Exam 63: Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery

A patient is to be discharged from the hospital 4 days after insertion of a femoral head prosthesis using a posterior approach. A statement by the patient that indicates a need for additional discharge instructions is

Which information obtained by the emergency department nurse when admitting a patient with a left femur fracture is most important to report to the health care provider?

When planning care for a patient who has had hip replacement surgery, which nursing action can the nurse delegate to experienced nursing assistive personnel (NAP)?

A patient with lower leg fracture has an external fixation device in place and is scheduled for discharge. Which information will the nurse include in the discharge teaching?

When counseling an older patient about ways to prevent fractures, which information will the nurse include?

After a patient with a left femur fracture has a hip spica cast applied, which nursing intervention will be included in the plan of care?

A patient arrives in the emergency department with ankle swelling and severe pain after twisting the ankle playing soccer. Which of these prescribed collaborative interventions will the nurse implement first?

A patient who has been hospitalized for 3 days with a hip fracture has sudden onset shortness of breath and tachypnea. The patient tells the nurse, "I feel like I am going to die!" Which action should the nurse take first?

A patient is seen at the urgent care center after falling on the right arm and shoulder. Which finding is most important for the nurse to communicate to the health care provider?

After the health care provider has recommended an amputation for a patient who has ischemic foot ulcers, the patient tells the nurse, "If they want to cut off my foot, they should just shoot me instead." Which response by the nurse is best?

Following a motor vehicle accident, a patient arrives in the emergency department with massive right lower leg swelling. Which action will the nurse take first?

After a patient has a short-arm plaster cast applied in the emergency department, which statement by the patient indicates a good understanding of the nurse's discharge teaching?

A patient is admitted to the emergency department with possible left lower leg fractures. The initial action by the nurse should be to

Which statement by a patient who has had an above-the-knee amputation indicates that the nurse's discharge teaching has been effective?

Before assisting a patient with ambulation on the day after a total hip replacement, which action is most important for the nurse to take?

On the first postoperative day, a patient with a below-the-knee amputation complains of pain in the amputated limb. Which action is best for the nurse to take?

Which nursing action will the nurse include in the plan of care for a patient who has had a total knee arthroplasty?

When working with a patient whose job involves many hours of word processing, the nurse will teach the patient about the need to

A patient who has had an open reduction and internal fixation (ORIF) of left lower leg fractures complains of constant severe pain in the leg, which is unrelieved by the prescribed morphine. Pulses are faintly palpable and the foot is cool. Which action should the nurse take next?