Question 1

With an elevated serum ________________,calcitonin from the thyroid gland is released,bone resorption is suppressed,and bone healing is enhanced.

Accepted Answer

calcium level
With an elevated serum calcium level,calcitonin from the thyroid gland is released,bone resorption is suppressed,and calcium salts are deposited in the bone matrix.

Question 2

When applying a plaster of Paris cast,it is important to keep the cast exposed for at least _____________ minutes.

Accepted Answer

15
Explain that patient may experience warmth during the cast application process.Plaster gives off heat from a chemical reaction when drying.Keep cast exposed to permit maximum dissipation of the heat.Most casts cool in about 15 minutes.

Question 3

The patient is admitted for a fractured tibia.The nurse is preparing the patient for cast application.She should expect to medicate the patient with:

Accepted Answer

A)  An oral analgesic 10 minutes before the procedure 
B)  An intramuscular (IM) analgesic 10 minutes before the procedure 
C)  An intravascular (IV) analgesic 2 minutes before the procedure 
D)  A muscle relaxant 10 minutes before the procedure 
A)  An oral analgesic 10 minutes before the procedure 
B)  An intramuscular (IM) analgesic 10 minutes before the procedure 
C)  An intravascular (IV) analgesic 2 minutes before the procedure 
D)  A muscle relaxant 10 minutes before the procedure C

Question 4

An expected outcome of cast application that the nurse evaluates is:

Accepted Answer

A)  Skin irritation at the cast edges 
B)  Decreased capillary refill and pallor 
C)  Tingling and numbness distal to the cast 
D)  Slight edema, soreness, and limitation of range of motion 
A)  Skin irritation at the cast edges 
B)  Decreased capillary refill and pallor 
C)  Tingling and numbness distal to the cast 
D)  Slight edema, soreness, and limitation of range of motion

Question 5

The patient is confined to bed in traction.To prevent the development of complications,the nurses encourages:

Accepted Answer

A)  A low fluid intake to help control incontinence 
B)  A low calcium diet to reduce the risk for kidney stones 
C)  A fluid intake of at least 3 L per day and a high-residue diet 
D)  A low-fiber diet to help prevent constipation 
A)  A low fluid intake to help control incontinence 
B)  A low calcium diet to reduce the risk for kidney stones 
C)  A fluid intake of at least 3 L per day and a high-residue diet 
D)  A low-fiber diet to help prevent constipation

Question 6

_________________ may occur when pressure within a casted extremity increases.

Accepted Answer

Compartment syndrome
When pressure withi

Question 7

For a client with a fractured femur,a nurse is alert to the possibility of a fat embolus.The nurse specifically watches for:

Accepted Answer

A)  Bradypnea 
B)  Restlessness 
C)  Bradycardia 
D)  Calf pain 
A)  Bradypnea 
B)  Restlessness 
C)  Bradycardia 
D)  Calf pain

Question 8

The patient is in traction and at risk for fat embolism syndrome.Signs and symptoms of fat embolism include which of the following? (Select all that apply.)

Accepted Answer

A)  Chest pain 
B)  Tachypnea 
C)  Tachycardia 
D)  Apprehension 
E)   None of above 
A)  Chest pain 
B)  Tachypnea 
C)  Tachycardia 
D)  Apprehension 
E)   None of above

Question 9

__________________ involves monitoring for the five P's (Pain,Pallor,Pulselessness,Paresthesia,and Paralysis).

Accepted Answer

Neurovascular assessment
It is essential

Question 10

The patient has a broken leg and needs to have a cast applied.When plaster of Paris is compared and contrasted versus the newer synthetic casts,which of the following statements is true?

Accepted Answer

A)  Plaster of Paris can tolerate earlier weight bearing than synthetic casts. 
B)  Plaster of Paris is more expensive than synthetic casts. 
C)  Synthetic casts can withstand contact with water better than plaster. 
D)  Synthetic casts are lighter but take longer to set than plaster of Paris. 
A)  Plaster of Paris can tolerate earlier weight bearing than synthetic casts. 
B)  Plaster of Paris is more expensive than synthetic casts. 
C)  Synthetic casts can withstand contact with water better than plaster. 
D)  Synthetic casts are lighter but take longer to set than plaster of Paris.

Question 11

The patient has been in skeletal traction for external fixation of his femur for 2 days.Suddenly,he calls the nurse complaining of chest pain and shortness of breath.The nurse notes that the patient appears anxious,and that his pulse and respirations are elevated.She should do which of the following? (Select all that apply.)

Accepted Answer

A)  Massage the lower extremity. 
B)  Elevate the head of the bed. 
C)  Administer oxygen. 
D)  Notify the physician. 
A)  Massage the lower extremity. 
B)  Elevate the head of the bed. 
C)  Administer oxygen. 
D)  Notify the physician.

Question 12

The patient has fallen and broken her leg.To keep the leg bones aligned and to reduce muscle spasms,the physician orders the patient to be placed in ____________.

Accepted Answer

traction
Traction is a force or pull app

Question 13

For cast removal,the nurse correctly instructs the client that:

Accepted Answer

A)  Discomfort will be felt from the cast saw 
B)  An enzyme wash may be applied to intact skin 
C)  The skin will be scrubbed very well after the removal 
D)  Aggressive range of motion exercises will be performed after removal 
A)  Discomfort will be felt from the cast saw 
B)  An enzyme wash may be applied to intact skin 
C)  The skin will be scrubbed very well after the removal 
D)  Aggressive range of motion exercises will be performed after removal

Question 14

After applying a cast,the nurse should be able to insert _______ fingers between the cast and the limb.

Accepted Answer

two
Plaster must be of sufficient thickn

Question 15

A nurse anticipates that the type of traction that will be used for an adult client with a fractured humerus is:

Accepted Answer

A)  Bryant's traction 
B)  Dunlop's traction 
C)  Gallows traction 
D)  Buck's extension 
A)  Bryant's traction 
B)  Dunlop's traction 
C)  Gallows traction 
D)  Buck's extension

Question 16

_______________ traction begins externally but continues internally directly through the bone.

Accepted Answer

Skeletal
Skeletal traction beg

Question 17

After application of the cast,the nurse ensures that plaster crumbs are removed and rough edges are _________ to prevent skin breakdown.

Accepted Answer

petaled
After application of t

Question 18

_____________________ applies a pull indirectly to the bone via straps attached to the skin around the structure.

Accepted Answer

Skin traction
Skin traction applies pull

Question 19

An immobilization device used to immobilize and protect a body part is known as a _____________.

Accepted Answer

splint
Immobilization devices

Question 20

When teaching cast care,the nurse instructs the client to:

Accepted Answer

A)  Blow dry the wet cast on the "hot" setting 
B)  Report changes in sensation or mobility to the area 
C)  Use only soft objects to slide down the cast for scratching 
D)  Cut away the edges of the cast if the skin becomes irritated 
A)  Blow dry the wet cast on the "hot" setting 
B)  Report changes in sensation or mobility to the area 
C)  Use only soft objects to slide down the cast for scratching 
D)  Cut away the edges of the cast if the skin becomes irritated

Exam 11: Orthopedic Measures

With an elevated serum ________________,calcitonin from the thyroid gland is released,bone resorption is suppressed,and bone healing is enhanced.

When applying a plaster of Paris cast,it is important to keep the cast exposed for at least _____________ minutes.

The patient is admitted for a fractured tibia.The nurse is preparing the patient for cast application.She should expect to medicate the patient with:

An expected outcome of cast application that the nurse evaluates is:

The patient is confined to bed in traction.To prevent the development of complications,the nurses encourages:

_________________ may occur when pressure within a casted extremity increases.

For a client with a fractured femur,a nurse is alert to the possibility of a fat embolus.The nurse specifically watches for:

The patient is in traction and at risk for fat embolism syndrome.Signs and symptoms of fat embolism include which of the following? (Select all that apply.)

__________________ involves monitoring for the five P's (Pain,Pallor,Pulselessness,Paresthesia,and Paralysis).

The patient has a broken leg and needs to have a cast applied.When plaster of Paris is compared and contrasted versus the newer synthetic casts,which of the following statements is true?

The patient has fallen and broken her leg.To keep the leg bones aligned and to reduce muscle spasms,the physician orders the patient to be placed in ____________.

For cast removal,the nurse correctly instructs the client that:

After applying a cast,the nurse should be able to insert _______ fingers between the cast and the limb.

A nurse anticipates that the type of traction that will be used for an adult client with a fractured humerus is:

_______________ traction begins externally but continues internally directly through the bone.

After application of the cast,the nurse ensures that plaster crumbs are removed and rough edges are _________ to prevent skin breakdown.

_____________________ applies a pull indirectly to the bone via straps attached to the skin around the structure.

An immobilization device used to immobilize and protect a body part is known as a _____________.

When teaching cast care,the nurse instructs the client to:

Using Evidence in Nursing Practice

Admitting, transfer, and Discharge

Communication

Reporting and Recording

Vital Signs

Health Assessment

Medical Asepsis

Sterile Technique

Safe Patient Handling, transfer, and Positioning

Exercise and Ambulation

Support Surfaces and Special Beds

Safety

Disaster Preparedness

Pain Assessment and Basic Comfort Measures

Palliative Care

Personal Hygiene and Bedmaking

Pressure Ulcer Care

Care of Eye and Ear Prostheses

Safe Medication Preparation

Oral and Topical Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage

Emergency Measures for Life Support

Intravenous and Vascular Access Therapy

Blood Transfusions

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination

Ostomy Care

Preoperativepostoperative Care

Intraoperative Care

Wound Care and Irrigations

Dressings,bandages,and Binders

Warm and Cold Therapy

Home Care Safety

Home Care Teaching

Specimen Collection

Diagnostic Procedures

Filters