Exam 65: Nursing Management Musculo-skeletal Trauma and Orthopedic Surgery

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The nurse is planning discharge teaching for a client who has had a repair of a fractured mandible. Which of the following information should the nurse will include in the teaching plan?

(Multiple Choice)
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The nurse is developing a care plan for a client with an open reduction and internal fixation (ORIF) of an open, displaced fracture of the tibia. Which of the following nursing diagnoses is priority?

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The nurse is caring for a client who is a baseball pitcher and had an arthroscopic repair of a rotator cuff injury performed in same-day surgery. Which of the following information should be included in the client's postoperative teaching plan?

(Multiple Choice)
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The nurse is caring for a client with ulnar drift caused by rheumatoid arthritis (RA) who is scheduled for an arthroplasty of the hand. Which of the following client statements indicates realistic expectation for the surgery?

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The nurse is caring for a client in the emergency department who has a soft tissue injury and an open leg fracture. Which of the following actions should the nurse implement first?

(Multiple Choice)
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The nurse is caring for a client who has been hospitalized for 3 days with a hip fracture who has sudden onset shortness of breath and tachypnea. The client tells the nurse, "I feel like I am going to die!" Which of the following actions should the nurse takefirst?

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Which of the following nursing actions should the nurse include in the plan of care for a client who has had a total knee arthroplasty?

(Multiple Choice)
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Which of the following information obtained by the emergency department nurse when admitting a client with a left femur fracture is most important to report to the health care provider?

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The nurse is caring for a client who is 1 day postoperative below-the-knee amputation who indicates pain in the amputated limb. Which of the following actions is best for the nurse to take?

(Multiple Choice)
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After the health care provider has recommended an amputation for a client who has ischemic foot ulcers, the client tells the nurse, "If they want to cut off my foot, they should just shoot me instead." Which of the following responses by the nurse is best?

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The nurse is providing health-promotion teaching to a client whose job involves many hours of word processing. Which of the following actions should the nurse include in the client teaching plan?

(Multiple Choice)
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The nurse is preparing a client for discharge from the emergency department with a sprained wrist. Which of the following information should the nurse include?

(Multiple Choice)
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The nurse is preparing a client with lower leg fracture and an external fixation device in place for discharge. Which of the following information should the nurse include in the discharge teaching?

(Multiple Choice)
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The nurse is caring for a client in the emergency department following a motor vehicle accident who has massive right lower leg swelling. Which of the following actions will the nurse take first?

(Multiple Choice)
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The nurse is caring for a client with Buck's traction who had an intracapsular fracture of the left femur. Which of the following actions should the nurse take in order to evaluate the effectiveness of Buck's traction?

(Multiple Choice)
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The nurse is caring for a client who has had an open reduction and internal fixation (ORIF) of left lower leg fractures who indicates constant severe pain in the leg which is unrelieved by the prescribed morphine. Pulses are faintly palpable and the foot is cool. Which of the following actions should the nurse take next?

(Multiple Choice)
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The nurse is providing discharge teaching to a client with a sprained right ankle. Which of the following information should be included in the teaching plan? (Select all that apply.)

(Multiple Choice)
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Before assisting a client with ambulation on the day after a total hip replacement, which of the following actions is most important for the nurse to implement?

(Multiple Choice)
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The nurse is preparing a client who had an above-the-knee amputation for discharge. Which of the following client statements indicates that the nurse's discharge teaching has been effective?

(Multiple Choice)
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The nurse is caring for a client who is on bed rest after having a complex pelvic fracture. Which of the following assessment findings is most important to report to the health care provider?

(Multiple Choice)
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