

Accepted Answer

A)  Remove them to pull the patient up in bed. 
B)  Hold them while the patient is changing positions in bed. 
C)  Hold them for a few minutes if the patient complains of pain. 
D)  Allow them to hang freely. 
A)  Remove them to pull the patient up in bed. 
B)  Hold them while the patient is changing positions in bed. 
C)  Hold them for a few minutes if the patient complains of pain. 
D)  Allow them to hang freely.

Question 6

Which patient problem has the highest priority after surgery for the open reduction and external fixation of an ankle?

Accepted Answer

A)  Potential activity intolerance 
B)  Potential for infection 
C)  Immobility 
D)  constipation 
A)  Potential activity intolerance 
B)  Potential for infection 
C)  Immobility 
D)  constipation

Question 7

Assistive devices such as canes, crutches, and walkers are used for people who need to limit weight-bearing activities on joints.Which statement by a nurse best illustrates an understanding of the appropriate use of these devices?

Accepted Answer

A)  "Canes provide minimal support and balance and are carried on the unaffected side." 
B)  "When using a cane, slide it as you go to decrease the arm strain." 
C)  "A three-point gait is used when walking with a walker." 
D)  "When using crutches, the unaffected leg goes down the steps first." 
A)  "Canes provide minimal support and balance and are carried on the unaffected side." 
B)  "When using a cane, slide it as you go to decrease the arm strain." 
C)  "A three-point gait is used when walking with a walker." 
D)  "When using crutches, the unaffected leg goes down the steps first."

Question 8

A patient with a fractured pelvis says that she will not ambulate because of pain.What should a nurse inform the patient can be prevented with early ambulation?

Accepted Answer

A)  Back injury 
B)  DVT 
C)  Callus formation 
D)  Disuse syndrome 
A)  Back injury 
B)  DVT 
C)  Callus formation 
D)  Disuse syndrome

Question 9

A nurse uses a diagram to show the process of a fractured bone healing.______ (Arrange the options in the appropriate sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

Accepted Answer

A) Ossification 
B) Hematoma 
C) Fibrocartilage 
D) Consolidation 
E) Callus 
A) Ossification 
B) Hematoma 
C) Fibrocartilage 
D) Consolidation 
E) Callus

Question 10

Arrange the process of stair climbing with crutches in the correct sequence: ______ (Arrange the options in the appropriate sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

Accepted Answer

A) Body weight is supported with crutches. 
B) Crutches are moved to the next step. 
C) The affected leg moves to the next step. 
D) The unaffected leg is moved to the next step. 
E) Body weight is transferred to the unaffected leg. 
A) Body weight is supported with crutches. 
B) Crutches are moved to the next step. 
C) The affected leg moves to the next step. 
D) The unaffected leg is moved to the next step. 
E) Body weight is transferred to the unaffected leg.

Exam 45: Fractures

An older adult patient is at risk for constipation after sustaining a pelvic fracture.Which nutritional suggestion by the nurse is most appropriate?

What action should a nurse implement when caring for a patient diagnosed with a compound fracture?

A patient with a crushed forearm cannot get pain relief with opioid medications.The injury is swollen, cool, and cyanotic, with weak distal pulses.What should the nurse suspect?

To what can delayed union of a fracture be attributed? (Select all that apply.)

What action should a nurse implement when dealing with the weights that are applying traction to a patient?

Which patient problem has the highest priority after surgery for the open reduction and external fixation of an ankle?

Assistive devices such as canes, crutches, and walkers are used for people who need to limit weight-bearing activities on joints.Which statement by a nurse best illustrates an understanding of the appropriate use of these devices?

A patient with a fractured pelvis says that she will not ambulate because of pain.What should a nurse inform the patient can be prevented with early ambulation?

A nurse uses a diagram to show the process of a fractured bone healing.______ (Arrange the options in the appropriate sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

Arrange the process of stair climbing with crutches in the correct sequence: ______ (Arrange the options in the appropriate sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management

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