Question 1

A client with a new cast on the lower extremity reports an increase in the amount of pain. Which action should the nurse complete first?

Accepted Answer

A)  Notify the health care provider 
B)  Assess for compartment syndrome 
C)  Place the casted extremity on a pillow 
D)  Provide pain medication as prescribed 
A)  Notify the health care provider 
B)  Assess for compartment syndrome 
C)  Place the casted extremity on a pillow 
D)  Provide pain medication as prescribed B

Question 2

An adolescent client in traction does not want to lose muscle tone. Which response should the nurse give this client?

Accepted Answer

A)  "Many people worry about muscle weakness when they are confined to bed. You could perform range of motion, isometric, and specific exercises." 
B)  "Don't worry about your muscles, because you can get them back after you get out of traction." 
C)  "You're young and in great shape. Your muscles won't weaken with a few weeks in bed." 
D)  "I'll put a referral in for physical therapy to come and work with you." 
A)  "Many people worry about muscle weakness when they are confined to bed. You could perform range of motion, isometric, and specific exercises." 
B)  "Don't worry about your muscles, because you can get them back after you get out of traction." 
C)  "You're young and in great shape. Your muscles won't weaken with a few weeks in bed." 
D)  "I'll put a referral in for physical therapy to come and work with you." A

Question 3

A client using an orthotic device develops a reddened area. Which action should be taken if the area becomes an open wound after 3 days?

Accepted Answer

A)  Removing the orthotic device until the site heals 
B)  Having the device reshaped to remove the pressure area 
C)  Notifying the health care provider and orthotist 
D)  Using a thicker pad over the site 
A)  Removing the orthotic device until the site heals 
B)  Having the device reshaped to remove the pressure area 
C)  Notifying the health care provider and orthotist 
D)  Using a thicker pad over the site C

Question 4

A client using orthoses develops a fungal infection. Which question should the nurse ask to determine the reason for the infection?

Accepted Answer

A)  "Have you oiled the joints of the orthoses?" 
B)  "Have you had the joints screws checked recently?" 
C)  "Have you been washing the orthoses with mild soap and water?" 
D)  "Have you been applying lotion on your skin under the orthoses?" 
A)  "Have you oiled the joints of the orthoses?" 
B)  "Have you had the joints screws checked recently?" 
C)  "Have you been washing the orthoses with mild soap and water?" 
D)  "Have you been applying lotion on your skin under the orthoses?"

Question 5

A client is prescribed skin traction. In which position should the nurse explain that the client will be?

Accepted Answer

A)  Prone 
B)  Supine 
C)  Side-lying 
D)  Trendelenburg 
A)  Prone 
B)  Supine 
C)  Side-lying 
D)  Trendelenburg

Question 6

The nurse is planning care for a client in traction. Which care can the nurse assign to assistive personnel (AP) to complete?

Accepted Answer

A)  Pin care 
B)  Skin assessment 
C)  Neurovascular checks 
D)  Bath and linen change 
A)  Pin care 
B)  Skin assessment 
C)  Neurovascular checks 
D)  Bath and linen change

Question 7

A client with a fractured leg asks for a cast to be able to walk immediately. Which type of cast material should the nurse anticipate being used for this client's fracture?

Accepted Answer

A)  Plaster 
B)  Synthetic 
C)  Fiberglass 
D)  Thermoplastic 
A)  Plaster 
B)  Synthetic 
C)  Fiberglass 
D)  Thermoplastic

A client with a new cast on the lower extremity reports an increase in the amount of pain. Which action should the nurse complete first?

An adolescent client in traction does not want to lose muscle tone. Which response should the nurse give this client?

A client using an orthotic device develops a reddened area. Which action should be taken if the area becomes an open wound after 3 days?

A client using orthoses develops a fungal infection. Which question should the nurse ask to determine the reason for the infection?

A client is prescribed skin traction. In which position should the nurse explain that the client will be?

The nurse is planning care for a client in traction. Which care can the nurse assign to assistive personnel (AP) to complete?

A client with a fractured leg asks for a cast to be able to walk immediately. Which type of cast material should the nurse anticipate being used for this client's fracture?

Essential Skills

Infection Prevention

Vital Signs

Diagnostic Testing

Client Hygiene

Bedmaking

Heat and Cold Measures

Pain Assessment and Management

Positioning the Client

Mobilizing the Client

Fall Prevention, Restraints, and Seizure Precautions

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Injury Care

Performing Perioperative Care

End-Of-Life Care

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Exam 32: Orthopedic Care

A client with a new cast on the lower extremity reports an increase in the amount of pain. Which action should the nurse complete first?

An adolescent client in traction does not want to lose muscle tone. Which response should the nurse give this client?

A client using an orthotic device develops a reddened area. Which action should be taken if the area becomes an open wound after 3 days?

A client using orthoses develops a fungal infection. Which question should the nurse ask to determine the reason for the infection?

A client is prescribed skin traction. In which position should the nurse explain that the client will be?

The nurse is planning care for a client in traction. Which care can the nurse assign to assistive personnel (AP) to complete?

A client with a fractured leg asks for a cast to be able to walk immediately. Which type of cast material should the nurse anticipate being used for this client's fracture?

Essential Skills

Infection Prevention

Vital Signs

Diagnostic Testing

Client Hygiene

Bedmaking

Heat and Cold Measures

Pain Assessment and Management

Positioning the Client

Mobilizing the Client

Fall Prevention, Restraints, and Seizure Precautions

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Injury Care

Performing Perioperative Care

End-Of-Life Care

Filters