A 35-year-old female patient is seen in the clinic complaining of
abdominal pain. Which of the following should be included in
the history and physical examination? Correct Answer All of
the above
A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it
but is worried because it has not improved. She has used
Tylenol® and ice at home, and that has helped slightly. You
examine her and find she has moderate swelling and ecchymosis
but no overtly obvious deformity. Her ROM is uncomfortable
and severely diminished due to the pain. No crepitus is heard or
felt. Her fingers are warm; her pulse is strong; and capillary
refill is less than 2 seconds. What should you do? Correct
Answer Obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint
A frantic family member is distressed about the flaccid paralysis
of her son following a spinal cord injury several hours ago.
What does the nurse know about this condition? Correct
Answer It is possibly a temporary condition and will clear
A patient 48 hours after surgery for a fractured femoral shaft is
experiencing mental confusion, tachycardia, tachypnea, and
dyspnea. The patients blood pressure is elevated and petechiae
are present on the chest. After reporting the findings to the RN
what should the nurse do while awaiting the physicians specific
,orders? (Select all that apply.) Correct Answer a. Administer
oxygen. b. Prepare patient for arterial blood gas tests. c. Prepare
patient for chest x-ray or lung scan. d. Maintain bedrest and
keep movement to a minimum
f. Place patient in high Fowlers position or raise the head of the
bed.
A patient asks the difference between osteoarthritis and
rheumatoid arthritis. What manifestations should the nurse
explain are characteristic of rheumatoid arthritis? (Select all that
apply.) Correct Answer Low-grade fever
Autoimmune disease
e. Early morning stiffness
f. Involvement of other major organs
A patient has an open reduction of a radial fracture and is casted.
Several hours after the operation, the patient reports a throbbing
pain in the arm. What nursing action is essential for the nurse to
take? Correct Answer Perform neurovascular checks.
A patient in the ambulatory clinic is diagnosed with a muscle
strain. What actions should the nurse instruct the patient to do to
treat this injury? (Select all that apply.) Correct Answer a. Rest
the limb.
b. Elevate the limb
apple ice to area
wrap w/ elastic bandage
A patient is completing instructions about complications that can
occur from osteoporosis. Which complication should the patient
, state as evidence that teaching has been effective? Correct
Answer Hip fracture
A patient is diagnosed with osteomyelitis of the right lower leg.
What should the nurse expect to be prescribed for this patients
care? Correct Answer
A patient who has a displaced mid-shaft fracture of the left
femur and is in balanced suspension skeletal traction with 35
pounds of weights is experiencing calf pain with right foot
dorsiflexion. Which action should the nurse take? Correct
Answer Notify the RN- Homans sign
A patient with a 36-hour-old fractured femur is in traction and is
prescribed morphine 10 mg every 3 hours as needed. The patient
received a dose 3 hours ago and is now reporting a pain level of
8. The patient is stable. Which action should the nurse take?
Correct Answer Give pain medication as ordered
A patient with a casted, fractured left leg asks why the leg has to
be elevated. What should the nurse respond to this patient?
Correct Answer Decreases swelling
A patient with a fractured pelvis and a left acetabular fracture is
prescribed bedrest. When the patient asks to toilet, which
measure would be appropriate? Correct Answer Ask patient to
lift straight up using a trapeze mounted above the bed and slide a
bedpan underneath from the right side.
A patient with a spinal cord injury at T1 complains of stuffiness
of the nose and a headache. The nurse notes a flushing of the
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