Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery

MULTIPLE CHOICE

1. Question: When teaching seniors at a community recreation center, which information will the nurse include about ways to prevent fractures?
2. Question: A factory line worker has repetitive strain syndrome in the left elbow. The nurse will plan to teach the patient about
3. Question: The occupational health nurse will teach the patient whose job involves many hours of typing about the need to
4. Question: Which discharge instruction will the emergency department nurse include for a patient with a sprained ankle?
5. Question: 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?
6. Question: The nurse will instruct the patient with a fractured left radius that the cast will need to remain in place
7. Question: A 48-year-old patient with a comminuted fracture of the left femur has Bucks traction in place while waiting for surgery. To assess for pressure areas on the patients back and sacral area and to provide skin care, the nurse should
8. Question: 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?
9. Question: 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
10. Question: Which statement by the patient indicates a good understanding of the nurses teaching about a new short- arm plaster cast?
11. Question: 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?
12. Question: 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?
13. Question: 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?
14. Question: Which action will the nurse take in order to evaluate the effectiveness of Bucks traction for a 62-year-old patient who has an intracapsular fracture of the right femur?
15. Question: A patient with a right lower leg fracture will be discharged home with an external fixation device in place. Which information will the nurse teach?
16. Question: A patient who has had an open reduction and internal fixation (ORIF) of a hip fracture tells the nurse that he is ready to get out of bed for the first time. Which action should the nurse take?
17. Question: When doing discharge teaching for a 19-year-old patient who has had a repair of a fractured mandible, the nurse will include information about
18. Question: 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 isbest?
19. Question: 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?
20. Question: Which statement by a 62-year-old patient who has had an above-the-knee amputation indicates that the nurses discharge teaching has been effective?
21. Question: 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?
22. Question: Which action will the nurse include in the plan of care for a patient who has had a total right knee arthroplasty?
23. Question: 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?
24. Question: When giving home care instructions to a patient who has comminuted forearm fractures and a long-arm cast on the left arm, which information should the nurse include?
25. Question: 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?
26. Question: A patient is being discharged 4 days after hip replacement surgery using the posterior approach. Which patient action requires immediate intervention by the nurse?
27. Question: After being hospitalized for 3 days with a right femur fracture, a 32-year-old patient suddenly develops 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?
28. Question: 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?
29. Question: A young man arrives in the emergency department with ankle swelling and severe pain after twisting his ankle playing basketball. Which of these prescribed collaborative interventions will the nurse implement first?
30. Question: Which nursing action for a patient who has had right hip replacement surgery can the nurse delegate to experienced unlicensed assistive personnel (UAP)?
31. Question: 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
32. Question: Following a motorcycle accident, a 58-year-old patient arrives in the emergency department with massive left lower leg swelling. Which action will the nurse take first?
33. Question: A pedestrian who was hit by a car is admitted to the emergency department with possible right lower leg fractures. The initial action by the nurse should be to
34. Question: The day after a 60-year-old patient has an open reduction and internal fixation (ORIF) for an open, displaced tibial fracture, the priority nursing diagnosis is
35. Question: The second day after admission with a fractured pelvis, a 64-year-old patient suddenly develops confusion. Which action should the nurse take first?
36. Question: 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?
37. Question: 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
38. Question: Before assisting a patient with ambulation 2 days after a total hip replacement, which action is most important for the nurse to take?
39. Question: When assessing for Tinels sign in a patient with possible right-sided carpal tunnel syndrome, the nurse will ask the patient about
40. Question: Which action will the urgent care nurse take when caring for a patient who has a possible knee meniscus injury?
41. Question: Which finding in a patient with a Colles fracture of the left wrist is most important to communicate to the health care provider?
42. Question: Which information obtained by the nurse about a 29-year-old patient with a lumbar vertebral compression fracture is most important to report to the health care provider?
43. Question: When a patient arrives in the emergency department with a facial fracture, which action will the nurse take first?
44. Question: After change-of-shift report, which patient should the nurse assess first?
45. Question: When caring for a patient who is using Bucks traction after a hip fracture, which action can the nurse delegate to unlicensed assistive personnel (UAP)?
46. Question: Based on the information shown in the accompanying figure and obtained for a patient in the emergency room, which action will the nurse take first?