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Question 1
Free
Multiple Choice

The nurse is counselling a client about ways to prevent fractures. Which of the following information should the nurse include?

Choose correct answer/s
A

Tack down throw rugs in the home.

B

Most falls happen outside the home.

C

Buy shoes that provide good support and are comfortable to wear.

D

Range-of-motion exercises should be taught by a physical therapist.

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Question 2
Free
Multiple Choice

The nurse is caring for a client in the emergency department who is employed as a checkout clerk in a grocery store and has a repetitive strain injury in the left elbow. Which of the following treatment options should the nurse include in the teaching plan?

Choose correct answer/s
A

Surgical options

B

Elbow injections

C

Utilization of a left wrist splint

D

Modifications in arm movement

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Question 3
Free
Multiple Choice

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?

Choose correct answer/s
A

Do stretching and warm-up exercises before starting work.

B

Wrap the wrists with a compression bandage every morning.

C

Use acetaminophen instead of nonsteroidal anti-inflammatory drugs (NSAIDs) for wrist pain.

D

Obtain a keyboard pad to support the wrist while word processing.

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Question 4
Free
Multiple Choice

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?

Choose correct answer/s
A

Keep the wrist loosely wrapped with gauze.

B

Apply a heating pad to reduce muscle spasms.

C

Use pillows to elevate the arm above the heart.

D

Gently move the wrist through the range of motion.

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Question 5
Free
Multiple Choice

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?

Choose correct answer/s
A

"You have an appointment with a physical therapist for tomorrow."

B

"You can still play baseball but you will not be able to return to pitching."

C

"The doctor will use the drop-arm test to determine the success of surgery."

D

"Leave the shoulder immobilizer on for the first few days to minimize pain."

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Question 6
Multiple Choice

The nurse is caring for a client who has a cast in place after fracturing the radius and the client asks when the cast can be removed. Which of the following information related to the length of time that the cast will need to remain in place should thenursetell the client?

Choose correct answer/s
A
Several months
B
At least 3 weeks
C
Until swelling of the wrist has resolved
D
Until x-rays show complete bony union
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Question 7
Multiple Choice

The nurse is caring for a client who has a comminuted fracture of the right femur and has Buck's traction in place while waiting for surgery. Which of the following actions should the nurse implement to assess for pressure areas on the client's back andsacralarea and to provide skin care?

Choose correct answer/s
A
Loosen the traction and have the client turn onto the unaffected side.
B
Place a pillow between the client's legs and turn gently to each side.
C
Turn the client partially to each side with the assistance of another nurse.
D
Have the client lift the buttocks by bending and pushing with the left leg.
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Question 8
Multiple Choice

The nurse is caring for a client with a left femur fracture who has a hip spica cast applied. Which of the following nursing interventions should be included in the plan of care?

Choose correct answer/s
A
Avoid placing the client in the prone position.
B
Use the cast support bar to reposition the client.
C
Ask the client about any abdominal discomfort or nausea.
D
Discuss the reasons for remaining on bed rest for several weeks.
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Question 9
Multiple Choice

The nurse is caring for a client who has a long-arm plaster cast applied for immobilization of a fractured left radius. Which of the following actions should the nurse implement until the cast has completely dried?

Choose correct answer/s
A
Keep the left arm in a dependent position.
B
Handle the cast with the palms of the hands.
C
Place gauze around the cast edge to pad any roughness.
D
Cover the cast with a small blanket to absorb the dampness.
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Question 10
Multiple Choice

The nurse is providing discharge teaching to a client who has a short-arm plaster cast applied. Which of the following client statements indicates a good understanding of the discharge teaching?

Choose correct answer/s
A
"I can get the cast wet as long as I dry it right away with a hair dryer."
B
"I should avoid moving my fingers and elbow until the cast is removed."
C
"I will apply an ice pack to the cast over the fracture site for the next 24 hours."
D
"I can use a cotton-tipped applicator to rub lotion on any dry areas under the cast."
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Question 11
Multiple Choice

The nurse is evaluating the crutch-walking technique of a client who is to have no weight bearing on the right leg. Which of the following observations indicates that the client can safely ambulate independently?

Choose correct answer/s
A
The client keeps the padded area of the crutch firmly in the axillary area when ambulating.
B
The client advances the right leg and both crutches together and then advances the left leg.
C
The client moves the left crutch with the left leg and then the right crutch with the right leg.
D
The client uses the bedside chair to assist in balance as needed when ambulating in the room.
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Question 12
Multiple Choice

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?

Choose correct answer/s
A
Notify the health care provider.
B
Assess the incision for redness.
C
Reposition the left leg on pillows.
D
Check the client's blood pressure.
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Question 13
Multiple Choice

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?

Choose correct answer/s
A
The client states that the pelvis feels unstable.
B
Abdominal distention is present and bowel tones are absent.
C
There are ecchymoses on the abdomen and hips.
D
The client complains of pelvic pain with palpation.
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Question 14
Multiple Choice

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?

Choose correct answer/s
A
Assess for hip contractures.
B
Monitor for hip dislocation.
C
Check the peripheral pulses.
D
Ask about left hip pain level.
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Question 15
Multiple Choice

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?

Choose correct answer/s
A
"You will need to assess and clean the pin insertion sites daily."
B
"The external fixator can be removed during the bath or shower."
C
"You will need to remain on bed rest until bone healing is complete."
D
"Prophylactic antibiotics are used until the external fixator is removed."
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Question 16
Multiple Choice

The nurse is preparing to assist a client who has had an open reduction and internal fixation (ORIF) of a hip fracture out of bed for the first time. Which of the following actions should the nurse take first?

Choose correct answer/s
A
Use a mechanical lift to transfer the client from the bed to the chair.
B
Check the postoperative orders for the client's weight-bearing status.
C
Avoid administration of pain medications before getting the client up.
D
Delegate the transfer of the client out of bed to an unregulated care provider (UCP).
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Question 17
Multiple Choice

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?

Choose correct answer/s
A
When and how to cut the immobilizing wires
B
Self-administration of nasogastric tube feedings
C
The use of sterile technique for dressing changes
D
The importance of including high-fibre foods in the diet
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Question 18
Multiple Choice

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?

Choose correct answer/s
A
"Many people are able to function normally with a foot prosthesis."
B
"I understand that you are upset, but you may lose the foot anyway."
C
"Tell me what you know about what your options for treatment are."
D
"If you do not want the surgery, you do not have to have an amputation."
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Question 19
Multiple Choice

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?

Choose correct answer/s
A
Explain the reasons for the phantom limb pain.
B
Administer prescribed analgesics to relieve the pain.
C
Loosen the compression bandage to decrease incisional pressure.
D
Remind the client that this phantom pain will diminish over time.
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Question 20
Multiple Choice

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?

Choose correct answer/s
A
"I should lay on my abdomen for 30 minutes three or four times a day."
B
"I should elevate my residual limb on a pillow two or three times a day."
C
"I should change the limb sock when it becomes soiled or stretched out."
D
"I should use lotion on the stump to prevent drying and cracking of the skin."
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