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The client has a long bone fracture that is all the way through the bone, has broken
skin and is not in alignment with the rest of the bone. Which of these describes the
fracture? - ANSWER-Open, complete, and displaced fracture
Which of these is a potential complication of a fracture? Select all that apply: -
ANSWER-infection
compartment syndrome
delayed union
venous thromboembolism
What interventions must the nurse perform to decrease the risk of pressure ulcer
formation? - ANSWER-turn the client every two hours
The nurse performs a neurovascular assessment on a client's lower extremity. The
nurse is unable to palpate a pule, but the extremity is warm and the client can move
his toes. What is the nurses next action? - ANSWER-Attempt to find a pulse with a
doppler
What should the client immediately report to the healthcare provider when being
sent home with a cast for a broken arm - ANSWER-Purulent and odiferous
drainage that is new
pg. 1
,A client has sustained an open fracture. How can the nurse best prevent
osteomyelitis in this client? - ANSWER-Proper hand hygiene and strict infection
control
A nursing professional development specialist is teaching proper body mechanics
to newly unlicensed assistive personnel at a long-term facility- prevent injury -
ANSWER-Keeping your feet shoulder width apart to provide a wide base of
support
What is a positive effect of mobility on the respiratory system? - ANSWER-
prevention of atelectasis
What should be done immediately after an ankle injury? - ANSWER-RICE
Rest, ice, compress, and elevate the ankle
A client is no longer able to see. What intervention by the nurse is a priority? -
ANSWER-Orient the client to the location of the items in the room
What is a negative eGect of immobility on the cardiovascular system? -
ANSWER-dvt
What is a priority intervention when caring for a client in Buck's traction? -
ANSWER-Assess skin integrity
To promote independence, which of these is a reasonable nursing intervention for a
client with decreased ROM? - ANSWER-Assist the client, but allow them to
perform the cares they are able to
pg. 2
,What can the nurse teach the client to reduce the risk of osteoporosis? - ANSWER-
Teach the client to begin lifting weights
Why is a client with osteoporosis prone to fractures? - ANSWER-The client has
porous bones
A client with a fractured hip is now experienced shortness of breath. His oxygen
saturation is 88% - ANSWER-Administer oxygen via nasal cannula, as order by
the provider
What is the rationale for the use of sequential compression? - ANSWER-promote
blood flow
What does the nurse teach the client to do if they experience swelling in the
extremity with a cast - ANSWER-Raise the extremity above the heart
client being cared for is blind. What interventions can help the client reduce his
risk of falling in the hospital room? - ANSWER-orient him to the location of
objects in the room
What is a negative effect of immobility on the musculoskeletal system? -
ANSWER-contractures
A nurse is caring for a client who has limited hand movement. Which of these is
the best action to promote independence and eating? - ANSWER-provide an
adaptive feeding device
A client does not understand why vision loss due to glaucoma is irreversible. What
is the best explanation ? - ANSWER-once the tissue has necrosed from high
pressure, it does not regenerate
pg. 3
, 6. A client with bilateral cataracts may report which symptoms? Select all that
apply: - ANSWER-a. difficulty with night vision
b. Recent eyeglass prescription changes d. Clouded vision
e. Halos around objects
A client with plantar fasciitis spoke with the provider about surgical repair. Why
does foot surgery take longer to heal than other types of surgery? - ANSWER-The
pain from these surgeries is the prohibiting factor
nurse physically moves a bedridden clients leg. What is this type of movement
called - ANSWER-passive rom
What client is at greatest risk for infection? - ANSWER-A client with open
reduction and external fixation
client has a family history of glaucoma. What test will the nurse anticipate for this
client? - ANSWER-tonometry
client suffered from a femur fracture. What is the priority assessment? -
ANSWER-A pedal pulse in the affected extremity
Which of these statements best represents adduction? - ANSWER-"It is the
movement of a limb or other part toward the midline of the body or toward another
part"
What clinical manifestation is a result of immobility? - ANSWER-decreased
peristalsis
pg. 4
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