Quiz 13 Nurs 309 Questions With Complete Solutions
A 25 year old patient sustained a crush injury to his right upper
extremity and right lower extremity when heavy equipment fell
on him. Signs and symptoms of hypovolemia and compartment
syndrome are prestnt. Management of care for this patient will
focus on preventing which complication?
a. acute liver failure
b. ischemic heart failure
c. respiratory failure
d. myoglobinuric renal failure Correct Answers d.
myoblobinuric renal failure
A 30 year old patient who is hospitalized for repair of a
fractured tibia and fibula reports shortness of breath. Which
complication related to the injury might the patient be
experiencing?
a. acute renal failure
b. fat embolism
c. acute compartment syndrome
d. pneumonia Correct Answers b. fat embolism
A client has a long leg cast. What instructions should the nurse
give the client in preparation for crutch walking?
1/ use the trapeze to strengthen the biceps
2. keep the affected limb in extension and abduction
3. sit up straight in a chair to develop the back muscles
4. do exercises in bed to strengthen the upper extremities
Correct Answers 4. do exercises in bed to strengthen the upper
extremities
,A client is ready to walk with crutches after knee surgery.
Which crutch-walking technique will the nurse most likely have
to reinforce after the client returns from physical therapy?
1. two point
2. four point
3. three point
4. swing through Correct Answers 3. three point
A female patient with osteoporosis comes to the emergency
department after falling suddenly while opening her car door.
She aid it felt as though her "leg gave way" and caused her to
fall. What type of fracture is this patient most likely to have?
a. pathologic
b. colles'
c. impacted
d. compound Correct Answers a. pathologic
A nurse is teaching crutch walking to a client who had
arthroscopic surgery o the knee. On which part of the body
should the nurse instruct the client to place weight?
1. the upper arms
2. axillary region
3. palms of the hands
4. both lower extremities Correct Answers 3. palms of the
hands
A nurse suspects the development of compartment syndrome for
a client who has sustained blunt trauma to the forearm. For
which early sign of compartment syndrome should the nurse
assess the client?
1. Warm skin at the site of injury
, 2. Escalating pain in the fingers
3. Rapid capillary refill in affected hand
4. Bounding radial pulse in the injured arm Correct Answers 2.
Escalating pain in the fingers
A patient comes into the emergency department after falling off
his four-wheeler. Assessment of his lower leg reveals bleeding
and bone fragments protruding from the skin. What type of
fracture does this patient most likely have?
a. impacted
b. open
c. pathologic
d. displaced Correct Answers b. open
A patient comes to the emergency department after slipping on
some chalk in her classroom. She "did no have a hard fall" and
was able to walk with assistance of one of her students. What
type of fracture is this patient most likely to have?
a. compression
b. displaced
c. impacted
d. incomplete Correct Answers d. incomplete
A patient has a fracture femur. Which finding would the nurse
instruct the unlicensed assistive personnel (UAP) to report
immediately?
1. the patient reports pain
2. the patient appears confused
3. the patient's blood pressure is 136/88 mm Hg
4. The patient voided using the bedpan Correct Answers 2. the
patient appears confused
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