Exam 59: Nursing Management: Musculoskeletal Trauma and Orthopaedic Surgery

Which statement by a 62-year-old patient who has had an above-the-knee amputation indicates that the nurse's discharge teaching has been effective?

A high school teacher with ulnar drift caused by rheumatoid arthritis (RA)is scheduled for a left hand arthroplasty.Which patient statement to the nurse indicates a realistic expectation for the surgery?

A 22-year-old tennis player has an arthroscopic repair of a rotator cuff injury performed in same-day surgery.When the nurse plans postoperative teaching for the patient,which information will be included?

A patient who slipped and fell in the shower at home has a proximal humerus fracture immobilized with a left-sided long-arm cast and a sling.Which nursing intervention will be included in the plan of care?

A patient arrived at the emergency department after tripping over a rug and falling at home.Which finding is most important for the nurse to communicate to the health care provider?

When a patient arrives in the emergency department with a facial fracture,which action will the nurse take first?

A patient who is to have no weight bearing on the left leg is learning to walk using crutches.Which observation by the nurse indicates that the patient can safely ambulate independently?

Which statement by the patient indicates a good understanding of the nurse's teaching about a new short-arm plaster cast?

After the health care provider has recommended amputation for a patient who has nonhealing ischemic foot ulcers,the patient tells the nurse that he would rather die than have an amputation.Which response by the nurse is best?

A patient with a complex pelvic fracture from a motor vehicle crash is on bed rest.Which nursing assessment finding is important to report to the health care provider?

A patient undergoes a left above-the-knee amputation with an immediate prosthetic fitting.When the patient arrives on the orthopedic unit after surgery,the nurse should

A patient has a long-arm plaster cast applied for immobilization of a fractured left radius.Until the cast has completely dried,the nurse should

A 32-year-old patient who has had an open reduction and internal fixation (ORIF)of left lower leg fractures continues to complain of severe pain in the leg 15 minutes after receiving the prescribed IV morphine.Pulses are faintly palpable and the foot is cool.Which action should the nurse take next?

Which action will the urgent care nurse take when caring for a patient who has a possible knee meniscus injury?

A 42-year-old patient is admitted to the emergency department with a left femur fracture.Which information obtained by the nurse is most important to report to the health care provider?

Which nursing intervention will be included in the plan of care after a patient with a right femur fracture has a hip spica cast applied?

A patient who arrives at the emergency department experiencing severe left knee pain is diagnosed with a patellar dislocation.The initial patient teaching by the nurse will focus on the need for

The nurse is caring for a patient who is to be discharged from the hospital 5 days after insertion of a femoral head prosthesis using a posterior approach.Which statement by the patient indicates a need for additional instruction?

The day after a having a right below-the-knee amputation,a patient complains of pain in the right foot.Which action is best for the nurse to take?

Which action will the nurse take in order to evaluate the effectiveness of Buck's traction for a 62-year-old patient who has an intracapsular fracture of the right femur?